Contractor Registration Registration for all contractors, required before beginning work for Good Life Home Transport, LLC. CompanyThis field is for validation purposes and should be left unchanged.Taxpayer IdentificationSee IRS documentation for completing Form W-9.Contractor Type Individual Business Name(Required) First Last Social Security Number(Required)Business Name(Required)Employer Identification Number(Required)Federal Tax Classification(Required)Individual / Sole Proprietor / Disregarded EntityCorporation (C)Corporation (S)PartnershipTrust / EstateLLC (C)LLC (S)LLC (P)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact InformationHow we can reach you. Phone(Required)Email LicensesInput any applicable, current licenses you hold (MH Installer (any state), plumbing, septic, equipment operator, CDL, etc)1. License Type1. State / License Number1. Expiration Date MM slash DD slash YYYY 2 License Type2. State / License Number2. Expiration Date MM slash DD slash YYYY 3 License Type3. State / License Number3. Expiration Date MM slash DD slash YYYY Driver's License / ID(Required)Max. file size: 256 MB. Upload a picture of your valid drivers license or state ID.Payment OptionsGLHT prefers electronic payments when possible, but checks can be provided. Please fill out usernames for any services you would like to use.CashAppVenmoPayPalBank NameBank Routing NumberBank Account NumberInsuranceGeneral liability insurance showing Good Life Home Transport, LLC as also insured.FileAccepted file types: pdf, Max. file size: 256 MB. AgreementsConsent(Required) I agree to the Contractor’s Terms and AgreementsLinked here: Contractor’s Terms and AgreementsSignature
