Contractor Registration Form

Individuals or companies interested in applying for the right to operate as a Contractor within the Municipal Boundary of East Palestine, Ohio, must register annually (January 1 – December 31) by providing the following information and paying a $50 fee, paid by check or cash only.

Contractor Registration Form

Company Name(Required)

Business Owner Name(Required)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Phone Number(Required)

Contact Fax

Contact Email(Required)

Industry(Required)

License Number(Required)

Proof of Liability Insurance and Copy of Certificate of Insurance(Required)

Max. file size: 128 MB.

Website

Subcontractors