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PACKET UPDATED 7/31/24DPR-RF 7/24

APPLICATION FOR:

Licensed Rooﬁ ng Contractor

If you are seeking to replace your current Rooﬁ ng Contractor License with a new business entity and keep the

same qualifying party, you will need to apply for a new Rooﬁ ng Contractor License.

An application is active for three years from the date of receipt by the Department.

Before contacting the Department; please review our FAQ’s (http://www.idfpr.illinois.gov/About/FAQ.html) for

answers to most questions. If your speciﬁ c question is not addressed in our FAQ’s, please contact the Department at

800.560.6420 for assistance.

We highly recommend that you review the Act and Administrative Rules here: https://idfpr.illinois.gov/profs/roof.html

ROOFING LICENSE TYPES



Important information:



Limited Rooﬁ ng License: Limited Rooﬁ ng License means a license made available to contractors whose rooﬁ ng

business is limited to residential rooﬁ ng, including residential properties consisting of 8 units or less.

Unlimited Rooﬁ ng License: Unlimited Rooﬁ ng License means a license made available to contractors whose rooﬁ ng

business is unlimited in nature and includes rooﬁ ng on residential, commercial and industrial properties.



QUALIFYING PARTY

All rooﬁ ng contractor applications must designate a qualifying party. The "qualifying party" means the

individual ﬁ ling as a sole proprietor, partner of a partnership, oﬃ cer of a corporation, trustee of a business trust, or a

party of another legal entity, who is legally qualiﬁ ed to act for the business organization in all matters connected with its

rooﬁ ng contracting business, has the authority to supervise rooﬁ ng installation operations, and is actively engaged in

day to day activities of the business organization.

The qualifying party shall be required to pass the examination within three (3) years from the date of application or their

fee will be forfeited and the applicant will be required to submit a new application and meet the requirements in eﬀ ect at

the time of reapplication.

No person shall be named as a qualifying party for more than one licensee. However, the person may act in the

capacity of the qualifying party for one additional licensee of the same type of licensure if:

1. There is a common ownership of at least 25 percent of each licensed entity for which the person acts as a

qualifying party; or

2. The same person acts as a qualifying party for one licensed entity and its licensed subsidiary. "Subsidiary"

means a corporation of which at least 25 percent is owned by another licensee.

When a qualifying party is terminated or is terminating the status as a qualifying party of a licensee, the qualifying party

and the licensee shall notify the Department in writing of the termination within 30 business days. The licensee has 30

business days to notify the Department of a new qualifying party who must take and pass the examination.

If the newly designated party has not passed the examination in seven (7) months, the licensee shall designate a

qualifying party who has passed the examination.



Licensed Rooﬁ ng Contractor Application Instructions - Page 2

An incomplete or illegible application will be returned. Type or print in black ink.

If item number 8 has been answered "YES" you must submit one of the following:

a. Proof of worker's compensation insurance for rooﬁ ng which must be in the form of a Certiﬁ cate of Insurance from

the insurance provider; or

b. If self-insured, proof must be in the form of the Certiﬁ cate of Approval as a Self-Insurer issued by the Illinois

Workers Compensation Commission; or

c. If business is located in another state, submit the out-of-state worker's compensation insurance form which must

contain either 1) an all state endorsement clause; or 2) a clause stating that it will cover Illinois accidents, and

beneﬁ ts will be paid under Illinois Laws using the Illinois beneﬁ ts schedule.

If item number 8 has been answered "YES," you must also submit:

a. A Statement of Account from the Illinois Department of Employment Security indicating:

1) your unemployment insurance account number, and

2) that you are not delinquent in the payment of any amount due under the Unemployment Insurance Act.

b. If your business is located in another state, you must submit proof that you are paying unemployment insurance in the

state where the business is located.

In item number 10, you must enter the designated qualifying party. This person must take and pass either the Illinois Residential

Examination or the Illinois Residential, Commercial and Industrial Examination. A qualifying party is required for any rooﬁ ng

contractor license in Illinois.

If at any time a licensee allows their license to lapse, or the designated qualifying party terminates or is terminated, or their

status as qualifying party of a licensee is terminated, the licensee will be required to designate a new qualifying party who

has taken and passed the examination.

