Minnesota Department of Labor and Industry Reset

CCLD Licensing and Certification/Residential

443 Lafayette Road N. Residential Roofers License Application
St. Paul, MN 55155
(651) 284-5065
PRINT IN INK or TYPE your responses
The data that you furnish on this form will be used by the Department of Labor and Industry to assess your qualifications for a license. Disclosure of your Social
Security number is voluntary. You are not legally required to provide this data; however, if you do not provide your Social Security number, the Department of
Labor and Industry may be unable to grant a license. The department may use Social Security numbers for revenue recapture as authorized by Minnesota
Statutes, Chapter 270A, and for identification purposes. After issuance of a license, all information contained in this application, except your Social Security
number, is public pursuant to Minnesota Statutes, Chapter 13. Incomplete forms will be returned.

The license period is April 1 through March 31 of each year. All licenses expire March 31 each year, regardless of when (during the licensing year) the
original license is issued. To maintain an active license, all licenses must be renewed by March 31 of each year, whether the license was issued for all or a
portion of the license period.
TYPE OF APPLICATION (check all that apply)
NEW INDIVIDUAL PROPRIETORSHIP CORPORATION
RENEWAL LIMITED LIABILITY COMPANY PARTNERSHIP
APPLICANT INFORMATION
BUSINESS NAME

DBA (If DBA name is different from legal name listed above, attached a Certificate of Assumed Name filed and stamped by the Minnesota Secretary of State)

CORPORATE NAME (if applicable)

BUSINESS ADDRESS (PO Box must include RR# or street address) CITY STATE ZIP CODE

MINNESOTA TAX IDENTIFICATION NUMBER (To apply for a tax ID#, contact the Dept. of Revenue at (651) 282-5225). BUSINESS PHONE NUMBER

QUALIFYING PERSON INFORMATION

LAST NAME FIRST NAME MIDDLE NAME

RESIDENTIAL STREET ADDRESS CITY STATE ZIP CODE

PHONE NUMBER SOCIAL SECURITY NUMBER DATE OF BIRTH

EMPLOYMENT HISTORY: You must list the applicant’s and qualifying person’s business history for the past five years. You must use
additional paper, if necessary.

Is the qualifying person a qualifying person for more than one licensee? Yes No
If “yes” provide the business name, address and license number for all licenses for which this individual acts as a qualifying person.
BUSINESS NAME ADDRESS LICENSE NUMBER

This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354
(DIAL-DLI) Voice or TDD (651) 297-4198.
Office Use Only PROCESSING DATE LICENSE NUMBER COMPANY NUMBER

RBC 11 (12/06) Page 1 of 2

INSURANCE REQUIREMENTS
NAME OF LIABILITY INSURANCE COMPANY (attach a copy of your Certificate of Insurance)

NAME OF WORKERS’ COMPENSATION INSURANCE COMPANY (attach a copy of your Certificate of Insurance; if not applicable, put N/A)

MINNESOTA UNEMPLOYMENT ACCOUNT NUMBER (if not applicable, put N/A)

NAME OF BOND COMPANY (must attach original bond and power of attorney)

