Get Ny Ls 355 2004

The NY LS 355 form is an essential document for those seeking an employment agency license in the State of New York. This guide provides step-by-step instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to successfully complete the NY LS 355 form

1. Press the ‘Get Form’ button to acquire the form and open it in your preferred online editor.
2. Enter the name under which the agency will conduct business in section 1A, and specify the main type of placements in section 1B. Then, provide your Federal Employer Identification Number (FEIN) in section 1C.
3. In section 2, fill in the business telephone number, including the area code. Specify the city, town, or village where the agency will be located.
4. Complete section 3 with the physical address of the agency, ensuring to include the county and ZIP code.
5. Indicate the ownership structure of your agency in section 4 by checking the appropriate box for sole proprietor, partnership, or corporation.
6. In section 5, provide the total number of anticipated placement employees at your agency.
7. For section 6, list the name and address of the owner (if a sole proprietor), each partner (if a partnership), or all officers and significant stockholders (if a corporation), along with their home telephone numbers and titles.
8. Detail the business activities of the individuals listed in section 6 over the past five years as required in section 7.
9. Complete section 8 to disclose any past licensing issues, and if applicable, provide the required details in section 8B.
10. Address the questions in section 9 about any criminal convictions related to the individuals in section 6, offering details as necessary.
11. Identify the individual managing placement activities in section 10A, and if this person is not listed in section 6, note that an application for an agency manager permit is required.
12. In section 10B, list past employers of the manager, detailing the length of employment and duties performed.
13. Respond to questions in sections 11 and 12 regarding recruitment practices and lodging arrangements.
14. Provide details about hospitalization insurance in section 13, if applicable.
15. Attach all required supporting materials as outlined in the note section of the form, ensuring to review all items for completeness.
16. Finally, sign and date the form as required in section 14, ensuring all information is true under the penalties of perjury. You may now save your changes, download, print, or share the completed form.

Begin your application process by completing the NY LS 355 online today.