Supporting Document RF-INS must be properly completed and submitted. This is the only proof of liability and property damage

insurance which will be accepted by this Department.

Supporting Document BD-LRF (limited) or BD-URF (unlimited), for either for initial or renewal application, must be properly

completed and submitted by a bonding company licensed to do business within the State of Illinois. Do not change the language on

the BD form you use.

If the ownership of the rooﬁ ng business is a sole proprietorship the qualifying party must be the owner which would be identiﬁ ed in

item 13.

If the ownership of the rooﬁ ng business is a partnership, a copy of the Partnership Agreement must be submitted. If there is no formal

Partnership Agreement, you must submit a written statement which states there is no formal Partnership Agreement. The statement

must be signed by all partners.

If the ownership of the rooﬁ ng business is a corporation, you must submit a copy of the entire Articles of Incorporation as ﬁ led with

the Illinois Secretary of State (IL SOS); or If the corporation is located in another state, you must submit a copy of the Certiﬁ cate of

Authority to do Business in Illinois, as issued by the IL SOS. If a foreign company, also include a ﬁ led copy of the Articles of

Incorporation from the domiciled state.

If the ownership of the rooﬁ ng business is a limited liability company (LLC) or professional limited liability company (PLLC), you must

submit a copy of the Articles of Organization as ﬁ led with the IL SOS (for Illinois based companies) or a copy of the Application for

Admission to Transact Business (for companies located in another state). If a foreign company, also include a ﬁ led copy of the

Articles of Incorporation from the domiciled state.

The “purposes” section of your IL SOS application must include one of the two below samples:

1) To provide limited rooﬁ ng services, pursuant to the Illinois Rooﬁ ng Industry Licensing Act.

2) To provide unlimited rooﬁ ng services, pursuant to the Illinois Rooﬁ ng Industry Licensing Act.

If at any time a licensee allows their license to lapse, or the qualifying party terminates or is terminated, or their status as qualifying

party of a licensee is terminated, the licensee will be required to designate a qualifying party who has taken and passed the

examination.

QUALIFYING PARTY

Before completing the application, read these instructions as this will aid you in accurately completing your application and eliminate any

delay in processing.

Step I - FULLY COMPLETE THE APPLICATION

10.

11.

DPR-RF

Licensed Rooﬁ ng Contractor Application Instructions - Page 3

Step II - APPLICATION FEE

Payment of $125.00 in the form of a U.S. check or money order made payable to IDFPR or payment online by visiting:

https://idfpr.illinois.gov/epay.html.

Step III - MAIL APPLICATION

Mail the application, fee (unless paying online), copies of the applicable BD form and RF-INS forms, and all applicable sup-

port documents as determined by your entity type to the address below.

Illinois Department of Financial and Professional Regulation

Attn: Division of Professional Regulation

P.O. Box 7007

Springﬁ eld, Illinois 62791

Step IV - WAIT

Please allow eight business weeks from applying before making an inquiry concerning its status.

 The license will expire on December 31st of each odd numbered year regardless of when it is issued.

IMPORTANT ITEMS ONCE LICENSED

The license will become INOPERABLE if there is no active qualifying party associated to the license. Operating without

an active license is prohibited from performing or oﬀ ering services until a replacement is submitted and processed.

Pursuant to 1460.10 (d) of the Rules: A holder of a limited license who wants an unlimited license will be required to

submit an application for an unlimited license in accordance with subsection (a)(2).

Pursuant to 1460.11 (d) of the Rules: When a qualifying party is terminated or is terminating his or her status as a

qualifying party of a licensee, the qualifying party and the licensee shall notify the Division in writing of the termination

within 30 business days.

Pursuant to 1460.11 (e) of the Rules: The licensee shall notify the Division in writing within 30 business days after the

termination of a qualifying party and shall supply the name and address of the newly designated qualifying party. If the

qualifying party has not taken and passed the examination set forth in Section 1460.12, or the party to be named was

not named as a qualifying party on or before July 1, 2003 by some licensee, the new qualifying party shall apply for

examination pursuant Sec-tion 1460.12. The qualifying party will have 7 months to pass the examination. If the

qualifying party has not passed the examination in the 7 months, the licensee shall designate a qualifying party who

has passed the examination.



