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

You can use this link to download a fillable PDF version of this form that you could fill out on your computer and print in order to submit it to our legal department.

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

by Telephone

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: (877) 692-9762
Flagstaff Office: (877) 692-9762

Email:
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Social Media

Highlight reel! AZ ROC closes four unlicensed investigations after the cases were successfully adjudicated in Tucso… https://t.co/Ckkk5vMCQQ
An unlicensed Phoenix repairman was arrested by the @Arizona_DPS on Dec. 1, 2019, after he was found walking in the… https://t.co/II8WSCdofr
Highlight reel! AZ ROC closes four unlicensed investigations after the cases were successfully adjudicated in Tucso… https://t.co/DEVteqEqVP