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New Client Intake Form
Complete this form only if you are a wanting to establish an account with CCS.
Accounts are used for consulting and compliance management of projects.  

DO NOT COMPLETE IF YOU SIGNED UP FOR TRAINING or IF YOU ARE LOOKING FOR JUST INFORMATION
(unless of course if you would like to open an account)

Contact Information

Select the service(s) that you are interested in.
Title
This person will have access to our compliance management system.
Title
Please indicate if there is someone else that we will be working with to ensure compliance. This is usually an administrative person.  This person will have access to our compliance management system.
Title

Company Information

The Department of Industrial Relations (DIR) requires that all contractors and subcontractors be registered before bidding on Public Works projects. This is an annual requirement. A PWCR # (aka the DIR #) is a 10-digit long number. (Format example: 10000XXXXX)
https://www.dir.ca.gov/Public-Works/Contractor-Registration.html
Select all that apply

Account Type (select one)

Corporate Account: gives your team the support that they need. CCS will be here to offer support, training, compliance management and review services so that you are confident that your team and company are compliant.
Select One
Please schedule your consultation from our website once the form has been submitted.

Schedule Call or call 559-294-5915 to talk to a team member to get scheduled.

Billing Information

For Our Information

Please briefly describe what you hope to gain from our business relationship and any current problems that you may be having.
An invoice will be sent for the retainer amount.
All information provided to Contractor Compliance, LLC (dba Contractor Compliance Solutions or CCS) is for our eyes only.  All employees from CCS are fully background checked and interviewed extensively to ensure that your information is safe.  At no time will CCS release your information without your written consent.
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