instructions to new license application - hblb.alabama… · . ... attach certificate of good...

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LICENSE REQUIREMENTS – Who Must Be Licensed? ACCORDING TO ALA. CODE § 34–14A–2: “One who constructs a residence or structure for sale or who, for a fixed price, commission, fee, or wage, undertakes or offers to undertake the construction or superintending of the construction, or who manages, supervises, assists, or provides consultation to the homeowner regarding the construction or superintending of the construction, of any residence or structure which is not over three floors in height and which does not have more than four units in an apartment complex, or the repair, improvement, or reimprovement thereof, to be used by another as a residence when the cost of the undertaking exceeds ten thousand dollars ($10,000.00). Nothing herein shall prevent any person from performing these acts on his or her own residence or on his or her other real estate holdings. Anyone who engages or offers to engage in such undertaking in this state shall be deemed to have engaged in the business of residential home building.” LICENSE FORMS Licenses will be issued only to individuals, partnerships, corporations, limited liability companies, and non-profit organizations. The extent to which a residential home builder may engage in the residential home building business depends upon the type of license held. DESIGNATED QUALIFYING REPRESENTATIVE 1. Individuals applying for a license personally must satisfy all of the licensure requirements including experience and ability. 2. Partnerships, corporations, limited liability companies, and non-profit organizations must designate a qualifying representative who must satisfy the experience and ability requirements for licensure. The Designated Qualifying Representative (DQR) must be a general partner if the applicant is a partnership, an officer if the applicant is a corporation, a member if the applicant is a member-managed limited liability company, or a manager if the applicant is a manager-managed limited liability company. INSTRUCTIONS 1. APPLICATION All applicants must file an accurate, complete and notarized application for license with the Board. 2. BUSINESS-RELATED FINANCIAL REQUIREMENTS All applicants must order a business-related credit report, including a public records search, to be submitted directly to the Board by a credit reporting agency. An applicant whose application is pending for more than 90 days may be required to file an updated cred- it report. An order form is enclosed for your convenience. 3. FEES The annual license fee is $250.00. A non-refundable $100.00 new license application processing fee must also accompany applications for a new license. Please make checks, in the amount of $350.00 payable to the Home Builders Licensure Board. The Board accepts personal or company checks, cashier’s checks, certified checks, or money orders. The Board does not accept cash payments or credit cards. All fees must be paid before the application is processed. Upon written request, the annual license fee will be refunded in the event an application is rejected or denied. 4. WRITTEN EXAMINATION All applicants will be required to pass a written examination testing experience and ability prior to licensure. Testing information is enclosed. Additional information regarding the written examination is available on the Board’s website: www.hblb.alabama.gov. All testing fees will be paid directly to the testing agency. (Continued on back) Revised 8/15 Instructions to NEW LICENSE Application www.hblb.alabama.gov P.O. Box 303605 Montgomery, Alabama 36130-3605 / Overnight Delivery: 445 Herron Street Montgomery, Alabama 36104 Telephone (334) 242-2230 / Facsimile (334) 263-1397

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Page 1: Instructions to NEW LICENSE Application - hblb.alabama… · . ... Attach Certificate of Good Standing from the Alabama Department of Revenue if a corporation, ... Check No. _____

LICENSE REQUIREMENTS – Who Must Be Licensed?ACCORDING TO ALA. CODE § 34–14A–2:

“One who constructs a residence or structure for sale or who, for a fixed price, commission, fee, or wage, undertakes or offers toundertake the construction or superintending of the construction, or who manages, supervises, assists, or provides consultation to the homeowner regarding the construction or superintending of the construction, of any residence or structure which is not over three floors in height and which does not have more than four units in an apartment complex, or the repair, improvement, or reimprovement thereof, to be used by another as a residence when the cost of the undertaking exceeds ten thousand dollars($10,000.00). Nothing herein shall prevent any person from performing these acts on his or her own residence or on his or her other real estate holdings. Anyone who engages or offers to engage in such undertaking in this state shall be deemed to have engaged in the business of residential home building.”

LICENSE FORMSLicenses will be issued only to individuals, partnerships, corporations, limited liability companies, and non-profit organizations.

The extent to which a residential home builder may engage in the residential home building business depends upon the type oflicense held.

DESIGNATED QUALIFYING REPRESENTATIVE1. Individuals applying for a license personally must satisfy all of the licensure requirements including experience and ability.

2. Partnerships, corporations, limited liability companies, and non-profit organizations must designate a qualifying representative who must satisfy the experience and ability requirements for licensure. The Designated Qualifying Representative (DQR) must be a general partner if the applicant is a partnership, an officer if the applicant is a corporation, a member if the applicant is a member-managed limited liability company, or a manager if the applicant is a manager-managed limited liability company.

INSTRUCTIONS1. APPLICATION

All applicants must file an accurate, complete and notarized application for license with the Board.

2. BUSINESS-RELATED FINANCIAL REQUIREMENTSAll applicants must order a business-related credit report, including a public records search, to be submitted directly to the Board bya credit reporting agency. An applicant whose application is pending for more than 90 days may be required to file an updated cred-it report. An order form is enclosed for your convenience.

3. FEESThe annual license fee is $250.00. A non-refundable $100.00 new license application processing fee must also accompany applications for a new license. Please make checks, in the amount of $350.00 payable to the Home Builders LicensureBoard. The Board accepts personal or company checks, cashier’s checks, certified checks, or money orders. The Board does notaccept cash payments or credit cards. All fees must be paid before the application is processed. Upon written request, the annuallicense fee will be refunded in the event an application is rejected or denied.

4. WRITTEN EXAMINATIONAll applicants will be required to pass a written examination testing experience and ability prior to licensure. Testing information is enclosed. Additional information regarding the written examination is available on the Board’s website:www.hblb.alabama.gov. All testing fees will be paid directly to the testing agency.

(Continued on back)

Revised 8/15

Instructions to NEW LICENSE Applicationwww.hblb.alabama.gov

P.O. Box 303605 • Montgomery, Alabama 36130-3605 / Overnight Delivery: 445 Herron Street • Montgomery, Alabama 36104Telephone (334) 242-2230 / Facsimile (334) 263-1397

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APPLICATION CHECKLISTApplication completed, signed and notarized. (Corporation, partnership and limited liability company applications must have signatures notarized in both Sections 6 and 7.)Check, cashier’s check, certified check, or money order in the amount of $350.00 made payable to Home Builders Licensure Board enclosed. The Board does not accept cash payments or credit cards.Ordered Business-Related Credit ReportAttach Certificate of Good Standing from the Alabama Department of Revenue if a corporation, limited liability company, or limited partnership.Attach Certificate of Existence from the Alabama Secretary of State if a foreign (out-of-state) corporation, limited liability company, or limited partnership.Attach a copy of the Articles of Incorporation, Partnership Agreement, or Articles of Organization, WHICH HAVE BEEN FILED WITH THE PROBATE JUDGE, if a corporation, limited liability company, or limited partnership. Additionally, if applying as a corporation, attach a separate listing of officers, i.e., copy of signed minutes, amendment to articles, or other signed document reflecting the current officers.

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INSTRUCTIONS: Please type or print in ink all information. Do not send copies or facsimile transmissions.

ALL QUESTIONS MUST BE ANSWERED COMPLETELY. Use additional sheets if necessary. Make check, cashier’s check, certified check, or money order for $350.00 ($250.00 license fee plus $100.00 non-refundable new license applicationprocessing fee) payable to the Home Builders Licensure Board. All fees must be paid before the application will be processed.

NOTICE: Submitting false information for the purpose of obtaining a license is a criminal offense and grounds for license denial. Holding an individual license does not allow you to engage in residential

construction through an unlicensed corporation, partnership, or limited liability company.

SECTION 1:

Full Name ____________________________________________________ Social Security Number _________________________(Disclosure mandatory under the Alabama Child Support Reform Act of 1997, Act 97-447,

Ala. Code § 30-3-194 (1997 Cum. Supp.) to be used for the purposes described therein.)

List any and all business names/trade names you plan to use to perform residential construction or remodeling:

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Street Address _______________________________________________________________________________________________

City _________________________________________________ County______________________ State ____ Zip __________

Mailing Address______________________________________________________________________________________________

City _________________________________________________ County______________________ State ____ Zip __________

Business Phone (_______) _____________________________ Cellular Phone (_______) ________________________________

Fax (_______) ________________________________ E-mail Address _______________________________________________

(Continued on page 2)

Revised 8/15

NEW LICENSE APPLICATION(INDIVIDUALS)

www.hblb.alabama.gov

OFFICE USE ONLY(Date Stamp) Check No. ______________________

Amount Paid ____________________

P.O. Box 303605 • Montgomery, Alabama 36130-3605 / Overnight Delivery: 445 Herron Street • Montgomery, Alabama 36104Telephone (334) 242-2230 / Facsimile (334) 263-1397

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SECTION 2:IF YOU ANSWER “YES” TO ANY OF THE FOLLOWING QUESTIONS, YOU MUST PROVIDE THE REQUESTEDDOCUMENTATION AND A FULL EXPLANATION ON A SEPARATE SHEET OF PAPER.

Yes No 1. Within the past 7 years, have you pled guilty or nolo contendere, or been convicted of a felony?

Yes No 2. Within the past 7 years, were you or any company of which you were a partner, officer, member, or manager declared or placed in bankruptcy?

If “YES,” indicate in the full explanation whether the bankruptcy was filed under Chapter 7, 11 or 13 of the U.S. Bankruptcy Code.

