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First nameRequired

Last nameRequired

EmailRequired

PasswordRequired

Confirm passwordRequired

Use at least 12 characters with uppercase, lowercase, number, and symbol.

Legal business nameRequired

Public company nameRequired

PhoneRequired

Primary trades and service areaRequired

Insurance provider nameRequired

Policy/reference numberRequired

Insurance expiration dateRequired

Business operation addressRequired

Paste the full business address here. SafeBilled will split the city, state, and ZIP when it can.

CityRequired

StateRequired

ZIP codeRequired

Business authorizationRequiredI certify that I am authorized to register this business on SafeBilled and enter business agreements on its behalf.

License statementRequired

My trade does not require a state or local license in the jurisdictions where I operate.I hold all licenses required by my state and local jurisdiction to perform the services offered through SafeBilled.

Insurance documentRequiredChoose fileNo file selected

Certificate of insurance PDF or image, 10 MB max.

Workers' compensation coverageRequired

I am a sole proprietor or independent contractor with no employees and am not required to maintain workers' compensation coverage under applicable law.I have employees and maintain workers' compensation coverage.

Contractor payouts require Stripe-hosted payout setup. Stripe may ask for business, banking, tax, and identity information to verify payout eligibility before SafeBilled can send contractor payouts.

Payout setup acknowledgementRequiredI understand that contractor payouts require Stripe-hosted payout setup and acceptance of Stripe's Connected Account Agreement.

Contractor certificationRequiredI certify that the information provided is accurate and complete, and I agree to the SafeBilled Terms of Service, Privacy Policy, Contractor Agreement, and applicable platform policies.

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