Application for certificate of registration as home improvement contractor

Any person seeking a certificate of registration as a home improvement contractor shall apply to the commissioner of consumer protection on a form provided by said commissioner. Such application shall include: (a) Applicant's name; (b) Applicant's business status (individual, partnership or corporation); (c) Applicant's date of birth; (d) Applicant's social security number; (e) Applicant's residence address; (f) Applicant's business address; (g) Any trade name used by the applicant; (h) If incorporated, a listing of the names and addresses of all corporate officers; (i) A description of home improvements to be effected by the applicant; and (j) The applicant's signature, the date of said signature, and said applicant's signature verified under oath.