All applicants must answer the following questions. If the answer to any question is “yes”, attach a detailed
explanation and all legal documentation, if application.
Have you (applicant) or the applicant’s qualifying person, owners, partners, officers, directors, shareholders owning more than 10 percent of
the corporation’s stock, LLC owners/governors, managers or employees exercising management or policy control, ever:
1. Held a residential building contractor, remodeler, roofer, manufactured home installer or any other occupational,
professional license in any state including Minnesota? If yes, new applicants must provide a verification of licensure Yes No
certified by the state(s).
2. Been the subject of any inquiry or investigation by any division of the Minnesota Department of Commerce or
Minnesota Department of Labor and Industry? Yes No
3. Had any occupational, professional or vocational license or permit censured, suspended, revoked, canceled,
terminated or been the subject of any type of administrative action in Minnesota or any other state? Yes No
4. Been charged with, convicted of, indicated for, or entered a plea to, any criminal offense (felony, gross misdemeanor
or misdemeanor), other than traffic violations, in any state or federal court within the last 10 years? Yes No
5. Been a defendant in any lawsuit or been named in a civil judgment, involving claims of fraud, misrepresentation,
conversion, mismanagement of funds, breach of fiduciary duty or breach of contract? Yes No
6. Been notified by the commissioner of the Department of Revenue, pursuant to Minnesota Statutes, Section 270.72,
that you currently owe the State of Minnesota any delinquent taxes? Yes No
7. Exercised management or policy control over, or owned 10 percent or more of the stock of any company that has
failed in business or filed a bankruptcy petition or been declared bankrupt? Yes No
8. Been the subject of any outstanding unsatisfied judgment(s) relating to any residential contracting or residential
remodeling, residential roofing or manufactured home installer activities? Yes No
9. Has the applicant’s business entity undergone a change in name, ownership or control, or has there been a sale or
transfer of the applicant’s business entity in the past five years? If yes, attach a list of the names and addresses of all
prior, predecessor, subsidiary, affiliated, parent or related entities, and whether each such entity or its owner, officers, Yes No
directors, members or shareholders hold more than 10 percent of the stock would have answered “yes” to questions 1
through 8.
10. Have any unclaimed property (unclaimed funds or property more than three years old) to report under Minnesota
Statutes, section 345.37? Yes No
11. Have you (applicant) or the applicant’s qualifying person, owners, partners, officers, directors, employees exercising
management or policy control, managers, limited liability company owners/governors or shareholders owning more
than 10 percent of the stock in the corporation ever been affiliated with any residential contracting or residential Yes No
remodeling, residential roofing or manufactured home installer business entity that engaged in any activity that would
result in a “yes” answer to the above questions 1 through 8?

CERTIFICATION
We certify all of the information submitted in this application and attachments is true and complete, and that this document has not been
changed in any manner from the form adopted by the Department of Labor and Industry.

SIGNATURE OF OWNER, PARTNER, OFFICER (mandatory) TITLE DATE

SIGNATURE OF QUALIFYING PERSON (mandatory) DATE

Page 2 of 2
Minnesota Department of Labor and Industry
CCLD Licensing and Certification/Residential
443 Lafayette Road N. Disclosure of Company Owners, Partners, Officers
St. Paul, MN 55155
(651) 284-5065

NAME OF COMPANY
PRINT IN INK or TYPE your responses
An applicant for a company license must provide the following information:
• Individual proprietor: Provide the name and address of the owner.
• Partnership: Provide the name and address of all general partners and limited partners.
• Corporation, L.L.C., Trust, other: Provide the name and address of all elected officers, directors, governors, members, shareholders
owning 10 percent or more of company stock, and any managers/employees with authority to exercise control in policy or management
of the company.
• Governmental entity: Provide the complete name and address of the government agency that owns the company and any
directors/managers/employees with authority to exercise control in policy or management of the company.
If any owner or partner is also a business entity, you must complete this form to disclose the owners/partners/officers/shareholders of that business entity as well.

NAME

STREET ADDRESS CITY STATE ZIP CODE

TITLE (check one)

100 percent owner General partner Limited partner Director Manager/employee with controlling authority
Elected officer (title: ______________________) Shareholder (percentage of ownership: _____) L.L.C. governor/member
NAME

STREET ADDRESS CITY STATE ZIP CODE

TITLE (check one)

100 percent owner General partner Limited partner Director Manager/employee with controlling authority
Elected officer (title: ______________________) Shareholder (percentage of ownership: _____) L.L.C. governor/member
NAME

STREET ADDRESS CITY STATE ZIP CODE

TITLE (check one)

100 percent owner General partner Limited partner Director Manager/employee with controlling authority
Elected officer (title: ______________________) Shareholder (percentage of ownership: _____) L.L.C. governor/member
NAME

STREET ADDRESS CITY STATE ZIP CODE

TITLE (check one)

