To submit the form, you can upload your completed application online and pay the required fee by credit card through the DLI website at https://secure.doli.state.mn.us/license/intro.aspx. Alternatively, you can mail your application along with a check or money order payable to the Department of Labor & Industry to Licensing and Certification Services, 443 Lafayette Road North, PO Box 64217, St. Paul, MN 55155. For any questions or assistance, contact the Licensing and Certification Services via email at dli.license@state.mn.us or by phone at (651) 284-5034. Be sure to include all required documentation and fees to avoid delays in processing.

Renewal applications for the Certificate of Exemption should be submitted before the expiration date to avoid a $5.00 late fee. If your certificate expires, you have up to 12 months to renew it with a $15.00 reinstatement fee. Stay up to date with all submission deadlines throughout 2024 and 2025.

The purpose of this form is to ensure that residential building contractors, remodelers, and roofers in Minnesota comply with state regulations and obtain the necessary certification for legal operation. By completing this application, businesses can demonstrate their adherence to legal requirements and maintain good standing with the Department of Labor and Industry. Proper registration and exemption certification also help protect consumers by ensuring that contractors meet established standards and qualifications. Furthermore, this form aids in the documentation and disclosure of essential business information, which is crucial for transparency and accountability in the construction industry.

• 1. Legal Business Name: Enter the full legal name of your business entity as registered with the Minnesota Secretary of State.
• 2. Federal Tax ID Number: Provide your Federal Employer Identification Number (FEIN) issued by the IRS.
• 3. Minnesota Tax ID Number: Enter your Minnesota Tax Identification Number issued by the state revenue agency.
• 4. Physical Business Address: Provide the primary physical address where business operations are conducted.
• 5. Mailing Address: Enter the mailing address for correspondence, which can include a PO Box.
• 6. Registered Agent: Provide the name and address of a registered agent in Minnesota authorized to receive service of process.
• 7. Business Type: Select the appropriate business structure, such as Individual Proprietor, Partnership, Corporation, or LLC.
• 8. Disclosure Forms: Complete and attach required disclosure forms, including ownership, partners, and key officers.
• 9. Supporting Documents: Attach supporting documents such as the Affidavit in Support of Certificate of Exemption and Background Disclosure Form.
• 10. Signature: Sign and date the application form to certify that all provided information is accurate and complete.

Failure to submit this form can result in legal and operational consequences for your business. Ensuring timely and accurate submission is crucial for compliance and certification.

• Legal Compliance: Non-submission can lead to non-compliance with state regulations, resulting in potential fines and legal action.
• Operational Disruption: Without certification, your business may face interruptions or inability to legally operate in Minnesota.

• 1. New Business Certification: Apply for a new Certificate of Exemption when starting a residential construction or remodeling business in Minnesota.
• 2. Renewal Certification: Renew your existing Certificate of Exemption before it expires to maintain legal operation.
• 3. Business Structure Change: Submit this form if there are changes in your business structure or ownership that require an updated certification.
• 4. Compliance Assurance: Use this form to ensure your business meets all regulatory requirements and maintains good standing with state authorities.
• 5. Tax and Legal Documentation: Provide necessary tax identification and legal documentation to support your exemption certification.