If the bankruptcy was filed under Chapter 13, provide a schedule of creditors, a payment plan and a history of payments. If the bankruptcy was filed under Chapter 11, provide a reorganization plan.If the bankruptcy was filed under Chapter 7, provide a schedule of creditors.

If the bankruptcy has been discharged, provide a copy of the discharge order.

Yes No 3. Within the past 7 years, did you or any company of which you were a partner, officer, member, or manager have any professional or business license revoked or suspended in Alabama or any other state, or have an application for any professional or business license denied in Alabama or any other state?

If “YES,” provide a copy of the revocation, suspension, or denial order with your written explanation.

Yes No 4. Do you, or any entity of which you are the Designated Qualifying Representative, have any outstanding disciplinary actions before this Board?

If yes, provide the name of the homeowner involved:________________________________________________

Yes No 5. Are there any liens for labor or materials filed on any of your work or the work of any company of which you are a partner, officer, member, or manager?

If “YES,” provide a copy of the lien filing, and the release of lien if the lien has been released, with your explanation.

Yes No 6. Within the past 7 years, have you, or any company of which you were a partner, officer, member, or manager been identified by this Board as an unlicensed builder?

SECTION 3: BUSINESS-RELATED FINANCIAL INFORMATIONA credit report, including a public records search, must be submitted directly to the Board by a credit reporting agency.Disclosure of Social Security Number for the purpose of obtaining business-related financial and credit information and publicrecords search is voluntary. Disclosure requested under Ala. Code § 34-14A-7(a)(4).

SECTION 4: CITIZENS AND ALIENS LAWFULLY PRESENTThis section to be completed in compliance with Ala. Code § 34-14A-7 and Ala. Code § 31-13-7,29, which provides that an alien’s lawful presence in the United States may be verified through SAVE.

This section must be completed by the individual applicant.

This application will not be processed until the requested documentation is received by the Board.

(Continued on page 3)

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Yes No 1. Are you a citizen of the United States?If “YES,” please read the declaration below, sign, and provide a legible copy of any one of the documents listed below.If “NO,” see question 2, below.

1) Driver’s License or Nondriver’s Identification Card 2) Birth Certificate3) Pertinent pages of a valid or expired United States passport (must identify person and show passport number)4) United States naturalization documents or the number of the certificate of naturalization5) Other documents or methods of proof of United States citizenship issued by the federal government pursuant

to the Immigration and Nationality Act of 1952, as amended.6) Bureau of Indian Affairs card number, tribal treaty card number, or tribal enrollment number7) Consular report of birth abroad of a citizen of the United States of America8) Certificate of citizenship issued by the United States Citizenship and Immigration Services9) Certification of report of birth issued by the United States Department of State 10) American Indian Card with KIC classification, issued by the United States Department of Homeland Security11) Final adoption decree showing the person’s name and United States birthplace12) Official United States military record of service showing the applicant’s place of birth in the United States13) An extract from a United States hospital record of birth created at the time of the person’s birth indicating

the place of birth in the United States14) AL-verify15) Valid Uniformed Services Privileges and Identification Card16) Any other form of identification that the Alabama Department of Revenue authorizes . . . to be used to

demonstrate of confirm a person’s United States citizenship or lawful presence in the United states, provided that the identification requires proof of lawful presence in the United States as a condition of issuance.

I hereby declare that I am a citizen of the United States of America.

I sign this declaration under penalties of perjury; making a false, fictitious, or fraudulent statement or representation in this declaration is perjury in the second degree pursuant to Ala. Code § 13A-10-102.

________________________________________________________________Printed Name of Applicant

________________________________________________________________Signature of Applicant

Yes No 2. If you are not a citizen of the United States, are you an alien who is lawfully present in the United States?If “YES,” please read the declaration below, sign, and provide a legible copy of any one of the documents listed below.

1) Valid, unexpired Alabama driver’s license2) Valid, unexpired Alabama nondriver identification card3) Valid tribal enrollment card or other form of tribal identification bearing a photograph or other biometric identifier4) Any valid United States federal or state government issued identification document bearing a photograph or

other biometric identifier, including a valid Uniformed Services Privileges and Identification Card if issued by an entity that requires proof of lawful presence in the United States before issuance

5) Foreign passport with an unexpired United States Visa and a corresponding stamp or notation by the United States Department of Homeland Security indicating the bearer’s admission to the United States

6) Foreign passport issued by a visa waiver country with the corresponding entry stamp and unexpired duration of stay annotation or an I-94W form by the United States Department of Homeland Security indicating the bearer’s admission to the United States

I hereby declare that I am an alien lawfully present in the United States of America.

I sign this declaration under penalties of perjury; making a false, fictitious, or fraudulent statement or representation in this declaration is perjury in the second degree pursuant to Ala. Code § 13A-10-102.

________________________________________________________________Printed Name of Applicant

________________________________________________________________Signature of Applicant

(Continued on page 4)

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4

SECTION 5: OATH AND RELEASE FOR INDIVIDUALSI solemnly swear or affirm that I am the person referred to in this application; that the information provided and the statements

made herein and on the attachments hereto are accurate, complete, and true to the best of my knowledge; and further, that ifgranted a license by the Home Builders Licensure Board, I shall abide by all laws relating to residential home builders and the rules adopted by the Board.

I hereby authorize any individual, company, or institution with whom I have been associated to release to the Home BuildersLicensure Board all information and records as are necessary to verify or contradict the information provided in this application.

________________________________________________________________Printed Name of Individual Applicant

________________________________________________________________Signature of Individual Applicant

County of__________________________ )

State of ___________________________ )

Signed and sworn to before me this _____ day of _________________________ , _____________ .(Month) (Year)

Signature – Notary Public ______________________________ (Notarial Seal)

My Commission Expires: _______________________________

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INSTRUCTIONS: Please type or print in ink all information. Do not send copies or facsimile transmissions. ALL QUESTIONSIN EVERY SECTION MUST BE ANSWERED COMPLETELY. Use additional sheets if necessary. Make check, cashier’scheck, certified check, or money order for $350.00 ($250.00 license fee plus $100.00 non-refundable new license applicationprocessing fee) payable to the Home Builders Licensure Board. All fees must be paid before the application will be processed.

NOTICE: Submitting false information for the purpose of obtaining a license is a criminal offense and grounds for license denial. A corporation, partnership, or limited liability company license allows you to engage

in residential construction only in the name of the company granted the license. A corporation, partnership, or limited liability company license allows one person to serve as a designated qualifying representative. Other partners, officers, members, or managers desiring a license should apply for an individual license.

SECTION 1:Please designate appropriate business form: Corporation Partnership Limited Partnership LLC

A copy of the articles of incorporation, partnership agreement or articles of organization must be attached. If applying as a corporation, attach a copy of signed minutes or an amendment to the articles listing the officers of the corporation. If applying as a partnership, attach a document filed with the probate court naming the current partners of partnership. If applying as an LLC, provide a copy of the bylaws of the LLC naming the members of the LLC, or the managers, if the LLC is manager-managed.

Business Name_______________________________________________________________________________________________

List any and all business names/trade names you plan to use to perform residential construction or remodeling:

______________________________________________________________________________________________________________________________________________________________________________________________________

Federal Tax Employer ID Number_____________________________ State Tax ID Number _______________________________

Street Address _______________________________________________________________________________________________

City _________________________________________________ County______________________ State ____ Zip __________

Mailing Address______________________________________________________________________________________________

City _________________________________________________ County______________________ State ____ Zip __________

Business Phone (_______) _____________________________ Cellular Phone (_______) ________________________________

Fax (_______) ________________________________ E-mail Address _______________________________________________

If the applicant is a limited partnership or LLC, when and where was the agreement filed?

Date _______________________________ County__________________________________ State _____________________

If the applicant is a corporation, when and where was it incorporated?

Date _______________________________ County__________________________________ State _____________________

Where is the principal office of the business?

Street Address ____________________________________________________________________________________________

City ___________________________________________________________ State _____________________ Zip __________

Yes No If the applicant is a corporation, limited partnership or LLC, is it in good standing with the Alabama Department of Revenue? If “YES,” provide a copy of the Certificate of Good Standing issued by the Alabama Department of Revenue.

Yes No If the applicant is a foreign (out-of-state) corporation, limited partnership or LLC, has it received the Certificate of Authority issued by the Secretary of State’s office to transact business in Alabama?

If “YES,” provide a copy of the Certificate of Authority issued by the Secretary of State of Alabama.(Continued on page 2)

Revised 8/15

NEW LICENSE APPLICATION(CORPORATIONS, PARTNERSHIPS & LIMITED LIABILITY COMPANIES)

www.hblb.alabama.gov

OFFICE USE ONLY(Date Stamp) Check No. ______________________

Amount Paid ____________________

P.O. Box 303605 • Montgomery, Alabama 36130-3605 / Overnight Delivery: 445 Herron Street • Montgomery, Alabama 36104Telephone (334) 242-2230 / Facsimile (334) 263-1397

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SECTION 2: DESIGNATED QUALIFYING REPRESENTATIVEYou must provide the following information for the general partner, officer, member, or manager who will serve as the designated qualifying representative.

Name _____________________________________________________ Social Security# _____________ Title________________(Disclosure mandatory under the Alabama Child Support Reform Act of 1997, Act 97-447,

Ala. Code § 30-3-194 (1997 Cum. Supp.) to be used for the purposes described therein.)

