Contractor Application

Thank you for your interest in the Solar and Energy Loan Fund (SELF). We encourage all contractors to apply to become a SELF approved contractor, as there are many benefits involved, such as sales growth, training, and co-marketing opportunities.

Eligibility Requirements:

Must have current General Liability Insurance.
Must have current Workers Compensation Insurance or an Exemption Certificate.
Must be able to provide a Copy of a signed W-9
If you do not hold a state specialty license, must have a current Occupational License

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If you are eligible to apply to become a SELF approved contractor, please proceed with the Contractor Application below.

As the authorized agent for this business, please be prepared to submit required credentials and to acknowledge the Terms and Conditions for the completion of the application.

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Company & Contact Information

Company Information

Company Name	Website
Street State	City Zip
County	Company mailing address is different than above
Mailing Street Mailing State	Mailing City Mailing Zip

Contact Information

First Name

Last Name

Title

Add a second contact person

Phone (incl. ext)

Mobile

Email

Contact Information

First Name

Last Name

Title

Mobile

Phone (incl. ext)

Email

Service Areas

What counties in Alabama, Florida, and Georgia are you readily available to service?

First, select the states you are readily available to service

AlabamaFloridaGeorgia

Hold down the ctrl key to select more than one county.

Please select the counties you are readily available to service:

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Please upload the following attachments.

Workers Compensation Insurance (If exempt, please also provide a copy)

Workman's Comp expiration date

General Liability Insurance

General Liability expiration date

Florida State Specialty License and/or Local Construction License

State Specialty license expiration date

Signed W-9 or 1099

Disability Installations

Universal Design Certified Professional (UDCP)

Copy of Bond

Copies of any additional certifications (i.e. BPI, RESNET, NATE, ASHRAE, AEE, Disability installations, UDCP)
Only one document may be uploaded at a time. Click "Add another response" to upload an additional document.

By signing this Acknowledgment, I represent and warrant that (i) I am duly authorized to submit this Acknowledgment on behalf of the Contractor; (ii) the information provided in the Application and any other related documents delivered to SELF, is true, accurate, and complete; (iii) I understand and accept the terms and conditions provided by SELF (including any updates thereto). I further understand and accept that the approval or rejection of the Application is at the sole discretion of SELF.

When clicking "Submit," you will have a final chance to review your application.