100 percent owner General partner Limited partner Director Manager/employee with controlling authority
Elected officer (title: ______________________) Shareholder (percentage of ownership: _____) L.L.C. governor/member
NAME

STREET ADDRESS CITY STATE ZIP CODE

TITLE (check one)

100 percent owner General partner Limited partner Director Manager/employee with controlling authority
Elected officer (title: ______________________) Shareholder (percentage of ownership: _____) L.L.C. governor/member
SIGNATURE OF OWNER/PARTNER/OFFICER TITLE DATE

This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354
(DIAL-DLI) Voice or TDD (651) 297-4198.
RBC 09 (12/06) This form may be photocopied if additional forms are needed.
Minnesota Department of Labor and Industry
CCLD Licensing and Certification/Residential
443 Lafayette Road N. BCA FORM
St. Paul, MN 55155 Bureau of Criminal Apprehension
(651) 284-5065 Criminal Background Check

PRINT IN INK or TYPE your responses

THIS FORM MUST BE COMPLETED AND SIGNED BY ALL INDIVIDUAL APPLICANTS; IF THE LICENSE IS TO BE ISSUED TO A
COMPANY, THIS FORM MUST BE COMPLETED AND SIGNED BY EACH OF THE COMPANY’S OWNERS, QUALIFYING PERSON,
LIMITED OR GENERAL PARTNERS, CORPORATE OFFICERS, DIRECTORS, SHAREHOLDERS OWNING MORE THAN 10 PERCENT
OF THE CORPORATION’S STOCK, L.L.C. OWNERS/GOVERNORS, MANAGERS OR EMPLOYEES WITH AUTHORITY TO EXERCISE
MANAGEMENT OR POLICY CONTROL. THE DEPARTMENT OF LABOR AND INDUSTRY REQUIRES THIS INFORMATION TO
CONDUCT CRIMINAL HISTORY CHECKS AND/OR VERIFY TAX IDENTIFICATION INFORMATION.

TO: Bureau of Criminal Apprehension and Minnesota Department of Revenue

RE: Request for criminal background check and request for disclosure/verification of tax identification number

PROVIDE PERSON’S COMPLETE LEGAL NAME

LAST NAME (if legal list name is hyphenated, enter both names here)

FIRST NAME MIDDLE NAME

ADDITIONAL MIDDLE NAME (if applicable) MAIDEN NAME (if applicable) FORMER LIST NAME or OTHER NAME (if applicable)

DATE OF BIRTH (mo/day/yr) SOCIAL SECURITY NUMBER

TYPE OF LICENSE FOR WHICH YOU ARE APPLYING

THE FOLLOWING SECTION MUST BE COMPLETED IF THE LICENSE IS TO BE ISSUED TO A COMPANY

NAME OF THE COMPANY

COMPANY’S ASSUMED NAME (if applicable)

COMPANY’S MINNESOTA TAX IDENTIFICATION NUMBER YOUR TITLE OR POSITION IN THE COMPANY

CERTIFICATION AND AUTHORIZATION:

• I, the undersigned, and my company have made application to the Minnesota Department of Labor and Industry
for a regulated professional or occupational license.

• I certify that complete and accurate responses have been provided for all questions on the application.

• I hereby request and authorize the Bureau of Criminal Apprehension to conduct a background check of me
through their records for licensing purposes.

• I hereby request and authorize the Minnesota Department of Revenue to disclose or verify the state tax
identification number.

SIGNATURE (mandatory) DATE

This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354
(DIAL-DLI) Voice or TDD (651) 297-4198.
RBC 07 (12/06)
Minnesota Department of Labor and Industry
CCLD Licensing and Certification/Residential
443 Lafayette Road N.
St. Paul, MN 55155
Roofer Surety Bond
(651) 284-5065
PRINT IN INK or TYPE your responses.
BOND No.