Address________________________________________________________________________ Years with Company __________

Does the designated qualifying representative currently hold an individual home builders license or serve as a designated qualifying representative of a corporation, partnership, or limited liability company licensed by this agency? .................................. Yes No

If Yes, list name __________________________________________________ and file number ______________________________

You must provide the following information for other partners, officers, members or managers.Name _____________________________________________________ Social Security# _____________ Title________________

(Disclosure Voluntary*)Address________________________________________________________________________ Years with Company __________Name _____________________________________________________ Social Security# _____________ Title________________

(Disclosure Voluntary*)Address________________________________________________________________________ Years with Company __________Name ____________________________________________________ Social Security# _____________ Title________________

(Disclosure Voluntary*)Address________________________________________________________________________ Years with Company __________

SECTION 3:IF YOU ANSWER “YES” TO ANY OF THE FOLLOWING QUESTIONS, YOU MUST PROVIDE THE REQUESTEDDOCUMENTATION AND A FULL EXPLANATION ON A SEPARATE SHEET OF PAPER.

Yes No 1. Within the past 7 years, has any partner, officer, member, or manager of this company pled guilty or nolo contendere, or been convicted of a felony?

Yes No 2. Within the past 7 years, was this company, or any partner, officer, member, or manager or any entity of which this company is a successor, declared or placed in bankruptcy?

If “YES,” indicate in the full explanation whether the bankruptcy was filed under Chapter 7, 11 or 13 of the U.S. Bankruptcy Code.

If the bankruptcy was filed under Chapter 13, provide a schedule of creditors, a payment plan and a history of payments. If the bankruptcy was filed under Chapter 11, provide a reorganization plan.If the bankruptcy was filed under Chapter 7, provide a schedule of creditors.

If the bankruptcy has been discharged, provide a copy of the discharge order.Yes No 3. Within the past 7 years, did this company, or any partner, officer, member, or manager or any entity of which

this company is a successor, have any professional or business license revoked or suspended in Alabama or any other state, or have an application for any professional or business license denied in Alabama or any other state?

If “YES,” provide a copy of the revocation, suspension, or denial order with your written explanation.Yes No 4. Does the applicant, or the applicant’s designated qualifying representative, either individually or as the designated

qualifying representative of any other entity, have any outstanding disciplinary actions before this Board?

If yes, provide the name of the homeowner involved:____________________________________________Yes No 5. Are there any liens for labor or materials filed on any of the work performed by this company,

or any partner, officer, member, or manager or any entity of which this company is a successor?If “YES,” provide a copy of the lien filing, and the release of lien if the lien has been released, with your explanation.

Yes No 6. Within the past 7 years, has this company, or any partner, officer, member, or manager of this company, been identified by this Board as an unlicensed builder?

SECTION 4: BUSINESS-RELATED FINANCIAL INFORMATIONA credit report on the entity, including a public records search, must be submitted directly to the Board from a credit reporting agency. Any entity whose application is pending for more than 90 days may be required to file an updated credit report.

* Disclosure of Social Security Number for the purpose of obtaining business-related financial and credit information and public records search is voluntary. Disclosure requested under Ala. Code § 34-14A-7(a)(4).

(Continued on page 3)

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SECTION 5: CITIZENS AND ALIENS LAWFULLY PRESENTThis section to be completed in compliance with Ala. Code § 34-14A-7 and Ala. Code § 31-13-7,29, which provides that an alien’s lawful presence in the United States may be verified through SAVE.This section must be completed by the designated qualifying representative.This application will not be processed until the requested documentation is received by the Board.

Yes No 1. Are you a citizen of the United States?If “YES,” please read the declaration below, sign, and provide a legible copy of any one of the documents listed below.If “NO,” see question 2, below.

1) Driver’s License or Nondriver’s Identification Card 2) Birth Certificate3) Pertinent pages of a valid or expired United States passport (must identify person and show passport number)4) United States naturalization documents or the number of the certificate of naturalization5) Other documents or methods of proof of United States citizenship issued by the federal government pursuant

to the Immigration and Nationality Act of 1952, as amended.6) Bureau of Indian Affairs card number, tribal treaty card number, or tribal enrollment number7) Consular report of birth abroad of a citizen of the United States of America8) Certificate of citizenship issued by the United States Citizenship and Immigration Services9) Certification of report of birth issued by the United States Department of State 10) American Indian Card with KIC classification, issued by the United States Department of Homeland Security11) Final adoption decree showing the person’s name and United States birthplace12) Official United States military record of service showing the applicant’s place of birth in the United States13) An extract from a United States hospital record of birth created at the time of the person’s birth indicating

the place of birth in the United States14) AL-verify15) Valid Uniformed Services Privileges and Identification Card16) Any other form of identification that the Alabama Department of Revenue authorizes . . . to be used to

demonstrate of confirm a person’s United States citizenship or lawful presence in the United states, provided that the identification requires proof of lawful presence in the United States as a condition of issuance.

I hereby declare that I am a citizen of the United States of America.I sign this declaration under penalties of perjury; making a false, fictitious, or fraudulent statement or representation in this declaration is perjury in the second degree pursuant to Ala. Code § 13A-10-102.

________________________________________________________________Printed Name of Applicant________________________________________________________________Signature of Applicant

Yes No 2. If you are not a citizen of the United States, are you an alien who is lawfully present in the United States?If “YES,” please read the declaration below, sign, and provide a legible copy of any one of the documents listed below.1) Valid, unexpired Alabama driver’s license2) Valid, unexpired Alabama nondriver identification card3) Valid tribal enrollment card or other form of tribal identification bearing a photograph or other biometric identifier4) Any valid United States federal or state government issued identification document bearing a photograph or

other biometric identifier, including a valid Uniformed Services Privileges and Identification Card if issued by an entity that requires proof of lawful presence in the United States before issuance

5) Foreign passport with an unexpired United States Visa and a corresponding stamp or notation by the United States Department of Homeland Security indicating the bearer’s admission to the United States

6) Foreign passport issued by a visa waiver country with the corresponding entry stamp and unexpired duration of stay annotation or an I-94W form by the United States Department of Homeland Security indicating the bearer’s admission to the United States

I hereby declare that I am an alien lawfully present in the United States of America. I sign this declaration under penalties of perjury; making a false, fictitious, or fraudulent statement or representation in this declaration is perjury in the second degree pursuant to Ala. Code § 13A-10-102.

________________________________________________________________Printed Name of Applicant________________________________________________________________Signature of Applicant

(Continued on page 4)3

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NOTICE: BOTH SECTIONS 6 AND 7 MUST BE SIGNED AND NOTARIZED.

SECTION 6: OATH AND RELEASE FOR DESIGNATED QUALIFYING REPRESENTATIVE (DQR)I solemnly swear or affirm that I am the person referred to in this application; that the information provided and the statements

made herein and on the attachments hereto are accurate, complete, and true to the best of my knowledge; and further, that if the Home Builders Licensure Board recognizes me as a qualifying representative, I shall abide by all laws relating to residential home builders and the rules adopted by the Board.

I hereby authorize any individual, company, or institution with whom the applicant has been associated to release to the Home Builders Licensure Board all information and records as are necessary to verify or contradict the information provided in this application.

_______________________________________________________________________________________________Printed Name of Designated Qualifying Representative [DQR] (Must be a General Partner, Officer, Member or Manager)

_______________________________________________________________________________________________Signature of Designated Qualifying Representative [DQR] (Must be a General Partner, Officer, Member or Manager)

Its: _____________________________________________________________________________________Position Held

County of__________________________ )

State of ___________________________ )

Signed and sworn to before me this _____ day of _________________________ , _________ (Month) (Year)

Signature – Notary Public ______________________________(Notarial Seal)

My Commission Expires: _______________________________

SECTION 7: OATH AND RELEASE FOR CORPORATIONS, PARTNERSHIPS, OR LIMITED LIABILITY COMPANIES

I solemnly swear or affirm that I am authorized to execute this application on behalf of the applicant; that I have actual knowledge ofthe statements made herein and on the attachments hereto and that such statements are accurate, complete, and true to the best of myknowledge; and further, that if the applicant is granted a license by the Home Builders Licensure Board, I shall use my best efforts toensure that the applicant abides by all laws relating to residential home builders and the rules adopted by the Board.

I hereby authorize any individual, company, or institution with whom the applicant has been associated to release to the Home BuildersLicensure Board all information and records as are necessary to verify or contradict the information provided in this application.

________________________________________________________________________________________Printed Name of Authorized General Partner, Officer, Member or Manager

________________________________________________________________________________________Signature of Authorized General Partner, Officer, Member, or Manager

Its: _____________________________________________________________________________________Position Held

County of__________________________ )

State of ___________________________ )

Signed and sworn to before me this _____ day of _________________________ , _________ (Month) (Year)

Signature – Notary Public ______________________________ (Notarial Seal)

My Commission Expires: _______________________________

NOTICE: BOTH SECTIONS 6 AND 7 MUST BE SIGNED AND NOTARIZED.

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NOTICE FOR CORPORATIONS, LIMITED LIABILITY

COMPANIES, OR LIMITED LIABILITY

PARTNERSHIPS

If you are a foreign (out of state) corporation, limited liability company (LLC), or

limited liability partnership (LLP) you must provide a Certificate of Existence

from the Alabama Secretary of State’s office. You may order this certificate

online at www.sos.alabama.gov or you may contact their office at (334)242-5324.

If you are a corporation, limited liability company (LLC), or limited liability

partnership (LLP), you must provide a Certificate of Good Standing from the

Alabama Department of Revenue (ADOR). Required for in-state and out-of-

state companies.

To request the Certificate of Good Standing, you must to do the following:

1. If you have not already done so, if you are a corporation, LLC or LLP, you

must register your company with the Alabama Secretary of State’s office.

You may register online at www.sos.alabama.gov or you may contact their

office at (334)242-5324.

