"Surety Bond Claim Form - Contractor's Licensing Board" - South Carolina

Surety Bond Claim Form - Contractor's Licensing Board is a legal document that was released by the South Carolina Department of Labor, Licensing and Regulation - a government authority operating within South Carolina.

Form Details:

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  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Carolina Department of Labor, Licensing and Regulation.

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Process to receive a copy of the surety bond submitted for licensure to the Contractor’s Board
A copy of the surety bond submitted for licensure to the Contractor’s Board can be requested via mail or
email pursuant to the South Carolina Freedom of Information Act (FOIA). Per Agency policy, requests for
copies of documents that exceed 20 pages will be assessed a fee of 15 cents per page. Fill out the below
FOIA request form and submit to our office. Receipt of this surety bond will provide information to assist
in completing the required Bond Claim form.
FOIA Request Form (pdf)
Requests should be addressed to:
LLR Communications Director Lesia Shannon Kudelka
Send email requests to:
Lesia.Kudelka@llr.sc.gov
Send requests by mail to: LLR Communications Director
Lesia Shannon Kudelka
110 Centerview Drive
Columbia, SC 29210
Process to receive a copy of the surety bond submitted for licensure to the Contractor’s Board
A copy of the surety bond submitted for licensure to the Contractor’s Board can be requested via mail or
email pursuant to the South Carolina Freedom of Information Act (FOIA). Per Agency policy, requests for
copies of documents that exceed 20 pages will be assessed a fee of 15 cents per page. Fill out the below
FOIA request form and submit to our office. Receipt of this surety bond will provide information to assist
in completing the required Bond Claim form.
FOIA Request Form (pdf)
Requests should be addressed to:
LLR Communications Director Lesia Shannon Kudelka
Send email requests to:
Lesia.Kudelka@llr.sc.gov
Send requests by mail to: LLR Communications Director
Lesia Shannon Kudelka
110 Centerview Drive
Columbia, SC 29210
South Carolina Department of L abor, Licensing and Regulation
South Carolina Contractor’s Licensing
Board
110 Centerview Dr. • Columbia • SC • 29210
P.O. Box 11329 • Columbia • SC • 29211
Phone: 803-896-4686 • • Fax: 803-896-4814
BOND CLAIM FORM
To: (Surety):
Name of Complainant:
Address of Complainant:
Date of Bond Claim:
Bond number:
Effective date of Bond:
Surety Company Name and Address:
Contractor/Principal Name:
Contractor/Principal Address:
Contractor/Principal License number:
Date of Contract (Provide a copy of written contract if available):
Commencement date of project:
Completion date of project:
Amount of Claim requested (actual damages only):
Brief description of the allegations giving rise to the bond claim (May attached additional pages if
necessary):
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