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Get Ny Ls 355 2024-2026

Nt Agency License. Answer all questions. Attach additional sheets as needed. Mail the signed application to the address above. Be sure to include all the required information and documents listed on page 4. Once licensed, any change to the agency name, address, manager, ownership, partners, officers or stockholders requires prior approval by the Department of Labor for the license to remain valid. 1. Name agency will do business under: 2. Agency location: Street number and street: Ci.

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How to fill out the NY LS 355 online

This guide provides step-by-step instructions for completing the NY LS 355, the application for an employment agency license. Designed for users with varying levels of experience, this resource aims to simplify the process of submitting this essential form online.

Follow the steps to successfully complete the NY LS 355 application.

  1. Press the ‘Get Form’ button to obtain the application and open it in your preferred online platform.
  2. Fill out the agency name and location. Be sure to include the street number, city, county, state, and zip code where the agency will operate.
  3. Provide your agency's contact information, including email and phone number, ensuring accuracy for effective communication.
  4. Enter your Federal Employer Identification Number (FEIN) to identify your agency for tax purposes.
  5. Indicate the main type of placements your agency will offer and estimate the number of placement employees expected.
  6. Select the type of ownership by checking one of the available options: sole proprietor, partnership, or corporation.
  7. List the names, addresses, titles, and phone numbers of all individuals associated with the agency, including owners, partners, and corporate officers.
  8. For those listed in the previous step, provide their business activities from the past five years, including names of firms and relevant dates.
  9. Answer whether anyone listed has had any business licenses denied or revoked, and provide details if applicable.
  10. Indicate if any of the listed individuals have been convicted of a crime, and provide details where necessary.
  11. Identify the person who will direct the agency’s placement activities. If this person is not listed in prior sections, an application for a manager permit will be required.
  12. Detail the work history of the applicant, specifically focusing on relevant roles and responsibilities related to placement activities.
  13. Address the question regarding recruitment from outside the state and provide necessary details if applicable.
  14. Indicate whether the agency will provide lodging and describe the details if applicable.
  15. Confirm if the agency offers hospitalization insurance for domestic or household employees and supply the insurance company name if so.
  16. Complete the affirmation statement certifying that the application information is accurate, obtaining necessary signatures depending on the ownership structure.
  17. Make sure to attach all required documents and information indicated at the end of the form. Review all fields for completeness before submitting.

Complete your NY LS 355 application online today and ensure your agency is properly licensed.

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