DPR-RF

APPLICATION CHECKLIST

APPLICANT NAME: _________________________________

All applicants must complete this checklist and return with the completed application. Check only what applies to you.

ALL APPLICANTS TO REVIEW AND SUBMIT:



A completed application.

 An application fee of $125.

 BD-RF form. The appropriate BD-RF form must be completed by a bonding company. BD-LRF limited is for

residential rooﬁ ng only and BD-URF unlimited is for both residential and commercial rooﬁ ng.

 RF-INS form. Must be completed by the Insurance Company and must also be checked for appropriate

designation (limited rooﬁ ng or unlimited rooﬁ ng license).

 Rooﬁ ng Qualifying Party. Must be completed by the individual designated as the qualifying party.

The qualifying party is the person responsible for the day-to-day activities of the rooﬁ ng

business and is also the person designated to take and pass the rooﬁ ng examination.

CORPORATION, LIMITED LIABILITY COMPANY or PROFESSIONAL LIMITED LIABILITY COMPANY:



A copy of the approved FILED Articles of Incorporation, Certiﬁ cate of Authority, or Articles of Organization/Operating

Agreement submitted to the Illinois Secretary of State for authority to transact business in Illinois.

 If a foreign company, include a FILED copy of the Articles of Incorporation from the domiciled state.

 If applicable, submit a FILED copy of the application with the IL SOS to adopt an Assumed Name or Fictitious Name.

GENERAL PARTNERSHIP:



A copy of the signed and dated Partnership Agreement.

 A copy of the approved documentation from the County Clerk where the partnership has been ﬁ led.

SOLE PROPRIETOR:



A copy of the a letter from the County Clerk where the Assumed Name has been ﬁ led.

NOTIFICATION OF TERMINATION OF QUALIFYING PARTY:



This document is to be completed by the Rooﬁ ng Contractor, should the qualifying party be terminated after the

issuance of a license.

_________________________________________________ __________________

Signature of Firm Representative Date

DPR-RF

Individual

Corporation

Have you ever had a Rooﬁ ng Contractor License issued to you by Illinois? Yes No

If yes, indicate the License No.: 104- ________________________

Carefully follow all steps outlined on the Instruction Sheet. In addition, note the following:

a. Type or print legibly with black ink only.

b. The registration fee is NOT refundable.

c. "Disclosure of your social security number or ITIN, if you have one, is mandatory, in accordance with 5 Illinois Compiled Statutes 100/10-

65 to obtain a license. The social security number may be provided to the Department of Public Aid to identify persons who are more

than 30 days delinquent in complying with a child support order, or to the Illinois Department of Revenue to identify persons who have

failed to ﬁ le a tax return, pay tax, penalty or interest shown in a ﬁ led return, or to pay any ﬁ nal assessment or tax penalty or interest,

as required by any tax Act administered by the Illinois Department of Revenue, or to other entities for veriﬁ cation of identiﬁ cation."

1. PROFESSION NAME 3. LICENSURE METHOD

PART I: Application Category Information

PART II: Applicant Identifying Information

2. PROFESSION

CODE

2. FEIN NUMBER OR, IF INDIVIDUAL OWNERSHIP, UNITED

STATES SSN or ITIN OF OWNER

1. NAME OF ROOFING BUSINESS (Exactly as it is to appear on the License.)

3. ADDRESS OF BUSINESS HEADQUARTERS (Street, City, State, and Zip Code)

ROOFING CONTRACTOR

1 0 4

4. TYPE OF OWNERSHIP

5. COUNTY

6. BUSINESS TELEPHONE NUMBER

7. LICENSE NUMBER OF DESIGNATED QUALIFYING PARTY

12. ADDITIONAL LOCATION ADDRESSES AND TELEPHONE NUMBERS: (All branch locations must use the same name and license number issued to

the licensee.)

