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Request for Mold Application Form


If you would like to request that an Application for Mold Remediation be mailed to you, please complete the fields below.  Your information will be sent to the Louisiana State Licensing Board for Contractors.  You should receive this application by mail within two weeks.

Name:
Street Address:
City, State, Zip Code:
Phone Number:
E-Mail Address:
 
   

Louisiana State Licensing Board For Contractors
2525 Quail Drive ~ Baton Rouge, LA 70808
Phone: (225) 765-2301 ~ Fax: (225) 765-2431
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