2. If you have formed a corporation, LLC, or LLP, you must file the

appropriate Business Privilege Tax form with ADOR. You may download

this form at: www.ador.alabama.gov (e-Services Section) or contact the

Business Privilege Tax Division at (334)242-9800.

3. Order the Certificate of Good Standing from ADOR. You may order this

certificate online at www.ador.alabama.gov (e-Services Section) or you

may contact ADOR at (334)353-7944. IMPORTANT: Make sure

certificate is ordered in your complete Company name.

NOTICE: In order to request and provide a Certificate of Good Standing

from the Alabama Department of Revenue (ADOR), you must within 2 ½

months of the date the corporation was qualified pay the Alabama Business

Privilege Tax before the 2 ½ month ADOR requirement.

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NOTICE

Conducting business through a corporation, partnership, or limited liability company that does not hold an Alabama Home Builders License is a violation of the law.

INDIVIDUAL LICENSEES: You may engage in residential homebuilding only in your individual capacity or through a licensed entity of which you are an employee, partner, officer, member or manager. If you are conducting business through a corporation, partnership, or limited liability company that does not hold an Alabama Home Builders License, you are in violation of the law.

DESIGNATED QUALIFYING REPRESENTATIVE: You may engage in residential home building only through the entity that holds the Alabama Home Builders License. If you wish to engage in residential home building either individually or through another entity that does not hold an Alabama Home Builders License, you must obtain a license either individually or on behalf of the unlicensed entity. If you are conducting business through an unlicensed entity, you are violating the Home Builders Licensure Law.

There are penalties and injunctions applicable to unlicensed builders:

Pursuant to Ala Code § 34-14A-14, any person who undertakes or attempts to undertake the business of residential homebuilding without a valid license is guilty of a Class A misdemeanor.

The Board may stop the construction work of any person or entity that undertakes or attempts to undertake the business of residential homebuilding without a valid license.

A residential homebuilder who is required to be licensed, but who does not hold a State of Alabama Home Builders License, may not bring or maintain legal action to enforce a contract for residential construction.

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State of Alabama Home Builders Licensing

Board Examinations Candidate Information Bulletin

AHBLB_CIB 2017.05.16 © Prov, Inc. 2017 Page1of16

Table of Contents GENERALTESTINGINFORMATION.......................................1CONTACTINFORMATION.....................................................1EXAMINATIONCATEGORIES................................................2EXAMADMINISTRATIONMETHODS....................................2

COMPUTER-BASEDTESTING.......................................................2ACCEPTEDMETHODSOFPAYMENT.....................................2TESTCENTERLOCATIONSANDAVAILABILITY.......................2SCHEDULINGPROCESS........................................................3CANCEL/RESCHEDULINGPOLICY..........................................5RETESTINGPOLICY...............................................................5RESULTSREPORTING...........................................................5REVIEWS.............................................................................6EXAMCHALLENGEPROCESS................................................6HANDSCOREREQUEST........................................................6TESTDAYRULESANDPROCEDURES....................................6

CHECK-INDEADLINE.................................................................6PROOFOFIDENTITY..................................................................6PROHIBITEDITEMS...................................................................7APPROVEDITEMS.....................................................................7VISITORPOLICY.......................................................................7UNETHICALCONDUCTPOLICY....................................................7

PROV’SNON-DISCRIMINATIONSTATEMENT........................7SPECIALACCOMMODATIONS..............................................8PREPARINGFORYOUREXAMS............................................8

STUDYINGFORYOUREXAM........................................................8PURCHASINGREFERENCEMATERIALSANDSTUDYGUIDES...............8

ReferenceMaterialsAvailablefromProv.......................9SAMPLETESTQUESTIONS....................................................9EXAM DESCRIPTIONS..................................................11CANDIDATEINSTRUCTIONSHANDOUT..............................12COMPUTERTESTINGNAVIGATION....................................13MAIL-INREGISTRATIONFORM.........................................16

General Testing Information The Alabama Home Builders Licensure Board hascontracted with Prov, Inc. to develop, and administertheir licensing examination program for state licensedhomebuilders.Thisbulletinhasbeendevelopedtohelpexplain the rules and processes you will need toundertaketocompletethetestingrequirementforyourStateofAlabamaHomeBuildersLicense.

Alabama law requires that each individual who isengaged in residential construction in the State ofAlabamatobelicensed.Tobecomelicensed,acompanyrepresentative must demonstrate competency bypassingtherequiredexamsforwhichlicensureisbeingsought.

Prov is not authorized to make the determination ofwhich examination(s) candidates must take. If acandidateisunsurewhichexamisneededforthelicensebeingsought,resolvethisquestionbeforescheduling.Ifcandidates have questions regardingwhich exam(s) totake, they must call the Alabama Home BuildersLicensureBoardat(334)242-2230.

Contact Information Forquestionsnotaddressedinthisbulletincontact:

ForLicensingQuestions-AHBLB

445HerronStreetMontgomery,AL36104Ph:(334)242-2230Fax:(334)263-1397

www.hblb.alabama.govOfficeHrs:8a.m.to5p.m.

ForTestingQuestions-Prov,Inc.

5200NW43rdStreetSuite102-167

Gainesville,FL32606TollFree:(866)720-7768

Fax:(386)518-6419www.provexam.com

OfficeHrs:8a.m.to6p.m.

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Examination Categories Candidatesseekingtobe licensedasHomeBuilder’s intheStateofAlabamamustsuccessfullycompletetwo(2)examinations. The first test covers the technical tradeelements of home building, whereas the second testcoversthebusinessandlegalrequirementsasalicensedhimebuilder.Bothexamsareopenbookandaretimed.Detailedinformationaboutexamcontent,durationandreference materials can be found in the ExamDescriptionssectionofthisdocument.

If both exams are taken on the same day the cost is$130.00. If theexamsaretakenonseparatedayseachexamcostis$80.00.

Exam Administration Methods

Computer-Based Testing Provhastakeneveryefforttomakeitscomputertestingsystemaseasytouseaspossible.Nospecificcomputerexperienceor typingskillsareneededto take the test.Candidateswhotakeacomputer-basedtestwillbegivenverbal and written instructions and will complete aninteractivetutorialpriortotesting.

The written instructions for computerized exams areincluded in this bulletin. Please refer to the CandidateInstructionHandoutfortheseinstructionsandavisualofthescreenlayout.

For an opportunity to preview Prov’s computer-basedtesting system before arriving at the test center,candidatescanwatchademonstrationvideobyvisitinghttps://www.provexam.com/Movies/CBT2.swf. Thisshortmovieprovides abasicdemonstrationofhow totakeatestonProv’scomputersystem.

Accepted Methods of Payment Candidates paying for their examinations or any otherservicesprovidedbyProvcanusethefollowingmethodsofpayment:

§ MoneyOrders§ Cashier’sChecks§ CertifiedChecks§ Credit Cards (American Express, Discover,

MasterCard,Visa)

Nopersonalorcompanycheckswillbeacceptedandallregistrations that include personal or company checkswillbereturnedwithoutprocessing.

Anypaymentssentbymailshouldbeaddressedto:

Prov,Inc.,200AssociationDrive,Suite190Charleston,WV25311

Test Center Locations and Availability

Prov has established nine (9) testing centers withinAlabamawherecandidatescantaketheirexaminations.ThesetestingcentersarelocatedinAuburn,Birmingham,Enterprise, Huntsville, Mobile, Montgomery, SheffieldandTuscaloosa.Pleaserefertotheindividuallistforeachsiteforitstestingavailabilityanddirections.

1. AuburnUniversity112SouthCollege238BigginHallAuburn,AL35848

Directions:Fordirectionsandamappleasevisithttp://wp.auburn.edu/biggio/distance-learning/testing-services/.ToparkyoumustpickupaguestpassfromParkingServices.TheParkingServicesislocatedatthecornerofLemMorrisonandDuncanDrive,intheSouthQuadMulti-ModalParkingDeck.AshuttleisavailabletotakeyoufromtheparkinggaragetoBigginHall.

2. JeffersonStateCommunityCollegeJeffersonCampusLurleenWallaceHall-Room3222601CarsonRoadBirmingham,AL35215

Directions:FromI-65S,Takeexit267forWalkersChapelRd,TurnleftatCoRd120/WalkerChapelRd,ContinueontoCoRd121/NewCastleRd,andContinueontoCarsonRd.TurnleftintoJeffersonStateCommunityCollegeandfollowtheroad.1milestoaparkinglotonyourright.LurleenWallaceHallwillbethethree-storybuildinginfrontofyou.Enterthebuildingthroughthecenterdoors,gotothethirdfloorandfollowthesignstothetestingcenter.Foracampusmap,pleasevisithttp://www.jeffstateonline.com/locations/jefferson/.

3. JeffersonStateCommunityCollegeShelby-HooverCampus

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4600ValleydaleRdGeneralStudiesBuilding,Room110Birmingham,AL35242

Directions:Foracampusmappleasevisithttp://www.jeffstateonline.com/locations/shelby/.

4. EnterpriseStateCommunityCollege600PlazaDriveEnterprise,AL36331

Directions:Turnleftwhenyouarriveoncampus&thenturnrightintoparkinglot.Thelibraryisontheright.

5. UniversityofAlabamainHuntsville301SparkmanDriveWilsonHall,Room202Huntsville,AL35899

Directions:Foracampusmappleasevisithttp://www.uah.edu/map.FromtheNorth(IncludingNashville):TakeI-65South.TakeExit340ontoI-565easttoHuntsville.TakeExit15attheSpaceandRocketCenter,turnleftatthesecondtrafficsignalontoSparkmanDrive.TurnrightontoBenGravesDriveandbearright.TurnleftintolargesharedparkinglotmarkedG5.WilsonHallisthebuildinginthemiddle.