KNOW ALL PERSONS BY THESE PRESENTS that

(Name of Roofer)

a with business office

(Description or form of business organization, including state of incorporation, if applicable, e.g., “a Minnesota corporation”)

at as
(Street address, city, state, zip code)

PRINCIPAL and a corporation

(Name of SURETY)

duly organized under the laws of the State of and authorized to do business in the State of
Minnesota, as SURETY, are hereby held and firmly bound to the Commissioner of Labor and Industry, State of Minnesota, and
any person aggrieved by reason of the Principal’s failure to faithfully perform the duties, and in all things comply with all laws,
ordinances, and rules pertaining to the PRINCIPAL’S license or any permit applied for and all contracts entered into, the sum

of ($ ).
For payment of this sum, PRINCIPAL and SURETY bind themselves, their representatives, successors and assigns, jointly and
severally by these presents.
WHEREAS, the PRINCIPAL has made application with the State of Minnesota to be licensed as, or has been licensed as, a
roofer.
NOW THEREFORE, the parties further agree that:
1. The purpose of this obligation, which is required by Minnesota Statutes, Section 326.94, is to secure the PRINCIPAL’S
faithful performance of the duties, and compliance with all laws, ordinances, and rules pertaining to the PRINCIPAL’S
license or any permit applied for and all contracts entered into, pursuant to Minnesota Statutes, Section 326.94.
2. This bond is for the benefit of the State of Minnesota and all persons suffering loss or damages by reasons of the
PRINCIPAL’S failure to faithfully perform the duties, and in all things comply with all laws, ordinances, and rules pertaining
to the PRINCIPAL’S license or any permit applied for and all contracts entered into.
3. If the PRINCIPAL shall fail to faithfully performed the duties, and in all things comply with all laws, ordinances, and rules
pertaining to the PRINCIPAL’S license or any permit applied for and all contracts entered into, the State of Minnesota, as
well as any person damaged as a result of said failure by the PRINCIPAL, shall have, in addition to all other legal remedies,
a right of action on this bond in the name of the injured party for loss or damages sustained by the injured party.
4. This bond shall become effective on the day of 20 , and shall be continuous
until canceled by the SURETY. The SURETY may cancel this bond any time upon giving the PRINCIPAL and the
Minnesota Commissioner of Labor and Industry 30 days written notice. After cancellation, the bond must remain in force for
those liabilities incurred by the PRINCIPAL from the time the bond first became effective until its cancellation, regardless of
when compensation was or may be claimed, awarded or paid. This bond shall not become void upon first recovery, but may
be sued upon until the full amount shall be exhausted. In no event shall the aggregate liability of the SURETY on the bond,
to any and all persons, exceed the amount of the bond. Immediately upon payment by the SURETY of the amount of the
bond, the SURETY will give written notice to the Commissioner of Labor and Industry and the PRINCIPAL that the bond
has been exhausted and is, therefore, canceled.

Signed and sealed this day of

NAME OF SURETY NAME OF ROOFER

SIGNATURE OF ATTORNEY IN FACT (President, Partner, or Sole Proprietor)

This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354 (DIAL-DLI) Voice or TDD (651)
297-4198.
FOR OFFICE USE ONLY

DATE

RBC-12 (12/06)
INSTRUCTIONS: This side to be completed by a notary public for both the PRINCIPAL and the SURETY. Attach the Power of Attorney for the
SURETY listed herein.
ACKNOWLEDGMENT OF INDIVIDUAL

STATE OF )
) ss ACKNOWLEDGEMENT OF PRINCIPAL
COUNTY OF )

On this day of personally appeared

known to m to be the individual whose name is subscribed on this bond form, who acknowledged that this bond was executed for the
purposes therein contained.

(SEAL)
SIGNATURE OF THE NOTARY PUBLIC

ACKNOWLEDGMENT OF PARTNERSHIP

STATE OF )
) ss ACKNOWLEDGEMENT OF PRINCIPAL
COUNTY OF )

On this day of personally appeared

known to m to be the partner in the partnership whose name is subscribed on this bond form, who acknowledged that this bond was executed
on behalf of the partnership for the purposes therein contained.

