Maryland Department of Labor

APPLICATION FOR ACTIVE STATUS OF HOME IMPROVEMENT LICENSE
I am requesting that my Inactive Contractor’s Home Improvement License be Reactivated. This
License must be in a current inactive status and not within 60 days of renewal.
CONTRACTOR:___________________________________ LICENSE #:____________________
COMPANY NAME:________________________________________________________________
(Company name must be registered and in Good Standing with the Maryland State Department of Assessment and Taxation. You may call 410-767-1340 or visit dat. )
SOCIAL SECURITY NUMBER:_____________________________________________________
ADDRESS: _______________________________________________________________________
Number Street City State Zip Code
HOME TELEPHONE #:_________________________ EMAIL:____________________________
BUSINESS ADDRESS:______________________________________________________________
Number Street City State Zip Code
BUSINESS TELEPHONE:__________________________ EMAIL:_________________________
FEES: TOTAL $135.00 (Check / Money Order)
(Guaranty Fund Renewal Assessment - $125.00 and $10.00 Reactivation Fee)
PLEASE SUBMIT CREDIT REPORTS LESS THAN 90 DAYS OLD AND PROOF OF LIABILITY INSURANCE
Please mail directly to: MARYLAND HOME IMPROVEMENT COMMISSION
LICENSING UNIT
1100 N. EUTAW STREET, ROOM 121
BALTIMORE, MARYLAND 21201
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