Initial Application For License To Operate Employment Agency - South Carolina Secretary Of State

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SOUTH CAROLINA
SECRETARY OF STATE
E
A
MPLOYMENT
GENCY
I
A
L
O
NITIAL
PPLICATION FOR
ICENSE TO
PERATE
Filing Instructions
 The filing fee for this application is $300 (application fee $200, license fee $100).
This application must be completed in its entirety. If there are any questions not answered, signatures
missing or required documents not attached, this form will be returned for correction.
 Please contact our office with any questions regarding this form at 803-734-0367.
 This application must be mailed to:
South Carolina Secretary of State, Employment Agencies, 1205 Pendleton St., Ste. 525, Columbia, SC 29201
R
N
A
A
L
:
EQUIREMENTS FOR
EWSPAPER
DVERTISEMENT OF
PPLICATION FOR
ICENSE
A notice containing the following information must be placed in the newspaper of the greatest
circulation in the county of the applicant’s location and must be published on at least one
occasion prior to filing for a license:
NOTICE
Please take note that
[business name]
has applied to the Secretary of State’s Office for a
license to operate a Private Personnel Placement Service in the name of [trade name or DBA]
at [physical location of business] . The agency will be operated by [director of agency] .
Attach a copy of the printed notice to a signed verification from the newspaper that states the
date the notice was published.
1. Business Contact Information:
a. Full Name
b. Phone Number
c. Email Address
2. Business Entity Information:
a. Business Name
b. Trade Name or DBA (if applicable)
c. Physical Location of Business (Street, City, Zip Code, County)
d. Mailing Address of Business (If different from above)
e. Phone Number
f. Website
3. Entity’s Type of Ownership:
____ Sole Proprietor ____ Partnership ____ Corporation, Association, or Society
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