ADDRESS (Street, City, State, ZiP, and County)

DPR-RF

IMPORTANT NOTICE: Completion of this form is necessary for consideration for licensure

under 225 ILCS 335/1 et. seq. (Illinois Compiled Statutes). Disclosure of this information

is REQUIRED. Failure to comply will result in this form not being processed.

Application for

Licensure as a Rooﬁ ng Contractor

NON-EXAM

4. FEE

$ 125

BRANCH MANAGER

TELEPHONE NUMBER

Page 1 of 2 pages

Additional application forms can be downloaded from the IDFPR Web site at www.idfpr.illinois.gov

FOR OFFICIAL USE ONLY

5. TYPE OF ROOFING CONTRACTOR

Limited Rooﬁ ng License

Unlimited Rooﬁ ng License

Are you seeking to replace your current Rooﬁ ng Contractor License with a new business entity keeping the same qualifying

party? If so, you will need to apply for a new Rooﬁ ng Contractor License, then return the old license once the new license is

issued. Yes No

8. DOES THIS ROOFING BUSINESS HAVE EMPLOYEES?

Yes No

9. NAME AND ADDRESS OF DESIGNATED QUALIFYING PARTY

10. BUSINESS EMAIL ADRESS(ES) [REQUIRED]

11.

I CONSENT TO PROFESSIONAL ORGANIZATIONS HAVING MY

EMAIL ADDRESS.

Partnership

LLC

PLLC

Page 2 of 2 pages

Name of

Rooﬁ ng Business: _____________________________________ FEIN or SS# or ITIN: __________________ Profession Name: ROOFING CONTRACTOR

PART III: Workers Compensation, Payment Options, and Business Organization Certiﬁ cation

Print or Type Name of Person Making ApplicationSignature of Person Making Application

Date

Under penalties of perjury, I declare and certify that I have examined the application and all supporting documents submitted by me in connection

therewith, and to the best of my knowledge, they are true, correct and complete; I am the person legally qualiﬁ ed to act for the business organization

in all matters connected with its rooﬁ ng contracting business; and I have the authority to supervise the rooﬁ ng operations undertaken by this

business organization.

Date

Under the penalties of perjury, I declare that I have complied with all provisions of the Illinois Assumed Business Name Act.

Signature of Person Making Application

16. Is the name indicated in Part II, an assumed or ﬁ ctitious name? Yes No

If Yes, you must sign the following aﬃ davit of compliance.

Deﬁ nition: An assumed or ﬁ ctitious name is any name other than an individual owner's legal name. An assumed or ﬁ ctitious names

for licensure purposes include, but are not limited to names such as John Doe Rooﬁ ng and Siding, XYZ Rooﬁ ng, B-2 Construction,

etc.

15. IF OWNERSHIP IS A CORPORATION, LIST NAME, ADDRESS AND TITLE OF ALL OFFICERS AND DIRECTORS OF THE CORPORATION.

IF THE OWNERSHIP IS A LIMITED LIABILITY COMPANY OR PROFESSIONAL LIMITED LIABILITY COMPANY, LIST THE NAME, ADDRESS,

AND TITLE OF EACH MEMBER, ORGANIZER OR MANAGER. IF OWNERSHIP IS A PARTNERSHIP, LIST NAME AND ADDRESS OF ALL

PARTNERS

13. IF OWNERSHIP IS A SOLE-PROPRIETORSHIP, LIST THE NAME AND ADDRESS OF THE QUALIFYING PARTY WHO MUST BE THE

OWNER OF THE ROOFING BUSINESS.

Address (Street, City, State, and Zip Code)

Name

14. IF OWNERSHIP IS A CORPORATION, LIMITED LIABILITY COMPANY OR PROFESSIONAL LIMITED LIABILITY COMPANY, INDICATE THE

NAME OF THE CORPORATION, LIMITED LIABILITY COMPANY OR PROFESSIONAL LIMITED LIABILITY COMPANY.

Name Address (Street, City, State, and Zip Code)

Title % of Ownership

17. DESIGNATED QUALIFYING PARTY INFORMATION

Name Signature Date to Begin as Qualifying Party

DPR-RF

In accordance with 20 ILCS 2105/2105-15(g-5), “The Department shall refuse the issuance or renewal of a license to, or suspend or revoke the license

of, any individual, corporation, partnership, or other business entity that has been found by the Illinois Workers' Compensation Commission or the

Department of Insurance to have failed to secure workers' compensation obligations, or pay in full a ﬁ ne or penalty imposed due to a failure to secure

workers' compensation obligations.”