6. UniversityofSouthAlabama555UniversityBlvd.NorthAlphaHallEast-Room326Mobile,AL36688

Directions:ForaCampusmappleasevisithttp://www.southalabama.edu/maps/campusmap.pdfFromI-65N,Takeexit3forAirportBlvd,Keepleftatthefork,FollowsignsforAirportBlvdW,TurnleftatAirportBlvd/CountyRd56,TurnrightatSUniversityBlvd,TurnleftatUniversityDriveSouth,Siteislocatedontheleft.Parking:YouwillneedtoobtainavisitorparkingpassfromParkingServiceslocatedat290StadiumBlvd.,Mobile,AL.Parkingpassesarefree

7. AlabamaStateUniversity915S.JacksonStreetMcGeHeeHall105Montgomery,AL36104

Directions:Fordirectionspleasevisithttp://www.alasu.edu/about-asu/visiting-asu/index.aspx.ParkingislocatedBehindtheLEVIWATKINSLEARNINGCENTERLOTJORLOT-E.ASUhas

severaldesignatedspacesforvisitorparking,buttheyrequirevisitoravisitorparkingpass.Allcandidatesmuststopbythetestingofficeandobtainavisitor'sparkingpass.Parkinoneofthevisitor'sparkingspaces,asindictedbycampussignage.

8. NorthAlabamaElectricalJATC1805E.17thStreetSheffield,AL35660

Directions:FromI-65N,Takeexit351towardAthens,TurnleftatAL-2W/US-72W/LeeHwy,TurnrighttostayonAL-2W/US-72W/LeeHwy,ContinuetofollowAL-2W/US-72W,TurnleftatAL-13S/AL-2W/US-43S/US-72W/SCourtSt,ContinuetofollowAL-13S/AL-2W/US-43S/US-72W,TurnrightatE17thSt

9. UniversityofAlabama-Tuscaloosa3017thAvenue,HouserHallSuite2000Tuscaloosa,AL35487

Directions:Foracampusmappleasevisitwww.tour.ua.edu.ThetestingcenterislocatedinHouserHall,Suite2000.HouserHallislocatedontheeastsideoftheFergusonCenter.ParkingisavailableintheFergusonDeck.Thereisa$5chargetoparkintheFergusonDeck.Navigatetowww.tour.ua.eduformapsandadditionalparkingoptions.

Scheduling Process Once candidatesdeterminewhichexams theyneed totake,wheretheywishtotest,andwhentheyprefertotest, it is time to schedule their test session. Provencouragescandidatestoscheduleinadvancefortheirexaminations inordertoensurethatatestingseatwillbeavailable.Therearealimitednumberofseatsateachtestingfacilityandseatingavailabilityisbasedonafirst-come,first-servedbasis.

Scheduling for an examination is a three step process.Candidatesmustfirstregister,whichmeanstheyselectthe tests theywish to take.Next, the candidatesmustfindavailableseatsintheirarea.Duringthissecondstepcandidateswillselectthedateandlocationwheretheywishtotest.Thethirdandfinalstepistomakepaymentfor those examinations. The scheduling process is notcomplete until payment has beenmade to Prov.Oncethe scheduling process is complete, candidateswill besentanappointmentletterwhichincludestheirtestingsessiondetails.

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AdvanceScheduling

Prov offers several convenient methods to allowcandidatestoscheduletheirexamination(s)inadvance.Candidatesmayuseanyof thesemethods to scheduletheir testing appointments. Note that there is nodifferenceinfeesforuseofanyofthesemethods.

Theadvanceschedulingmethodsavailableare:

• Online

• Overthephone

• ByMail

• ByFax

Thedeadlineforschedulingyourtestwillvarybasedonthe testing center you select. The advance schedulingdeadline ranges between one to six business daysdependingonthetestinglocation.

AdvanceSchedulingMethods

OnlineScheduling

Ifyouhaveanydifficultieswithonlinescheduling,giveusacallat(866)720-7768.

Toscheduleonline,acandidatemustgotoProv’shomepageatwww.provexam.com.Thecandidatemust thenselect Test Takers from the menu. Under Candidates,click“Log-inhere”togetstarted.

OncecandidateshaveaccessedArkiv(Prov’sinformationmanagementsystem),theymustselectAlabamaHomeBuilders Licensure Board as their Program Name andclickNEXTSTEP.

LoginforFirstTime(NEWUSER)

FirsttimeusersshouldselecttheNEWTESTTAKERtabandconfirmthattheyhavenotpreviouslytakenanexambyclickingtheNEWTESTTAKERbutton.

They will then be directed to enter Social SecurityNumber, Name, Password, Address, Email Address,CompanyName,TelephoneNumber,andFaxNumber.Enteringanemailaddressiscriticalinordertobeabletoreceiveaschedulingconfirmationnoticebyemailortoretrieveaforgottenpasswordinthefuture.PressNEXTSTEP.

LoginforReturningCandidates

ReturningusersshouldselecttheEXISTINGTESTTAKERtab and enter their Candidate ID (candidate’s SocialSecurity number). Next, enter the password that wascreatedthelasttimethecandidateentered.ThenpressNEXTSTEP.

Password

ToaccessthecandidateinformationinsideofArkiv,thecandidatewillneedtosetupapassword.IfcandidateshaveforgottentheirArkivpassword,theymaypresstheFORGOTPASSWORDbuttonandtheirpasswordswillbeemailed to the email address the candidates haveprovidedwhentheirtestingprofilewasinitiallycreated.If candidates still encounter difficulties, they mustcontactProvstaffduringbusinesshourstoreceivehelp.

ScheduleaTestingSession

Once the candidate has logged intoArkiv, they shouldconfirm that they have read the candidate bulletin fortheir testing program. If they have not yet read thecandidate bulletin, theymay access it by selecting theProgramDocumentstab.CandidatesmustthenplaceaCheckintheconfirmationbox,andthenselectthenameoftheexamtheywishtotake,andpresstheNEXTSTEPbutton. If a candidatewants to register formore thanone exam select the ADD button and then choose asecond exam. When all exams which need to bescheduledareaddedtothelist,pressNEXTSTEP.

Onthenextpageyouwillbeaskedtocompletesteps1through4.

Step1:SelectExamination-Usethemousetoselectanunscheduledexamfromthelisttotheleft.(Note:Ifonlyoneexamisshown,itwillautomaticallybetheselectedexam.)

Step2:EnterSearchCriteria–Enterthedatewhenthecandidatewouldliketotest.EnteraZIPCodewherethecandidate would like to search from. Select themaximumdistancethecandidateiswillingtotraveltoatesting center. Select or confirm the testing method.ThenpressFINDAVAILABLESEATS.

Step3:SelectTestingDates,TimesandLocation–Usingthemouse,clickononeoftherowslistedcontainingthe

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testing date, time and location wanted and the pressSELECT SEAT. If the candidate only has one exam toscheduletheywillautomaticallybetakentothepaymentscreen. If the candidate has more exams to schedule,theymustreturntostep1,selectthenexttestfromtheleftcolumn,andrepeatsteps1through3.

Step4:ClickthePAYFOREXAMbutton

PayingOnline

Topayforaspecificregistrationevent,selecttheinvoicenumberontheleft.Ifthebillingaddressornameonthecard is different from the information previouslyprovided, press the Use Different Billing Addresscheckboxtoenterthenewinformation.Finally,enterthecreditcardordebitcardpaymentinformation,andpressSubmitPayment.

Candidates can choose not to pay for the examimmediately by clicking the EXIT WITHOUT PAYMENTbutton.Theseatwillbehelduntilmidnight.Atthattimetheseatwillbereleasedforanyonetoschedule.Whenreturning to the website to make a payment thecandidateshouldselecttheMAKEPAYMENTtab.

Oncepaymentisreceivedthetestingsessionisreserved.Candidates should print or email their confirmationlettersfortheirownreference.

Ifamistakeismade,acandidatecanunscheduleanexamby selecting the View My Schedule link from thecandidateconsoleandfollowthestepsprovided.

PhoneScheduling

To schedule for an examination by phone, candidatesshould contact Prov toll free at 866-720-7768. Provschedulingstaffisavailable8:00a.m.through6:00p.m.ET,MondaythroughFriday.

Candidates should be prepared to provide the Provscheduling staff with their name, Candidate ID (theirSocial Securitynumber),and theirZIPcode.OnceProvconfirmsthecandidate’sidentity,Provstaffwillrequestthatthecandidatesetsupapasswordaswellasanemailaddress so that Prov can contact him/her with anynecessarychanges.Provstaffwillsearchthedatabaseforthe next available testing session at the candidate’spreferred testing location and will provide candidateswith any alternate locations that may be in closeproximity to their address. Once candidates are

scheduled, Prov staff will email them informationregardingtheirtestingschedule.

MailorFaxScheduling

In order to schedule by fax ormail, candidates shouldcomplete the registration form attached to thisdocumentandeither fax it toour toll-free faxnumber877-228-3926ormailittoProvatthefollowingaddress:

Prov200AssociationDrive,Suite190Charleston,WV25311

Cancel/Rescheduling Policy If candidates need to change or cancel their testingappointment, they must contact Prov at least threebusinessdayspriortotheirscheduleddate.Changeswillbe made at no cost if candidates notify Prov by thedeadline.

