INDIVIDUAL RESIDENTIAL BUILDER LICENSE APPLICATION CHECKLIST
This checklist is intended to assist you with filing a complete Individual Residential Builder License Application; do NOT mail it
along with your application package. All applicable items listed must be completed and submitted for your application to be
Individual Residential Builder License Application (BCS/LBL-010)
Completed all fields on the application in blue or black ink
Signed and dated application
Included a Check or Money Order from a US Financial Institution payable to the "State of Michigan" in the amount of $195.00
Included a copy of your Driver's License or State Issued Photo ID
NOTE: If you are NOT a Michigan resident, you must also complete and submit the Consent to Service of Process form
(BCS/LCL-900) for your out-of-state address. However, you are required to maintain a place of business in Michigan.
Included a copy of the official certificates of completion for the 60 hours of prelicensure education for the subjects of:
Business Management, Estimating, and Job Costing (6 hours)
Design and Building Science (6 hours)
Contracts, Liability, and Risk Management (6 hours)
Marketing and Sales (6 hours)
Project Management and Scheduling (6 hours)
The Michigan Residential Code (6 hours)
MIOSHA Construction Safety Standards (6 hours)
18 hours of other topics from the approved prelicensure course list located at www.michigan.gov/builders under "Spotlight"
Included a filed copy of your Certificate of Assumed Name (DBA) (if applicable)
NOTE: Do NOT list the name of a corporation, LLC, or partnership in the line marked DBA on page 1 of the application.
If you have a corporation, LLC or partnership you must submit a separate application form BCS/LBL-020
Included the Request for Conviction History of an Applicant (BCS/LCE-020), Request for Disciplinary Action Information
(BCS/LCE-021), or the written statement regarding unlicensed activity if you answered "yes" to any of the questions on
page 1 of the application.
All forms can be found at www.michigan.gov/builders by clicking on "Forms and Publications" on the right hand side.
Michigan Department of Licensing and Regulatory Affairs
FEE DUE $195.00
Bureau of Commercial Services - Licensing Division FEE IS NON-REFUNDABLE
P.O. Box 30245, Lansing, MI 48909
INDIVIDUAL RESIDENTIAL BUILDER LICENSE APPLICATION
AUTHORITY: P.A. 299 of 1980, as amended.
PENALTY: Failure to complete may result in denial of your application
Name (First, Middle, Last) Social Security Number Date of Birth
Home Address (Number & Street) NOT POST OFFICE BOX # City State ZIP Code
County Home/Cell Telephone Number E-Mail Address
Business Address (Number & Street) NOT POST OFFICE BOX # City State ZIP Code
County Business Telephone Number E-Mail Address
SOLE PROPRIETOR - D/B/A INFORMATION - If you will be conducting business in a name other than your given name, you must indicate that below. You
may not include a corporation, LLC or partnership name on this license. An application for a corporation, LLC or partnership may be found at
www.michigan.gov/builders under Forms & Publications. Supply a valid copy of the Certificate of Assumed Name from the County Clerk's Office filed in the
county where your business is located.
Have you ever been convicted of a felony?
Yes - Download the form BCS-LCE-020 "Request for Conviction History of Applicant". The form can be downloaded and No
completed to accompany this application. See www.michigan.gov/builders and select Forms & Publications. The form must
be included to avoid delays in processing your application.
Have you or any firm or company in which you were a member, partner, officer or employee ever had disciplinary action taken against any license, registration
or permit now held or have ever held? (Includes, but is not limited to final orders, suspension, revocation, denial, etc.)
Yes - Download the form BCS/LCE-021 "Request for Disciplinary Action Information". The form can be downloaded and completed No
to accompany this application. See www.michigan.gov/builders and select Forms & Publications. The form must be included
to avoid delays in processing your application.
FEE PAYMENT INFORMATION FOR OFFICE USE ONLY - VALIDATION
Individual Residential Builder $ 195.00 (2101-01 = $165.00)
(2101-15 = $ 30.00)
FEES ARE NON-REFUNDABLE
Make your check or money order in U.S. Currency payable to:
STATE OF MICHIGAN
FEES ARE NOT REFUNDED EXCEPT UNDER AUTHORITY P.A. 152 OF
1979, AS AMENDED, AND R338.943 AND R338.944.
LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request
to individuals with disabilities.
PRELICENSURE EDUCATION REQUIREMENT: Individuals applying for licensure as a Residential Builder are required to complete 60 hours of approved
prelicensure education courses prior to submitting this license application. The list of approved courses may be found at www.michigan.gov/builders under
the "Spotlight" section. Applicants must submit a copy of the official certificate(s) of completion from the course provider.
I certify that I have completed:
a) 6 hours of courses in business management, estimating, and job costing. Yes No
b) 6 hours of courses in design and building science. Yes No
c) 6 hours of courses in contracts, liability, and risk management. Yes No
d) 6 hours of courses in marketing and sales. Yes No
e) 6 hours of courses in project management and scheduling. Yes No
f) 6 hours of courses in the current Michigan residential code. Yes No
g) 6 hours of courses in construction safety standards promulgated under the Yes No
Michigan occupational safety and health act.
h) A total of 60 hours of approved courses. Yes No
List the license numbers of all residential builder, maintenance and alteration contractor, or construction salesperson licenses currently or previously held by
YOU MUST SIGN AND DATE THE APPLICATION BELOW.
I hereby certify that the statements in this application are true and correct. I have not withheld information which might affect the decisions to be made on
this application. I am aware that a false statement or dishonest answer may be grounds for denial of my application or disciplinary action against my license,
or may be punishable by law. I hereby authorize the Department of Licensing and Regulatory Affairs and its agents to investigate any statements made by
me in this application, including checking criminal, civil, and administrative records. I authorize the Department and its agents to examine my books and
records at the Department's discretion. I understand that I will not be eligible to engage in activity requiring licensure until a license is approved and issued.
Signature of Applicant Date
It is the applicant's responsibility to be aware of and comply with all regulations pertinent to the application process, licensure and practice.
Allow approximately 3 weeks for processing of a properly submitted application.
All requirements for licensure must be completed within 1 year of filing this application.
CONTINUING COMPETENCY REQUIREMENT - Effective January 1, 2009, all licensees are required to complete 21 hours of activities demonstrating
continuing competency every 3 years for the first 6 years of licensure. Details on fulfilling the requirement may be found at www.michigan.gov/builders.
Mail your completed, signed, two-page application, all required documents and payment to:
Department of Licensing and Regulatory Affairs
Bureau of Commercial Services - Licensing Division
P.O. Box 30245, Lansing, MI 48909