(SEAL)
SIGNATURE OF THE NOTARY PUBLIC

ACKNOWLEDGMENT OF CORPORATION

STATE OF )
) ss ACKNOWLEDGEMENT OF PRINCIPAL
COUNTY OF )

On this day of personally appeared

who acknowledged that s/he is the of a corporation whose name is subscribed on this bond
form, and that, as a corporate officer, s/he is authorized to execute the bond for the purposes therein contained.

(SEAL)
SIGNATURE OF THE NOTARY PUBLIC

ACKNOWLEDGEMENT OF SURETY

STATE OF )
) ss ACKNOWLEDGEMENT OF SURETY
COUNTY OF )

On this day of personally appeared

who acknowledged that s/he is the attorney in fact who is authorized to sign on behalf of a
(Surety Company)
corporation, on behalf of the corporation.
(State or place of corporation)

(SEAL)
SIGNATURE OF THE NOTARY PUBLIC
Minnesota Department of Labor and Industry
CCLD Licensing and Certification/Residential Residential Roofer
443 Lafayette Road N.
St. Paul, MN 55155 Checklist
(651) 284-5065

Failure to include all requested information will result in your application being returned to you.

Fee: The license fee is $100. Make check payable to the Minnesota Department of Labor and Industry. Cash is not
accepted.

Attach the qualifying person’s passing test results.

$5,000 bond and power of attorney:

the front of the bond must be signed and sealed by the surety company;
the front of the bond must be signed by the president, partner or sole proprietor;
the proper acknowledgements on the back of the bond must be notarized;
the name on the bond and on the application must be identical.

Complete the Bureau of Criminal Apprehension Criminal Background Check form and submit with the complete
application.

Enclose the Assumed Name Certificate, if applicable, and be sure the name on the application is identical to the
Assumed Name Certificate.

Attach a written, detailed explanation for any questions answered “yes” on the application.

Enclose insurance certificates. Insurance requirements are as follows:

a $100,000 per occurrence liability insurance policy with at least $10,000 of property damage coverage**;
a workers’ compenstaion insurance certificate**; and
unemployment insurance (if applicable);
**Note: The company name listed as the “insured” on the Certificate of Insurance must be identifical to the company
name listed on your license application. The “Certificate holder” must indicate: State of Minnesota,
Department of Labor and Industry, Residential Contractor, 443 Lafayette Road N., St. Paul, Minnesota 55155

Sign and date the application. Mail all documents and fee check to address above. License will be mailed to business
address after application processing. Note: Application processing is not currently available at the DLI public service
counter.

Note: Secretary of State business filing and Assumed Name Certificate application information is available via telephone
(651) 296-2803, or online at www.sos.state.mn.us.

CORPORATIONS
A copy of Articles of Incorporation or Certificate of Incorporation. Both of these documents must have the Secretary of
State’s file number on them.

A list of the names and addresses of all corporate officers, directors and shareholders owning more than 10 percent of the
outstanding stock in the corporation.

Assumed Name Certificate if the DBA is different from the corporate name.

PARTNERSHIPS
A partnership agreement that lists the names and addresses of each partner, amount of ownership and signed by each
partner.

REMINDER
All licenses expire March 31 of each year, no matter when the license is issued. To maintain an active license, all licenses
must be renewed by March 31 each year, whether the license is issued for all or a portion of the license period. (The
license period is April 1 through March 31.) To renew your license each March 31, you must complete seven hours of
continuing education before the renewal date.

This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354
(DIAL-DLI) Voice or TDD (651) 297-4198.

RBC 13 (12/06)
Minnesota Department of Labor and Industry
CCLD Licensing and Certification/Residential
443 Lafayette Road N. Residential Roofer Licensing Requirements
St. Paul, MN 55155
(651) 284-5065

General licensing requirements

The law requiring all residential roofers to be licensed became effective May 15, 1993. A residential roofer is defined
as a person engaged in the business of doing work on residential real estate (one to four family dwellings, including
detached garages) in roof coverings, roof sheathing, roof weatherproofing and insulation, and repair of roof systems,
but not construction of new roof systems. The licensing program is administered by the Minnesota Department of
Labor and Industry.