Ifcandidatesfailtoappearfortheirtestorfailtocancelor reschedule their testing session by the close ofbusiness three days prior to their scheduled test date,theywillforfeittheirexamfees.

Retesting Policy Failed examinations can be retaken as often as isnecessary.Thereisnowaitingperiodandcandidatescanschedule a new testing session for the first availabletesting date. Candidates cannot retake an exam oncetheyhavepassedthatexamunlessrequiredbytheStateofAlabama.

Results Reporting Uponcompletionofanexamination,acandidate’s testwillbescoredandhe/shewillbeprovidedwithascoreresultwhileatthetestingcenter.Thereisnochargefortheon-sitescoring.

Computer-delivered testswill be scored inoneminuteandresultscanbeobtainedanytimeaftertheexamisscored.

Candidates participating in this testing program canaccesstheirscoresatanytime(24/7)onlinebygoingtoour website at www.provexam.com, entering theirCandidateIDandthepasswordtoaccesstheircandidateaccount.UponreachingthecandidatehomepageinsideofArkiv,candidatescanselecttheMYACCOUNTTaband

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thentheEXAMHISTORYbuttonandseetheresultsofalltheexamstheyhavetakenwithProv.

Allexamswillbescoredandgradedagainstacut-scoreof65%fortheAlabamaHBBusiness&Lawand63%forthe Alabama Home Builder. Because the examinationprocessisarequirementforlicensurewiththeStateofAlabama, candidates automatically consent to permitProvtosharetheirtestresultswiththeState.

Reviews Reviews are intended to help candidates audit theirtestingresultsbyallowingthemtoseewhichquestionsweremissed.

Candidates may request a review of their exam afterfailinganexamcategorytwo(2)times.Tobeeligiblefora review, candidates must score within 10% of therequiredpassingscore.Thereviewforalltestsis1-1/2hours in length. During the review candidateswill beprovidedaprintoutofthequestionstheymissedandtheanswers chosen in response to those questions. Thereview will be conducted under the same testingconditionsastheexamusingthesametestsecurityrules.

Thecostofthereviewis$80.00 (includestax)foreachtest reviewed. Candidates will request or schedule areview using the same methods described earlier forscheduling.

Exam Challenge Process Ifduringanexamorreview,thecandidatesencounteraquestiontheythinkisinaccurateorotherwiseincorrect,they are encouraged to submit an Exam Comment toProvdetailingwhytheyfeelthequestionisinerror.

Candidates testing on computer may make theircomments in the testing system. Candidates who arereviewinganexamwill automaticallybeprovidedwithanExamCommentform.

Provstaffwillrevieweachcommentwithintwoweeksofsubmittal.

Shouldanycommentresultinachangetoatestquestionand/or candidate score,Provwill report the change totheAlabamaHomeBuildersLicensureBoard.TheBoardwillnotifythecandidateofthescorechangeandissueanew result letter. Detailed answers to questions orcommentsarenotprovidedfortestsecuritypurposes.

Hand Score Request Prov ensures the accuracy of our exam results. Ourcomputer system, Arkiv, is designed to identify andreportanypotentialerrorindatacollectedfromanexamsession.Ifyouwouldliketohaveyourscorereassessedfor accuracy, you can request a Hand Score by callingProv at 1-866-720-7768 and asking for a Hand ScoreRequestForm.

A Hand Score Request form requires a signature andmustbemailedtoProv.FormsmustbereceivedbyProvno later than ninety (90) days after your examinationadministrationdateandmustbeaccompaniedbyacopyofyouroriginalscoreletter.

OnceaHandScoreisreceived,ProvStaffwillprocesstherequestwithinseven(7)toten(10)businessdays.DuringtheHandScoreprocessastaffmemberwillensurethatyour answers were properly recorded and scored bycomparingthecapturedanswerstotheexamkey.UponcompletionoftheHandScorewewillprovidealetterbymailtoreporttheoutcomeofthereassessment.

Thecostofthehandscoreis$25.00(includestax).

Test Day Rules and Procedures

Check-in Deadline The doors to each testing centerwill open at least 30minutes before all scheduled testing appointments inorder to check candidates into the testing center.Candidatesshouldplantoarriveearlytomakesuretheyareseatedbythetimethetestingbegins.Ifcandidatesarelateinarriving,ANDthetestingsessionhasalreadybegun, CANDIDATES WILL BE TURNED AWAY and willforfeittheirexamfeesandwillberequiredtorescheduleforafuturetestingdate.

Proof of Identity Upon arriving at the testing center, candidateswill berequired to show government-issued, photo-bearingidentification.Thephoto-bearingIDmustbecurrentandvalid. Forms of valid photo-bearing ID are a driver’slicense,passport,ormilitaryID.Candidateswillalsoberequired to sign a test center log, and will bephotographed by the test center staff. If candidatescannot produce a valid government-issued photo ID,refuse to participate in signing the test center log, orrefusetobephotographed,theywillbedismissedfrom

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the testing center and forfeit all testing fees for thattestingsession.

Theremay be times for religious reasons, a candidatedoesnothaveaphotoID.Inthissituation,iftheyhaveaState driver’s licensewithout a photo, a State ID cardwithout a photo that is issued by the DMV, or a birthcertificate,wewillaccepttheseasvalididentification.

Prohibited Items No cameras, recorders, cell phones or othercommunicationdevicesareallowedinthetestingroom.Talkingandsmokingarenotallowedinthetestingroom.

Approved Items Candidatesmaybringthefollowingapproveditemsintothetestingcenter:

§ Pencils.(Paper/penciltestingonly)§ Calculator. Only simple 4-function calculators

arepermitted.PDAs,cellphonesorotherspecialcalculators (i.e. ElectriCalc, etc.) are NOTpermitted.

§ ApprovedReferences.(Seeinformationbelow).Candidates should prepare their reference materialsusingONLYthefollowingmethods.Referencematerialswhichdonotmeet the followingguidelineswillnotbeallowed in the testing room. These guidelines are inplacetoensurethateverycandidateistestedfairlyandthatnocandidatehasaccesstounapprovedresources.

• Book title must be exact. Exceptions: Older/neweditions are always permitted. Substitutes areallowediflistedintheExamDetails.

• PhotocopiedversionsofareferencebookareONLYpermittedwhenstatedintheExamDetails.

• Permanenttabssuchasgummedtabs,self-adhesivetabswithprintableinserts,orinsertabletabdividers(forthreeringbindersonly)arepermitted.

• MoveableitemssuchasrepositionabletabsorPost-itnotesareNOTpermittedinareferencebook.

• Books can have highlighting and underlining,howeveryoucannotmarkinyourbooksduringthetest.

• HandwrittennotesareNOTallowedinanyportionofareferencebook.

• Otherdocuments(suchasformulasheetsortheTomHenryandKelly Indexes)or stickers (suchasOhm’Law) CANNOT be added, glued or taped to areferencebook.

Prov asks that candidates leave all unauthorizedmaterialsintheirvehicle.Ifcandidatesarecaughtusingunauthorized materials during testing, these materialswillbeconfiscated,theirtestingwillbeterminatedwithfees forfeited, and the Board will be notified of theiractions. During the testing process candidates MUSTNOT:

§ Sharereferencematerialsduringtesting.§ Highlight, underline,mark orwrite any kind of

information in their referencematerials duringtesting.

Visitor Policy Nooneotherthanthecandidatewillbeallowedinthetestingroom.Non-testingvisitorsareNOTpermittedtowaitinthelobbywhilecandidatestest.

Unethical Conduct Policy Any individual caught giving or receiving assistanceduring or after the examination, or caught usingunauthorizedmaterials during the examinationwill bereporteddirectlytotheBoard.Thosecaughtintheactofcheatingwillbedismissedfromtheexaminationandtheir testing results will be frozen. Furthermore, thecandidatewillforfeittheexaminationfeespaid.Finally,anyone caughtwith test questions in their possession,either during or following the examination will beprosecuted by Prov for theft of copyrighted testingmaterials.

Prov’s Non-Discrimination Statement Prov provides equal access to its exams and testingprograms for all eligible persons. Although individualjurisdictionsthatProvrepresentsarewhollyresponsiblefordeterminingeligibilityofcandidates,itisthepolicyofProvtomaintainanenvironmentfreeofdiscriminationand to prohibit discrimination and harassment againstany personon the basis of race, color, national origin,gender, religion, age, disability, political beliefs, sexualorientation,andveteran,maritalorfamilystatus.

HarassmentofProvprogramparticipants,proctors,stafforcandidateswillnotbetolerated.Ifcandidateswishtoexpress concerns about discrimination, they shouldcontactProvat866-720-7768orwriteto:Prov,Inc.,5200NW43rdStreet,Suite102-167,Gainesville,FL32606.

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Special Accommodations Prov complieswith theAmericanswithDisabilities Act(ADA) in providing special accommodations forcandidatesthatrequireadditionalassistanceduringthetestingprocess.Ifcandidatesfeelthattheyqualifyforaspecial accommodation during testing, they shouldcontactProvat(866)720-7768.Provwillrequirewrittendocumentationfromalicensedphysicianorpsychologistdocumentingthedisabilityandfurtherrequirearequestdescribing the requested remedy. Provwill thenworkdirectly with the candidates to make theaccommodations they will need in order to completetheirexamination.

