Arizona Registrar of Contractors

Request a Recovery Fund Claim Form

Administrative access to the recovery fund may be available if you contracted with an Arizona licensed contractor for a residential construction project, and you meet all other statutory requirements in A.R.S. 32-1131 Et seq.

Please complete the form below to have a Recovery Fund Claim package sent to you. The Recovery Fund Claim package contains the Recovery Fund Claim form and instructions.

* Indicates a required field

Name and Address
* First Name: * Last Name:

* Street Address:

* City: * State: * Zip:

Information Related to this Form Request
Contractor's Name:

Contractor License Number:

Do you have access to a printer? Yes No

Optional Contact Information
Email: Telephone: Fax:

Please contact me concerning this request: by Telephone or by E-Mail

After submitting this form, you should expect to see a confirmation page. This will notify you that your feedback comments have been received.