Residential roofers will be subject to all of the requirements of the Residential Building Contractor and Remodeler
Licensing Law except that the amendments create a separate residential roofer license, bond and examination
requirement.

The licensing program requires only companies to obtain a license (in the case of an individual proprietorship, the
proprietorship is licensed). However, each company must designate one individual who will serve as a "qualifying
person," regardless of whether it is an individual proprietorship, partnership or corporation. The qualifying person is
the individual who must take the required examination and fulfill the continuing education requirements. In the case
of a sole proprietorship, the qualifying person must be the proprietor (owner) or a managing employee. For a
partnership, the qualifying person must be a general partner or managing employee. For a corporation, the qualifying
person must be a chief executive officer or managing employee. If the qualifying person is a managing employee,
that person must be an employee who is regularly employed by the licensee and is actively engaged in the business
of residential contracting or residential remodeling on behalf of the licensee.

Exemptions from licensure

The following are exempt from the licensing requirements:

• employees of a licensed contractor, remodeler or roofer;

• material suppliers who no not install or attach the items;

• owners doing work on their own property; and

• residential roofers licensed by the city of Minneapolis performing work within the legal boundaries of this
municipality.

Note: Any person claiming this exemption must obtain a Certificate of Exemption from residential roofer
licensing from the Department of Labor and Industry by filing an affidavit stating the applicant does not
expect to exceed $15,000 in gross annual receipts during the calendar year for which the exemption is
requested. The exemption certificate must be renewed annually. After the person exceeds $15,000, the
certificate of exemption must be immediately surrendered and application for a license must be filed.

License application process

You can obtain the required license application at the Minnesota Department of Labor and Industry by mail at 443
Lafayette Road N., St. Paul, MN 55155, by telephone at (651) 284-5065 or 1-800-342-5354.

The license period for residential roofers is April 1 through March 31 each year. All licenses expire March 31
each year, whether the license is issued for all or a portion of the license period. To maintain an active
license, all licenses must be renewed by March 31 each year.

Applicants must answer all questions and provide all the required information on the application. Failure to answer
any question or attach the required documents will result in the application being returned to the applicant.
RBC 14 (12/06) Page 1 of 4
All applications must include the following:

• a license fee of $100 (Note: License fees for licenses issued for a portion of the license period cannot be
prorated, for example, the license fees are $100 whether the license is obtained in April or in December.);

• roof that the qualifying person has passed the required examination;

• a certificate of liability insurance with limits of at least $100,000 per occurrence, which must include at least
$10,000 property damage coverage (Note: The company name listed as the “insured” on the Certificate of
Insurance must be identical to the company name listed on your license application. The “Certificate
holder” section of the Certificate of Insurance must indicate: State of Minnesota, Department of Labor
and Industry, 443 Lafayette Road N., St. Paul, MN 55155.);

• a Minnesota workers' compensation insurance certificate or a written explanation of why the applicant is exempt
from workers’ compensation requirements. A Minnesota workers’ compensation insurance certificate is required
for those who have employees who are not the spouse, parent or child of the owner. Applicants who have no
employees and have no intention of hiring employees (other than spouse, parent or child) during the next year
should attach a written explanation with the license application stating that they are exempt for this reason. If
uncertain regarding the need for workers' compensation insurance contact the Minnesota Department of Labor
and Industry at (651) 284-5005 or 1-800-342-5354. Note: The company name listed as the “insured” on the
Certificate of Insurance must be identical to the company name listed on your license application. The
“Certificate holder” must indicate: State of Minnesota, Department of Labor and Industry, 443 Lafayette
Road N., St. Paul, MN 55155;

• unemployment insurance or proof the applicant is exempt from unemployment insurance requirements. If
uncertain regarding the need for unemployment insurance, contact the Minnesota Department of Employment
and Economic Development at (651) 296-6141;

• a bond in the amount of $5,000;

• information regarding the applicants organizational structure including names and addresses of officers,
directors, shareholders, partners or employees who exercise management or policy control in the company.