Are you delinquent in complying with workers’ compensation obligations Yes No

Certiﬁ cation Statement

Under penalties of perjury, I declare that I have examined this Form and all supporting documents and/or information submitted by me in connection

therewith, and to the best of my knowledge, they are true, correct, and complete. I understand if I provide false/fraudulent information I could lose my

license, be ﬁ ned and/or have other penalties assessed. I also understand the FEES ARE NOT REFUNDABLE.

Check / Money Order. Check Number: _____________

Online. Paid Online at:https://idfpr.illinois.gov/epay.html in the amount of ______________. Approved #:______________

Payment Method

IMPORTANT NOTICE: Completion of

this form is necessary for consideration for

licensure under 225 ILCS 335/1 et. seq.

(Illinois Compiled Statutes). Disclosure of

this information is VOLUNTARY. However,

failure to comply may result in this form not

being processed.

SUPPORTING DOCUMENT

RF-INS

CERTIFICATION OF INSURANCE

APPLICANT: Complete the applicant section of this form, then have your authorized insurance agent complete the

remainder of the form. The completed form must be submitted WITH your application for licensure or

renewal form. This is the only form which you need to submit if you are certifying to current insurance

coverage after the expiration of a previously held policy.

4. ADDRESS STREET, CITY, STATE, ZIP CODE (Speciﬁ c Address of

insured’s location covered by insurance policy.) (Must be exactly as it

appears on application, renewal form or license.)

6. TELEPHONE NUMBER (Where you can be reached during the day)

1. NAME OF ROOFING CONTRACTOR (Must be exactly as it appears on

application, renewal form or license.)

REFER TO REFERENCE SHEET. Record profession name and three digit

profession code for which you are making Illinois application.

5. NEW APPLICANTS ONLY

2. FEIN (If applicable)

INDIVIDUAL LICENSE NUMBER - RECORD THE LICENSE NUMBER

YOU HOLD (IF APPLICABLE).

__ __ __ - __ __ - __ __ __ __

3. SSN OR ITIN

(If individual owner)

Rooﬁ ng Contractor

Profession Name Profession Code

1 0 4

104 - ________________

Area Code ( __ __ __ ) __ __ __ - __ __ __ __

I, the applicant, hold property damage insurance in at least the minimum amount of $250,000 for each occurrence of

property damage; and I hold liability insurance in at least the minimum amount of $500,000 for each occurrence of personal

injury or bodily harm. Under penalties of perjury, I certfy and declare that I have examined this form, and to the best of my

knowledge, it is true, correct, and complete.

Date

Signature of Applicant or Registrant

Date

Signature of Authorized Agent

7. RENEWAL APPLICANTS AND PERSONS VERIFYING CURRENT

INSURANCE ONLY.

A. NAME OF INSURANCE COMPANY

B. NAME OF AUTHORIZED AGENCY

C. INSURANCE COMPANY HOME ADDRESS:

STREET, CITY, STATE, ZIP CODE

D. AGENT’S ADDRESS:

STREET, CITY, STATE, ZIP CODE

E. INSURED’S POLICY NUMBER

F. AGENT’S BUSINESS TELEPHONE NUMBER

G. EFFECTIVE DATE OF POLICY H. EXPIRATION DATE OF POLICY

__ __ / __ __ / __ __ __ ____ __ / __ __ / __ __ __ __

Month Day Year

Area Code ( __ __ __ ) __ __ __ - __ __ __ __

If this Policy is terminated prior to its expiration, the Company agrees to give written notice to the Department of Financial

and Professional Regulation, at least thirty (30) days prior to the eﬀ ective date of cancellation.

INSURANCE COMPANY: Complete the following information and return this form to the insured party.

