The Supervisor Statement of Responsibility is a Denver contractor licensing form issued by Community Planning and Development, part of the City and County of Denver. In it, the supervisor certificate holder states that he or she is employed in an active, full-time capacity as supervisor for all work under the company's license, and acknowledges Chapter 1 of the Denver Building and Fire Code. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original is published by the City of Denver at denvergov.org.
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What is Supervisor Statement of Responsibility – Denver, CO?
The Supervisor Statement of Responsibility is the Denver Community Planning and Development form on which a supervisor certificate holder declares that he or she works for a licensed company in an active, full-time capacity as supervisor for all work performed under that company's license.
The statement is a single page of fill-in sentences. The supervisor enters his or her name, the company name, the license type, a residential address (or a local address if the supervisor is from out of state), a daytime telephone number, the Supervisor certificate number and the Supervisor certificate type. The supervisor then acknowledges having read Chapter 1 of the Denver Building and Fire Code and agrees to adhere to its requirements, and signs and dates the form.
The form states that it must be submitted for all licenses that require a supervisor certificate holder. The only license types that do not need it are electrical, plumbing and right-of-way (ROW). The City's contractor license reinstatement page lists it as one step of the reinstatement package, alongside the contractor license application, a copy of the supervisor's photo ID and Secretary of State documents. It is a statement by the supervisor, not a license application and not a building permit.
Who needs to file Supervisor Statement of Responsibility – Denver, CO?
The supervisor certificate holder completes and signs this form. It is required for every license that requires a supervisor certificate holder, so it is filed with the company's contractor licensing paperwork for that license.
- Excluded license types: the form says electrical, plumbing and right-of-way (ROW) licenses do not need to submit it.
- Reinstatements: on the City's reinstatement page, the supervisor certificate holder fills out the statement as part of the package. If the contractor license has been expired for more than one year, the license holder completes a new application instead and submits the supporting documents required for a new license.
- Supervisors who are not owners: if the supervisor is not a company owner, officer, partner, member or sole proprietor, he or she must also submit a letter on company letterhead naming the supervisor as "Supervisor of Record" for the company for this license. An owner, officer, partner, member or the sole proprietor must sign that letter.
- ROW and sewer reinstatements: the City says not to follow the standard reinstatement steps; use its right-of-way licenses information page instead.
When to file Supervisor Statement of Responsibility – Denver, CO
Submit the statement whenever you submit a license that requires a supervisor certificate holder. The form prints no due date of its own, so it travels with the license paperwork. For a contractor license reinstatement, the City's page lists it as step 2 of the package, which is assembled after the license application and before the photo ID and Secretary of State documents.
Reinstatements are for licenses that have not been expired for more than one year. If the license has been expired for more than one year, the license holder must instead complete a new application and submit the supporting documents required for a new license. Expiration dates are listed on each license and on the City's licensed contractor search page. For other timing questions, call Community Planning and Development at 720.865.2770.
Documents you need
- Contractor license application, when you are reinstating a license: the City's page lists it as step 1; illegible or incomplete applications will not be accepted.
- Letter on company letterhead naming the supervisor as "Supervisor of Record" for the company, only if the supervisor is not a company owner, officer, partner, member or sole proprietor; an owner, officer, partner, member or the sole proprietor must sign it.
- Copy of the supervisor certificate holder's photo ID, listed as a step of the reinstatement package.
- Secretary of State documents, compiled according to the company's legal status, as part of the reinstatement package.
- Payment for the reinstatement package; the City's page does not list the amount here, so ask the department.
How to fill out Supervisor Statement of Responsibility – Denver, CO
Confirm the form applies
Use it for any license that requires a supervisor certificate holder. Electrical, plumbing and right-of-way (ROW) licenses do not need to submit it.
Enter your name and company
In the first sentence, write your name and the name of the company that employs you, continuing the company name on the next line if needed.
Enter the license type
In the blank after "for all work performed under the company's", write the type of license the statement covers.
