Get Renewal Application For Placement Agency Registration And ... - Mass

Completing the Renewal Application for Placement Agency Registration is essential for maintaining compliance with the Massachusetts Department of Labor Standards. This guide provides clear, step-by-step instructions to help users accurately fill out the form online.

Follow the steps to successfully complete your renewal application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the agency registration number, expiration date, agency name, and contact details including street address, city, state, and zip code.
3. Indicate the type of agency by selecting the appropriate box for sole proprietorship, partnership, corporation, or LLC.
4. Respond to the questions in Section II regarding any changes to the agency's leadership or corporate information over the past year.
5. List the types of placement occupations or jobs that the agency provides. Ensure you check all applicable options.
6. Complete the sections regarding the agency's procurement of temporary work and job applicant fees, making sure to answer all questions accurately.
7. Attach any required documentation. This may include an Affirmation of Compliance with Workers’ Compensation Law, a copy of the Business Certificate, or a Certificate of Good Standing, depending on your agency type.
8. Review the signature section to ensure that the appropriate signatures are provided based on the agency type, along with printed names and titles.
9. Confirm all information is accurate and complete before finalizing the form.
10. Save the changes, and then choose to download, print, or share the completed form.

Complete your Renewal Application for Placement Agency Registration online to maintain compliance.