LSUCCC Application Submission Form

SERVING LOUISIANA’S CONSUMERS & Code Enforcement Officers

Mailing/Physical Address

600 North Street
Baton Rouge, LA 70802

Main Phone: 225.765.2301
Email: tsrevette@lsuccc.la

Please use our form below to submit your application packet, including all required attachments.

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Name

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Phone

Upload Application and Other Required Documents

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Max. file size: 60 MB.

upload Application, copies of licenses or ICC certifications, and copy of your driver's license