Preparing for Your Exams

Studying for your Exam The contractor licensing examinations that candidateswilltakearedesignedtotestwhatqualifiedcontractorsshouldknowastheybeginoperationsintheconstructionfield.Thetestquestionsusedontheexaminationshavebeenpreparedbycontractorsandcoverthewiderangeof topics candidates would normally encounter as acontractor in their particular field. If candidates haveworked in construction for some period of time in avarietyofdifferentsettings,theylikelyhaveexperiencedmuchofwhatwillbefoundontheirexamination.Ontheotherhand,ifthecandidates’experienceislimited(notonlyinyearsbutinthevarietyofworkperformed)thenitislikelytheymaywanttospendtimeincreasingtheirknowledge by studying areas in which they are lessfamiliar. For all candidates, the reality is that peopleforget those things they don’t use, and over time acandidate’s knowledge in some areas may havedecreased.

Provrecommendsthatcandidatespreparefortheirtestsby familiarizing themselves with the exam referenceswithemphasisonthesubjectareaslistedineachexamdescription. Candidates who are familiar with theirreference materials will spend less time searching foranswersduringtheexam.Whenpreparingfortheexam,rememberthathand-writtennotesarenotallowedinareference book used for testing. Candidates areencouraged to prepare their test materials byhighlightingtextorplacingpermanenttabsonimportantpages.

ItisNOTmandatorythatcandidatespurchaseanystudymaterials in preparation for their examinations;

however,allexaminationspermittheuseofauthorizedstudymaterialsandcandidatesmaybeatadisadvantageif theydonotbringthosematerialswith themtotheirtesting session. At aminimumProv recommends thatcandidateshave theirown codebooks related to theirexams which may be useful to candidates after theirtestingiscomplete.

Purchasing Reference Materials and Study Guides TheHomeBuilderexaminationsaredeliveredinanOpenBook format,meaning that youarepermitted tobringthevariousapprovedreferencesintothetestingcenterwhenyoutakeyourexaminations.ThereferencebookshavebeenselectedbybothProvandtheHomeBuilderBoardbasedontheabilityofthepublisherstokeepcostslow.Youwillnoticethattherearejustafewbooksonthebooklist.Whilethecostoftheindividualbooksmayseemexpensive,itisimportanttounderstandthatthesebooksavehundredsoverhavingtopurchaseeachbookseparately.

Mostreferencebookscanalsobepurchasedbyphoneoronline through the following companies. Shippingcharges will apply. Brick and mortar locations areindicated,butcandidatesshouldcalltoverifythatordersarereadyforpickup.

AllofthebooksforyourexaminationareavailablefromProvusingthefollowinginformation.

§ Prov,Inc.- 200AssociationDr.,Suite190,Charleston,WV

25311http://www.provbookstore.com/866-720-7768

Youmayalsocheckothervendorsthathaveofferedtoprovidethesematerials.Thesevendorsareshownbelow.

§ @HomePrep,Inc.900EastHillAve,Suite380,Knoxville,TN37915www.contractor-licensing.com800-952-0910

§ AAAConstructionSchool,Inc.34ArlingtonRoadSouth,Jacksonville,FL32216www.aaaconstructionschool.com800-741-7277or904-722-9994

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• CertifiedTrainingInstitute3135LoganValleyRoadTraverseCity,MI49684800-727-7104

§ InternationalCodeCouncil900MontclairRd,Birmingham,AL35213www.iccsafe.org800-786-4452

§ MyPearsonStorehttp://www.mypearsonstore.com800-947-7700(Opt.5)

If candidates need assistance in ordering any studymaterials,theymaycontactProvbyphoneat866-720-7768.

Reference Materials Available from Prov Candidatescanpurchasethefollowingreferencebooksdirectly from Prov. For these reference materialscandidatesmay place their orders by phone, online atwww.provbookstore.com,orusingtheBookstoreOrderformattachedtothisdocument.ThefollowingarethebooksavailablethroughProv’sbookstore.

• Alabama -NASCLA Contractors Guide toBusiness, Law & Project Management,Alabama,ResidentialConstruction,3rdedition.ISBN: 978-1-934234-12-9. National Associationof State Contractors Licensing Agencies, 23309North17thDrive,Building1,Unit10,Phoenix,AZ85027.Alsoavailableatwww.NASCLA.org.

• InternationalResidentialCode,2015.ISBN:Item# 3100S15. International Code Council, 4051West Flossmoor Road, Country Club Hills, [email protected]

• Residential Home Builder Study Guide ISBN:978-1-323-55095-1 Pearson, 501 BoylstonStreet,Suite900,Boston,MA02116.

AsanalternativetotheResidentialHomeBuilderStudyGuide, candidatesmay use the following three books.Note:TheResidentialHomeBuilderStudyGuideislessexpensive thanpurchasing thesebooks separately,butthelistisshownbelowforthosethatwishtousetheseseparatematerials.

• Basic Safety, 2009. ISBN: 978-0-136-09875-1.PrenticeHall,P.O.Box11071,DesMoines,IA50336.Available at www.provbookstore.com orhttp://nccer.pearsonconstructionbooks.com.

• Masonry and Sitework for the ResidentialContractor, 2nd edition, 2nd. ISBN: 978-1-269-78556-3. Pearson, 501 Boylston Street, Suite 900,Boston, MA 02116. Available atwww.provbookstore.com

• Study Guide for Residential Carpentry & Repair,2nd edition, 2014. ISBN: 978-1-269-78561-7.Pearson,501BoylstonStreet,Suite900,Boston,MA02116.Availableatwww.provbookstore.com

Sample Test Questions The following are sample questions that reflect theformatandstyleofthequestionsfoundonexams.Theyarenotintendedtoreflectthecontentoftheexamyouwilltake.

1. Employersarerequiredtonotifyemployeesof

changesinpoliciesaffectingallofthefollowingEXCEPT:

a. Payschedules.b. Vacationallowance.c. Healthbenefits.d. Promotionopportunities.

2. Theaccountingmethodthatrecognizesincome

andexpensesonlywhenmoneyisreceivedorpaidiscalled:

a. PCMMethod.b. AccrualMethod.c. CashMethod.d. Cost-ComparisonMethod.

3. If15ampcircuitswereused,theNECwould

requirea2000squarefoothousetohaveaMINIMUMofhowmanybranchcircuits?

a. 2b. 3c. 4d. 5

4. Equipmentthatiselectricallyconnectedtoa

telecommunicationsnetworkisrequiredtobelistedinaccordancewithsection______oftheNEC.

a. 110.16b. 240.6c. 800.18d. Chapter9,Table5(A)

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5. Ductsystemsinstalledinsinglefamilydwellingsmustbesizedper

a. ACCAManualD.b. ACCAManualJ.c. SMACNAManualR.d. SMACNAManualN.

6. WhatistherecommendedMAXIMUMspacing

ofnailswheninstallingdrywallonaceiling?a. 6"o.c.b. 7"o.c.c. 8"o.c.d. 12"o.c.

7. Whichofthefollowingtypesofjoint

reinforcementisNOTusedtotieconnectingcavitywallsandintersectingwalls?

a. Z-tieb. Boxtiec. Hardwareclothd. Laddertypejointreinforcement

8. Whatistherecommendedconcretecoverover

#6steelreinforcinginareasexposedtotheweather?

a. 3"b. 2"c. 1.5"d. 1"

AnswerstoSampleQuestions

1. D-Promotionopportunities.2. C-CashMethod.3. C-44. C-800.185. A-ACCAManualD.6. B-7"o.c.7. D-Laddertypejointreinforcement8. B-2"

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Exam Descriptions Alabama HBLB Business and Law NumberofQuestions 40Timeallowed(hours) 2 SubjectArea #Quest.BusinessOrganization 2ContractManagement 4Estimating&Bidding 8FinancialManagement 5LaborLaws 2LicensingLaws 4LienLaws 2ProjectManagement 5RiskManagement 2Safety(Reporting) 2BoardRules 2TaxLaws 2

References

§ Alabama -NASCLA Contractors Guide to Business, Law & ProjectManagement, Alabama, Residential Construction, 3rd. ISBN: 978-1-934234-12-9. National Association of State Contractors LicensingAgencies, 23309 North 17th Drive, Building 1, Unit 10, Phoenix, AZ85027.Availableatwww.NASCLA.org

Alabama HBLB Skill Exam NumberofQuestions 80Timeallowed(hours) 4 SubjectArea #Quest.PlanReading 10Sitework&Foundations 10ConcreteandReinforcement 7Masonry 6Carpentry 20Roofing 7InteriorFinish 4ExteriorFinish 5AssociatedTrades 6OSHA 5

References

§ International Residential Code, 2015. ISBN: Item # 3100S15.International Code Council, 4051West Flossmoor Road, Country ClubHills,[email protected]

§ ResidentialHomeBuilderStudyGuideISBN: 978-1-323-55095-1 Pearson, 501 Boylston Street, Suite 900,Boston,MA02116.Availableatwww.provbookstore.com

ORThe following books can be used to substitute for theResidentialHomeBuilderStudyGuide.

§ BasicSafety, 2009. ISBN:978-0-136-09875-1. PrenticeHall,P.O.Box11071,DesMoines,IA50336.Availableatwww.provbookstore.comorhttp://nccer.pearsonconstructionbooks.com.

§ MasonryandSiteworkfortheResidentialContractor,2ndedition,2nd.ISBN: 978-1-269-78556-3. Pearson, 501 Boylston Street, Suite 900,Boston,MA02116.Availableatwww.provbookstore.com

§ Study Guide for Residential Carpentry & Repair, 2nd edition, 2014.ISBN: 978-1-269-78561-7. Pearson, 501 Boylston Street, Suite 900,Boston,MA02116.Availableatwww.provbookstore.com

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State of Alabama Home Builders Licensing Board: Candidate Information Bulletin

Version2017.03.03

Candidate Instructions Handout Pleasetakeamomenttoreadthefollowinginformation(frontandback).Ifyouhaveanyquestionsthen

pleaseletyourproctorknow.Failuretofollowthesetestingrulescanhaveseriousconsequences.Beadvised,thetestingcenterandtestingroommaybeundervideosurveillance.

