MCEZ Project Application – Additional Contractors Form

Do Project for

Please contact the Enterprise Zone Administrator with any questions about the application, required documentation or process.

Phone: (815) 893-0895.
Email: info@mchenrycountyenterprisezone.com

To ensure proper consideration, please fill in the information below as completely and accurately as possible. Items marked with * are required.

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Enterprise Zone (EZ) Project Information

Name of EZ Project

MCEZ Project ID Reference Number

The unique MCEZ Project ID Reference Number was provided to the MCEZ Project Applicant and must be entered here to allow us to pair this form with the related MCEZ project application.

Your Name

First

Last

Your Email

Your Phone Number

Contractor / Sub-Contractor Information - #1

Contractor Business Name

Contractor Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Name of Contractor

First

Last

Contractor Email Address

Contractor Phone Number

Contractor Federal Employer Identification Number (FEIN)

Contractor Unemployment Identification Number (UIN)

How many construction workers / laborers will your company utilize for this project?

Do you need to add a 2nd Contractor/Sub-Contractor?

Yes
No

Do you need to add a 3rd Contractor/Sub-Contractor?

Yes
No

Do you need to add a 4th Contractor/Sub-Contractor?

Yes
No

Do you need to add a 5th Contractor/Sub-Contractor?

Yes
No

Custom Captcha

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MCEZ Project Application – Additional Contractors Form

Enterprise Zone (EZ) Project Information

Contractor / Sub-Contractor Information - #1

Contractor / Sub-Contractor Information - #2

Contractor / Sub-Contractor Information - #3

Contractor / Sub-Contractor Information - #4

Contractor / Sub-Contractor Information - #5