License renewal process

All licenses expire March 31 each year, whether the license is issued for all or a portion of the license period. The
license period is April 1 through March 31 each year.

To maintain an active license, all licenses must be renewed by March 31 each year, whether the license is issued for
all or a portion of the license period.

Licensees will be sent a renewal notice each year, in approximately mid-February, with instructions about how to
renew a license.

Examination and continuing education requirements

The company's qualifying person will be required to show proof they have passed the examination at the time of their
application. A bulletin of information, providing further details about the examination, is available by contacting the
Department of Labor and Industry.

The company's qualifying person will be required to show proof that seven hours of approved continuing education
has been completed within each license period to renew their license, whether the license is issued for all or a
portion of the license period. (As an example, the qualifying person must obtain seven hours of approved continuing
education within each license period whether the license was obtained in April or December.)

Page 2 of 4
At least one hour of the required credits for the licensee’s first license period must contain information about lead
abatement rules and safe lead abatement procedures. At least one hour each license period must include
information relating to the implementation of energy codes applicable to building and other building codes designed
to conserve energy. Examination preparation courses do not qualify for continuing education credits. It should be
noted the statute does not allow “carry forward” in relation to complying with the continuing education requirements.
Therefore, each licensee will be required to complete seven hours of approved continuing education within each
license period to renew its license.

Approved continuing education courses will be available through technical colleges, trade associations, private
schools and a number of other sources. A list of approved continuing education sponsors is available from the
Department of Labor and Industry.

Assumed name filing information

Any individual, corporation, partnership or limited partnership who is doing business in the state of Minnesota under
a name other than the full name of each person involved in the business, or the legal corporate or partnership name,
must file an assumed name. Examples: "John Smith Construction" would not be required to file if John Smith is the
owner of the business. However, "Smith's Construction" would be required to file because it does not contain the full
first and last name of the owner. Similarly, the legally incorporated company "ABC Construction" does not need to
file an assumed name, because that is its legal corporate name. If an entity does business under any name other
than the legal corporate name, an assumed name filing would be required. The reason for filing an assumed name is
not to protect the name against use by other people, but to provide information to the consumer about the identity of
the business owner.

Applications for assumed name filings may be obtained from the Secretary of State online at www.sos.state.mn.us,
by mail at 180 State Office Building, St. Paul, MN 55155, or by telephone at (651) 296-2803. Return the completed
and signed form to the Secretary of State, with the $25 filing fee.

Notification to department of any change

The law requires that licensees notify the Department of Labor and Industry, in writing, of any change in control,
ownership, officers or directors, business name, license name, qualifying person, address, telephone number, or any
changes to liability and property damage insurance information within 15 business days of the change.

Advertising

The law requires that the license number be on all business cards, contracts and all other advertising, including:
signs, vehicles, published display ads, fliers and brochures. The law does not require a specific size print or location
for the license number.

Penalties for violating the law

A person who is required to be licensed, who performs unlicensed work as a residential roofer, is guilty of a
misdemeanor.

An unlicensed person who knowingly violates the law has no right to claim a lien under section 514.01 and the lien is
void.

Individuals engaging in unlicensed activity, misrepresentation or fraud are subject to administrative and civil
penalties.

Page 3 of 4
City, county or township requirements

The license number of a residential roofer must be placed on all building permits and building permit applications
made to or issued by the state or a political subdivision. In jurisdictions that have not adopted the state building code,
the license number must be placed on the site plan review or zoning permit.

A political subdivision may not issue a building permit or zoning permit to an unlicensed residential roofer who is
required to be licensed, and must report any such person applying for a building or zoning permit to the department,
which may initiate disciplinary action against the unlicensed residential roofer.

A political subdivision may charge for building, zoning permits and other costs not directly related to licensure. In
addition, political subdivisions may impose up to a $5 surcharge on each permit for the purpose of license
verification.

This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354
(DIAL-DLI) Voice or TDD (651) 297-4198.

Page 4 of 4