TestingRules• Becourteousanddonotdisturbothers.• Afteryouareseated,followalltheinstructionsgivenandverifytheinformationpresentedtoyou.Thisinformationwillincludeyourname,candidateID,examname,andoccasionallyadditionaltestingmaterialssuchasgraphics.

• Ifyouleavethetestingroomduringthetest,youmustnotifyyourproctorandturninallyourtestingmaterials.

• Ifyoutakearestroombreakthetesttimewillcontinuetocountdownandthelosttimecannotberecovered.

• Ifyourcomputerfreezes,shutsdown,orwillnotmovetothenextquestionnotifyyourproctorimmediatelyandtheywillbeabletorestartyourexamwithoutlossofavailabletestingtime.

• Attheendofyourtest,remainseated,raiseyourhandandwaitfortheproctortostartthecheck-outprocesswithyou.Oncealltestingmaterialshavebeenaccountedforbyyourproctor,youmaycollectyourbelongingsandleavethetestingcenter.

• Ifpermittedbyyourjurisdiction,youwillreceiveyourtestingresultstoday;otherwise,you’llbenotifiedofyourtestingresultsbyeitherProvoryourjurisdiction.

ReferenceRulesforOpenBookExams• Booktitlemustbeexact.Exceptions:Older/neweditionsarealwayspermitted.SubstitutesareallowediflistedintheExamDetails.

• PhotocopiedversionsofareferencebookareONLYpermittedwhenstatedintheExamDetails.

• Permanenttabssuchasgummedtabs,self-adhesivetabswithprintableinserts,orinsertabletabdividers(forthreeringbindersonly)arepermitted.

• MoveableitemssuchasrepositionabletabsorPost-itnotesareNOTpermittedinareferencebook.

• Bookscanhavehighlightingandunderlining,howeveryoucannotmarkinyourbooksduringthetest.

• HandwrittennotesareNOTallowedinanyportionofareferencebook.EXCEPTION:TheALHACRclientallowshandwrittenformulaswritteninPENONLYtobewritteninareferencebook.Noothernotesofanykindcanbewritteninthereferencebooks.

• Otherdocuments(suchasformulasheetsortheTomHenryandKellyIndexes)orstickers(suchasOhm’sLaw)CANNOTbeadded,gluedortapedtoareferencebook.

In the next few days, Prov will email you a link to our candidate experience survey, please let

us know how we did!

• NO TALKING • NO EATING • NO DRINKING • NO TOBACCO USE • NO CELL PHONES • NO ELECTRONIC DEVICES • NO VISITORS • NO CHEATING • NO TAKING NOTES • NO MARKING IN BOOKS

UnethicalbehaviorIndividualscaughtgivingorreceivingassistanceduringoraftertheexamination,orcaughtusingunauthorizedmaterialsduringtheexaminationwillbereported totheBoard.Thosecaughtintheactofcheatingwillbedismissed from the examination and their testingresultswillbefrozen.Furthermore,thecandidatewillforfeit the examination fees paid. Finally, anyonecaughtwithtestquestionsintheirpossession,eitherduringorfollowingtheexaminationwillbeprosecutedbyProvfortheftofcopyrightedtestingmaterials.

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Computer Testing Navigation

Totalnumberofquestions Indicatedintheupperleft-handcornerofthescreen.

Availabletime Postedinhoursandminutes.TestwillendautomaticallywhenTimeRemainingreaches0:00.

Selectingyouranswer

Useyourmousetoselectaletter(A,B,C,orD).Theanswerishighlighted(orchecked)whenselected.Youmaychangeyourselectedanswerforanyquestionuntilthetestisover.Ifyoudonotknowtheanswertoaquestion,itistoyouradvantagetoguess,sincethereisnopenaltyforawronganswer.

ResizingimagesOccasionallyaquestionmayrefertoagraphiconscreen.Usethefourresizingfeaturestozoomin(Zoom+)orout(Zoom-)andusethescrollbarstomoveup,down,leftorrightwhenneeded.

Trackingdifficultquestions

PresstheMarkQuestion(orMarkforReview)buttontohelpyoukeeptrackofquestionsyouwishtoreturntoatalatertime.Markingquestionshasnoimpactinscoring.Pressthebuttonagaintounmarkthequestion.YoumayseewhichquestionshavebeenmarkedbyclickingShowQuestionList.

Questioncomments

Duringtheassessment,youmayfindthatyouhaveaquestionorconcernaboutaparticulartestquestion.Theproctorcannotanswerquestionsabouttestcontentatanytime;however,youcansendacommenttoProv’sTestDevelopmentDepartmentbyclickingtheMakeComment(orQuestionComment)button.Pleaseleaveaspecificdescription.Staffwillprocessyourcomments/questionswithintwoweeks.Youcanrefertoyourcandidateinformationbulletinformoreinformationonhowcommentsareprocessed.

MovingtoadifferentquestionUseyourmousetoselecttheNextorPreviousbuttons.PressNexttomoveforward.PressPrevioustomovebackward.Whenyouwanttomovetoaspecificquestion,useyourkeyboardtotypethequestionnumberintotheJumptoQuestionfieldandclickGo.

Reviewingyourprogress PressShowQuestionList(orReviewandNavigate)buttontoseeatableindicatingwhichquestionsareunansweredorwhichyouhavemarked.

Endingthetestearly PressEndTest(orFinish)buttonwhenyouarereadytoleavethetest.Itisrecommendedthatyoureviewyourexamandverifytherearenounansweredquestionspriortoendingthetest.

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DO

NO

T FA

X TH

IS S

IDE

NOTICES

• AllcandidatesshouldreviewtheCandidateInformationBulletinpriortoscheduling.

• Therearealimitednumberofseatsateachtestingfacilityandseatingavailabilityisbasedonafirst-come,first-servedbasis.

• Aschedulingconfirmationletterandreceiptwillbesenttotheemailaddressprovided.Ifanemailaddressisnotsuppliedtheconfirmationletterandreceiptwillbemailedtotheaddressprovided.

• Nopersonalorcompanycheckswillbeacceptedandallregistrationsthatincludepersonalorcompanycheckswillbereturnedwithoutprocessing.

• Allregistrationformswillbeprocessedwithinonebusinessdayofreceipt.PleasecontactProvdirectlyforrushrequests.

REVIEW ELIGIBILITY RULES

Onlycandidatesmeetingthefollowingeligibilityrulesmayscheduleareview.Candidatescanonlyscheduleareviewaftertheyhavefailedthesametesttwice.Candidatesmayonlyreviewatesttakenwithinthelast60days.Tobeeligibleforareview,candidatesmusthavebeenscoredwithin10%pointsofapassingscore.

CONTACT INFORMATION

MailorFaxtheregistrationformontheoppositesideofthispageusingtheinformationbelow.RegistrationformspaidbyMoneyOrder,Cashier’sCheck,orCertifiedCheckmustbemailedto:

Prov,Inc.200AssociationDrive,Suite190

Charleston,WV25311

RegistrationformspaidbyCreditCardcanbemailedtotheaddressaboveorfaxedtoll-freeto:

(877)228-3926FAX

Ifyouhavequestionsabouttheregistrationprocess,pleasecallustollfreeat(866)720-7768orlocallyat(304)414-0190.DetailedinformationcanalsobefoundintheCandidateInformationBulletinatwww.provexam.com.

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Mail-in Registration Form Alabama Home Builders exams can be registered by submitting this form to Prov, Inc. Exams can also be registered online or by phone using the instructions in the Candidate Information Bulletin. STEP 1: Enter your name and address

First Name Last Name Social Security Number

Street Address

City State ZIP

( )

Telephone Company

Email Address (to notify you by email of testing information) Create a Password (Required and must be at least 5

letters or numbers in length) STEP 2: This form is being used to (select one) □ Take a Test □ Schedule a Review (see rules) STEP 3: Select the examination(s) for which this registration applies ALL first-time licensees must pass BOTH a Business and Law test and a Trade test (if available) for the license being sought. Check all exams for which you are registering or reviewing. You may schedule a maximum of 2 exams per testing date.

AL HB Business & Law □ AL Home Builders □ □

STEP 4: Payment If both exams are taken on the same day the cost is $130.00. If the exams are taken on separate days each exam cost is $80.00. Enter the exam/s or review fee(s) from above for each test chosen. Select a payment method.

Exam Fees Paying By Credit Card (AMEX, VISA, MasterCard or Discover)

Paying by Check (Cashiers, MO, or Certified)

Enter the # of exams from above and multiply by the fee. Name on Card:

Candidates paying by check MUST mail their application to Prov using the address listed on the reverse side of this form.

QTY Cost Total Telephone #:

= Card #:

Review ($80.00) = Expiration Date:

Fee Total = Signature:

STEP 5: Select Date and Location of Testing Select your testing location and three preferred testing dates. Please select your preferred dates and times.

Location Preferred Testing Dates and Times Auburn (zip code 36849) □ 1st □ Birmingham-Jefferson (35215) □ 2nd □ Birmingham-Shelby Hoover (35242) □ 3rd □ Enterprise (zip code 36331) □ Huntsville (zip code 35896) □ Mobile (zip code 36688) □ Montgomery (zip code 36104) □ Sheffield (zip code 35660) □ Tuscaloosa (zip code 35487) □

STEP 6: Send to Prov using contact information on the reverse side.

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