CLASSIFICATION DETERMINATION REQUEST

1 CLASSIFICATION DETERMINATION REQUEST Date: _____ Proposed licensee name: _____ Qualifying party applicant: _____ Mailing address: _____ City: _____ State: _____Zip: _____ Email: _____ Phone: _____ Fax: _____ Please complete the following questions with as much detail as possible. 1. What type of work do you want to perform in the state of NM? Please be as detailed as possible when describing type of work you wish to perform. IF THE LICENSE IS TO BE USED IN CONNECTION WITH A PARTICULAR PROJECT, ATTACH A COPY OF THE SCOPE OF WORK FOR THE PROJECT 2. In what industry is this work to be performed? (For example, if the work is fuel piping for railroads, you would enter railroad.)

2 3. Do you intend to perform the work? 4. Do you intend to bid projects as the Prime Contractor? If not, will you be a subcontractor? 5. Please attach any other information that will help describe the work for which you are seeking a license. *Note: Obtaining a CLASSIFICATION DETERMINATION does not approve you for licensing or testing. Once CLASSIFICATION has been determined, please refer to to download the forms necessary to begin licensing process. New Mexico Construction Licensing Services 2820 Broadbent Pkwy NE, Suite E&F Albuquerque, NM 87107 Phone: 877-663-9267 Fax: 505 433 5266