To register as a contractor, please complete the form and sign the agreement below. Unless otherwise noted, all fields are required.

All fees are non-refundable. All contractors must register with the City of Floresville.

Type of Contractor

(check all that apply)


If Other, please specify:

Company Information

Name

Address

City

State

ZIP Code

Phone

Email

Licensee Information

Name

Licensee Number

Mailing Address

City

State

ZIP Code

Phone

Email

Supporting Documents

Please upload copies or photos of the following.
(PDF, Word, images accepted)

Driver’s License

State License

Insurance


Non-Discrimination Statement
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.

Ethnicity (optional)

Race (optional)

Sign this document electronically by typing your full name:

...and today’s date:

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