Initial Application For License To Operate Employment Agency - South Carolina Secretary Of State Page 3
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55. Have any of the applicants listed above previously held or applied, whether granted or denied, for a private
personnel placement service license within the United States or its possessions or territories?
a.
___ No
___ Yes If yes, was the private personnel placement service license ever denied or revoked?
___ No ___ Yes If yes, please attach an explanation to this application.
6. List the person who will actually direct and operate the placement activities:
Name
Address (Street, City, Zip Code)
Prior Business or Occupation of the Applicant
7. The application must be accompanied by a verification of a surety bond of three thousand dollars ($3,000.00)
or other security equal to twenty-five thousand dollars ($25,000.00) in a form approved by the Attorney General
and deposited with the Secretary of State. (Please attach Surety Bond Verification form.)
a. Surety bond issued by: _____________________________________________________
b. Bond number: ______________________________
c. Bond expiration date:
_______________________
Please read and acknowledge each of the following statements.
I(we) acknowledge that in accordance with the South Carolina Private Personnel Placement Services Act,
South Carolina Code of Laws Section 41-25-10 et seq.:
1. If a licensee relocates its offices before filing the annual renewal notice, the licensee shall submit a written
notice of the change of address to the Secretary containing a notarized statement that the new location
conforms to licensing requirements.
2. Failure to maintain a surety bond of three thousand dollars ($3,000.00) in force or have other security filed
with the Secretary of State of twenty-five thousand dollars ($25,000.00) constitutes disqualification for
retaining a license.
st
st
3. Licenses are issued for two years beginning January 1
through December 31
unless turned in or revoked by
the Secretary. Licenses must be renewed biennially and must be postmarked no later than the last
day of December.
4. If a licensee ceases to operate or goes out of business, the licensee shall notify the Secretary in writing of the
action and return the license to the Secretary of State.
5. If a business is sold to a new owner, the previous owner shall notify the Secretary of State in writing to whom
the business is being sold and return the license to the Secretary and state. That business may not operate
until the new owner has obtained a new license.
6. Private Personnel Placement Services licenses are nontransferable absolutely and unconditionally.
I(we) further acknowledge that:
7. Any person who knowingly violates S.C. Code of Laws Sections 41-25-30, 41-25-40, 41-25-50, 41-25-60,
41-25-70, or 41-25-80 is guilty of a misdemeanor and upon conviction must be fined not more than five
hundred dollars ($500.00) or imprisoned for not more than one year, or both, for a first offense.
8. Anyone convicted of violating the above-stated code sections must be denied the right to operate as a private
personnel placement service and shall immediately surrender his or her license to the Secretary.
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