IL486-1287 7/24 (RF)

Month Day Year

Check appropriate box: Limited Rooﬁ ng License Unlimited Rooﬁ ng License

Surety's Agent

Street Address

City, State, ZIP Code Principal of Rooﬁ ng Contractor

Telephone Number Attorney-in-Fact

as Surety, are held and ﬁ rmly bound unto the State of Illinois and to the People of the State of Illinois, in accordance with

Section 3(2)(d) of the Illinois Rooﬁ ng Industry Licensing Act in the aggregate amount of Ten Thousand Dollars ($10,000.00),

(regardless of the number of years the bond is in force or the number of claims against the bond the total amount of the

bond shall be for $10,000.00), for the payment whereof will and truly to be made, we bind ourselves, our heirs, executors,

administrators, successors and assigns jointly and severally, ﬁ rmly by these presents.

The condition of the foregoing obligation is such, however, that:

Whereas, the said Principal is licensed with the Department of Financial and Professional Regulation to engage in the

business of rooﬁ ng contracting in the State of Illinois, now if the said Principal shall faithfully observe all ordinances and laws

of the State of Illinois and of any municipal corporation and county of this State, within which the Principal shall engage in

any work, pertaining to said business or businesses, whether now or hereafter enacted, together with all rules, regulations

and building codes established under the authority of said laws or ordinances; and pay damages as any person, ﬁ rm or cor-

poration may sustain by reason of violation of said laws, ordinances, rules, regulations or building codes by said Principal,

its servants or agents, or by reason of their negligence of said Principal, its servants or agents, in the prosecution of said

business or businesses, then this bond to be void, otherwise to remain in full force and eﬀ ect.

This bond is continuous and shall remain in full force and eﬀ ect until the license is terminated or not renewed by the De-

partment of Financial and Professional Regulation, or is canceled by the Surety as provided below. Except as to liability

accruing prior to the eﬀ ective date of cancellation, the Surety's liability of this bond shall be terminated sixty (60) days after

receipt in writing by the Department of Financial and Professional Regulation, Attn: Division of Professional Regulation, 320

West Washington Street, Springﬁ eld, Illinois 62786.

The BD-LRF is required for a new application or renewal to be processed.

IN WITNESS WHEREOF, the said Principal and the said Surety have hereunto set their hands and seals at

, Illinois, on this day of , .

BOND

ROOFING CONTRACTOR

DEPARTMENT OF

FINANCIAL AND PROFESSIONAL REGULATION

KNOW ALL PERSONS BY THESE PRESENTS, that

of County, Illinois,

as Principal, and

(Actual Business Address) (must be exactly as it appears on application or renewal)

SUPPORTING DOCUMENT

TYPE OF TRANSACTION

ILLINOIS ROOFING CONTRACTOR

LICENSE NUMBER (If applicable)

BOND NUMBER

FEIN NUMBER OR, IF SOLE PROPRIETOR-

SHIP, SOCIAL SECURITY NUMBER OR ITIN

NEW APPLICATION

RENEWAL

104-

Surety Entity

Seal

(Address)

BD-LRF

Limited

Name of Ins. Co. (must be authorized to transact ﬁ delity and surety business in the State of Illinois)

IL486-1768 7/24 (RF)

IMPORTANT NOTICE: Completion of this form

is necessary for consideration for licensure

under 225 ILCS 335/1 et. seq. (Illinois Compiled

Statutes). Disclosure of this information is

VOLUNTARY. However, failure to comply may

result in this form not being processed.

Rooﬁ ng Contractor (must be exactly as it appears on application or renewal)

Surety's Agent

Street Address

City, State, ZIP Code Principal of Rooﬁ ng Contractor

Telephone Number Attorney-in-Fact

as Surety, are held and ﬁ rmly bound unto the State of Illinois and to the People of the State of Illinois, in accordance with

Section 3(2)(d) of the Illinois Rooﬁ ng Industry Licensing Act in the aggregate amount of Twenty-ﬁ ve Thousand Dollars

($25,000.00), (regardless of the number of years the bond is in force or the number of claims against the bond the total

amount of the bond shall be for $25,000.00), for the payment whereof will and truly to be made, we bind ourselves, our heirs,

executors, administrators, successors and assigns jointly and severally, ﬁ rmly by these presents.