Town Of Danvers
Town Hall
1 Sylvan Street
Danvers, MA 01923
Phone: (978) 777-0001  
Applicant Registration Form
 **Tell us about yourself     Homeowner/Resident       Contractor       Certificate of Inspection
 ** Applicant Name   Lic #   ** Type  **Expiration Date Open Calendar    
   Business Name   Lic #      Type  Expiration Date Open Calendar    
  W.Comp.Insurance Company Name   W.Comp.Policy Number   W.Comp.Policy Expiration Date Open Calendar    
  ** Applicant Name   Lic #   ** Type  Expiration Date Open Calendar    
   Business Name   Lic #      Type  Expiration Date Open Calendar    
  W.Comp.Insurance Company Name   W.Comp.Policy Number   W.Comp.Policy Expiration Date Open Calendar    
  ** Phone Number        Alt. Phone Number     
  ** Address
  ** City   ** State   ** Zip
  ** Email Address
Choose your User Name and Password
  ** Choose your User Name   Check your User Id
** Use only alpha characters and numbers. Do not use spaces, underscores, punctuations or special characters like /, \ , * in the User Name or the password. The name should not exceed 20 characters. 
  ** Enter your password
  ** Re-enter your password
  Please Note : ** Indicates Mandatory Fields. 


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