Trade License Renewal Form

License No.: ___________________________________ License Expiration Date: __________________________

Select One Profession:

301 - STATIONARY ENGINEER 310 - ELEVATOR MECHANIC CONTRACTOR

302 - MASON CONTRACTOR - Brick 311 - PLUMBER APPRENTICE

303 - SUPERVISING ELECTRICIAN 312 - PLUMBING CONTRACTOR

304 - CRANE OPERATOR 313 – PRIVATE ALARM CONTRACTOR

306 - JOURNEYMAN PLUMBER - Practical 314 - DEMOLITION CONTRACTOR

307 - MASON CONTRACTOR - Concrete 315 - STEAM BOILER ERECTOR

308 - SUPERVISING ELEVATOR MECHANIC 316 - MASON CONTRACTOR - Brick & Concrete

309 - APPRENTICE CRANE OPERATOR

Fee*: _______________ *For manual entry, the applicable fee can be found on (www.continentaltesting.net).

Name: __________________________________________________________________________________________

Address: ________________________________________________________________________________________

City: ___________________________________________ State: _________________ Zip: __________________

Date of Birth: __________________ Social Security No.: ______________ Driver’s License #: ______________

Email: __________________________________________________________ Home Phone: ___________________

Present Occupation: _______________________________________________________________________________

Company Name: ________________________________________________ Phone: _________________________

Address: ________________________________________________________________________________________

City: ___________________________________________ State:__________________ Zip: ___________________

Mail Forms To: City of Chicago Trade Licenses & Examinations

P.O. BOX 388249

Chicago, IL 60638-8249 CTS -2014