Protect the health, safety and welfare of the public through a regulatory system designed to promote quality construction by Arizona contractors.

Request a Recovery Fund Claim Form

Name and Address

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Contractor's Name

Contractor's License Number

Do you have access to a printer?

Yes

No

Did you know you could download the form as a PDF? You can download the Recovery Fund Claim Form from our Forms page or by clicking here. You can then fill it out on your computer, print it and send it in.

Optional Contact Information

Email

Telephone

Fax

Please contact me concerning this request

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by E-mail

After submitting this form, you should expect to see a confirmation page. This will notify you that your feedback comments have been received.

Office Hours

Monday - Friday: 8:00 am - 5:00 pm
Closed on Saturday, Sunday and State Holidays
Office Locations

Phoenix Office: (602) 542-1525
Tucson Office: (520) 628-6345
Flagstaff Office: (877) 692-9762

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