Initial Trade License Application Form

Last Exam Date: ________________________________

Select One Profession:

301 - STATIONARY ENGINEER

302 - MASON CONTRACTOR - Brick

303 - SUPERVISING ELECTRICIAN

304 - CRANE OPERATOR

306 - JOURNEYMAN PLUMBER - Practical

307 - MASON CONTRACTOR - Concrete

308 - SUPERVISING ELEVATOR MECHANIC

313 - PRIVATE ALARM CONTRACTOR

316 - MASON CONTRACTOR - Brick & Concrete

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