Enter your address
Under "My residential or local address (if from out of state) is", write your residential address, or a local address if you are from out of state.
Add phone and certificate details
Enter your daytime telephone number, your Supervisor certificate number and your Supervisor certificate type in the three lines provided.
Read the code acknowledgement
The form states that you have read Chapter 1 of the Denver Building and Fire Code and must adhere to its requirements; the code is at www.denvergov.org/buildingcode.
Sign and date the statement
The supervisor certificate holder signs on the SIGNED line and enters the date on the DATED line.
Prepare the supervisor letter if needed
If you are not a company owner, officer, partner, member or sole proprietor, attach a letter on company letterhead naming you "Supervisor of Record", signed by one of those people.
Review and download the completed PDF
Check every blank and the signature, then download or print the completed PDF from FillingPDF and assemble the package described under How to submit.
How to submit Supervisor Statement of Responsibility – Denver, CO
The form is not sent alone: it goes in the contractor licensing package, which Community Planning and Development accepts by mail or in person for reinstatements. To keep an existing license number, reinstatements must be completed in person or by mail, not online.
- By mail: Community Planning and Development, Attention: Contractor Licensing, 201 W. Colfax Ave., Dept. 205, Denver, CO 80202. Include the completed documents and payment.
- In person: bring all required documents and payment to the Contractor Licensing counter, on the second floor of the Wellington Webb Municipal Office Building at 201 W. Colfax Ave., Denver.
A fee applies to the package; ask the department for the current amount at 720.865.2770 or through www.denvergov.org/contractorlicensing. Illegible or incomplete applications are not accepted. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Submitting the form for an electrical, plumbing or right-of-way (ROW) license; the form says those license types do not need it.
- Following the standard reinstatement steps for a right-of-way or sewer license; the City sends those license holders to its ROW licenses information page.
- Leaving out the "Supervisor of Record" letter on company letterhead when the supervisor is not an owner, officer, partner, member or sole proprietor.
- Having the "Supervisor of Record" letter signed by someone other than an owner, officer, partner, member or the sole proprietor.
- Signing the statement without entering the Supervisor certificate number and type, which the form asks for.
- Reinstating online when you want to keep the existing license number; reinstatements must be done in person or by mail.
- Submitting an illegible or incomplete license application with the package; the City says it will not be accepted.
- Mailing the package without "Attention: Contractor Licensing" in the address.
Frequently asked questions
What is the Supervisor Statement of Responsibility in Denver?
It is a Community Planning and Development form on which a supervisor certificate holder states that he or she is employed in an active, full-time capacity as supervisor for all work under a company's license and acknowledges Chapter 1 of the Denver Building and Fire Code.
Who has to submit the Supervisor Statement of Responsibility?
It must be submitted for all licenses that require a supervisor certificate holder, and the supervisor fills it out. Electrical, plumbing and right-of-way (ROW) license types are the only ones the form says do not need to submit it.
What if the supervisor is not an owner of the company?
The supervisor must also submit a letter on company letterhead stating he or she will be the "Supervisor of Record" for the company for this license. An owner, officer, partner, member or the sole proprietor must sign the letter.
Where do I send the Supervisor Statement of Responsibility?
For a reinstatement, mail it to Community Planning and Development, Attention: Contractor Licensing, 201 W. Colfax Ave., Dept. 205, Denver, CO 80202, or bring it to the Contractor Licensing counter on the second floor of the Wellington Webb Municipal Office Building.
Can I submit the form online to reinstate my contractor license?
To retain an existing license number, reinstatements must be completed in person or by mail, not online. The license number stays the same once the license is reinstated. A license expired more than one year needs a new application.
Is this form a Denver building permit?
No. It is a contractor licensing statement signed by the supervisor, not a permit application. The City publishes it among its contractor licensing documents; questions can go to 720.865.2770 or www.denvergov.org/contractorlicensing.
Can I fill out the Supervisor Statement of Responsibility online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of the City of Denver and does not submit the form; you deliver it to Community Planning and Development by mail or in person.
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