Skip to form

Department of Licensing and Consumer Protection

dlcp@dc.gov

1100 4th Street, SW, Washington, DC 20024

(202) 671-4500

image

Designated Master Transfer Request

Contracting Company Information

Owner/Representative Name

Upload Company D.C. License

Click Here to Upload

Business Address

Current Designated Master Information

Full Name

New Designated Master Information

Full Name

Upload Master License

Click Here to Upload

Upload New Bond and Power-of-Attorney

Click Here to Upload

Designated Master Information

Designated Master

Upload Master License

Click Here to Upload

I certify that the above statements on this application are true and complete to the best knowledge and belief. I agree to comply with all applicable laws and regulations of the District of Columbia. I/We understand that, anyone who makes a false statement on this form can be criminally prosecuted; and, if convicted, fined up to $1000, imprisoned up to 180 days, or both, under D.C. Official Code ยง 22-2405.

Sign Here

Choose how to sign

DC INSPECTOR GENERAL HOTLINE: If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any DC Government agency, official or program, contact the Office of the Inspector General (OIG) at 202-727-0267 or 1-800 521-1639 (toll free). All reports are confidential and you may remain anonymous by law. Government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties, or criminal prosecution in appropriate cases.