Employment Agency Self-Certification - Nyc Department Of Consumer Affairs Page 7

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Section 4: Contracts and Receipts
GBL Section 181
6 RCNY Section 1-05
Contracts
 I understand that the contract must be a separate document from any other form I give to job
applicants. I will not combine the contract with a job application form.
(Check A or B.)
A.  I will use DCA’s model contract as my agency’s contract and give a copy to each job applicant
who applies for my services. The model contract is available for download at
nyc.gov/BusinessToolbox. I am responsible for using the most current version of this contract,
and I will regularly check DCA’s website for updates.
B.  I will not use DCA’s model contract, but will give each job applicant a contract that is
substantially similar to DCA’s model contract and will include all of the following:
 Sections 185 and 186 of the GBL AND
 The word “Contract” written or printed clearly at the top AND
 Name, address, telephone number, and DCA license number of my agency AND
 Name and title of the individual executing the contract on behalf of my agency AND
 Name of the job applicant AND
 Type of work the job applicant will perform AND
 Fee, deposit, or other money the job applicant will pay to my agency AND
 Payment schedule AND
 Notice in 14-point or larger boldface type printed directly above the space reserved in the
contract for the applicant’s signature stating:
NOTICE TO JOB APPLICANT – READ BEFORE SIGNING
Do not sign this contract before you have read it or if any spaces are left blank. The
employment agency must give you a signed copy of this contract at the time you sign it.
IMPORTANT: It is against the law for the employment agency to charge a registration or
application fee. The agency can only collect a deposit if you are applying for certain types of
jobs. YOU ARE ENTITLED TO A REFUND. IF A REFUND IS NOT MADE WITHIN
SEVEN (7) DAYS OR YOU HAVE A COMPLAINT OR NEED MORE INFORMATION,
CALL 3-1-1.
Revised 09/19/14
Page 7 of 20

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