The Texas Vtdlr Sls 017 form is a comprehensive application used by businesses seeking a new limited license for staff leasing services from the Texas Department of Licensing and Regulation. It requires detailed company information, a demonstration of positive working capital through audited financial statements, and various attachments including insurance information and documents from the Texas Secretary of State. Filling out the Texas Vtdlr Sls 017 form accurately is crucial for businesses aiming to comply with state regulations regarding staff leasing services. Click the button below to start the process.
When businesses in Texas engage in staff leasing, they must navigate a range of regulatory requirements, including the submission of the Texas Vtdlr Sls 017 form to the Department of Licensing and Regulation. This comprehensive form serves as a critical step for companies looking to acquire a new limited license for staff leasing services, encapsulating various aspects of business operations from company information, contact details, to more nuanced regulatory compliance requirements like working capital and insurance. Companies are asked to describe their business structure, ownership type, and provide detailed information such as Federal ID Numbers, physical and mailing addresses, and employee count in Texas. Furthermore, it delineates specific financial prerequisites, like the necessity of an audited financial statement demonstrating positive working capital consistent with employee numbers—a requirement underscored by House Bill 2249. Additionally, it touches upon the importance of providing details on controlling persons or entities and insurance verifications, ensuring that workers' compensation and other insurance types meet state guidelines. Completing and submitting this form accurately is essential, not just for legal compliance, but also for maintaining the operational integrity of a business engaging in the staffing industry within Texas.
TEXAS DEPARTMENT OF LICENSING AND REGULATION
P. O. Box 12157 • Austin, Texas 78711 • (800) 803-9202 • Fax (512) 463-5984
E-mail: staff.leasing.services@license.state.tx.us Web site: www.license.state.tx.us
FEE
RECEIPT NUMBER
PMT.
MONEY
AMOUNT
TYPE
$900
DO NOT WRITE IN THE FEE AREA IMMEDIATELY ABOVE
Staff Leasing Services Application: New Limited License
Company Information
1.Name of Business to be Licensed :_________________________________________________________
DBA (if applicable):_______________________________________________________________________
2.Federal ID Number (FEIN):__________________________________________________________________
3.Please indicate the type of ownership for this company:
Corporate
Partnership
Individual
Limited Liability Company
4. Business Physical Address:________________________________________________________________
NUMBER AND STREET
__________________________________________________________________________________________________________
CITY
STATE
ZIP
5.Business Mailing Address: ________________________________________________________________
NUMBER AND STREET OR PO BOX
___________________________________________________________________________________________________________
6.Business Phone:__________________________________ 7. Business Fax:________________________
8.Please answer the following questions:
[ ] Yes [ ] No
Does this company employ fewer than 50 assigned employees in Texas at one time?
[
] Yes
]
No
Does this company assign employees to any client company based or domiciled in Texas?
Does this company solicit client companies located or domiciled in Texas?
Does this company maintain an office in Texas?
Is this company licensed or registered as a staff leasing services company in the state
where domiciled? (If yes, attach a copy of license or registration).
_____________
Number of employees assigned in Texas.
State where company is domiciled.
Contact Information
9.Contact person: _________________________________________________ Title:______________________
10.Contact e-mail:______________________________ 11. Contact phone:_____________________________
12.Texas Secretary of State Document - An application for a new license must include a copy of a document from the Texas Secretary of State that recognizes the business entity. This document must be issued in exactly the same business name as the applicant for this license and can be in the form of a Certificate of Authority or Certificate of Incorporation. Contact the Texas Secretary of State’s office at (512)463-5555 or at www.sos.state.tx.us for more information. Please enclose this document with your application.
YOU MUST COMPLETE ALL OF THE INFORMATION REQUESTED ON THIS FORM AND ALL OF THE REQUIRED ATTACHMENTS. PLEASE CONTINUE TO PAGE 2.
TDLR Form SLS 017 (12/2011)
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13. Working Capital Requirements
Pursuant to House Bill 2249 (81st Legislature, 2009) effective December 31, 2011, all Staff Leasing Services companies must submit an audited financial statement that shows positive working capital. Please enclose your most recent audited financial statement with this application.
“Working capital” of an applicant means the applicant’s current assets minus the applicant’s current liabilities as determined by generally accepted accounting principles. An applicant for an original or renewal license must demonstrate positive working capital in the following amounts:
(1)$50,000 if the applicant employs fewer than 250 assigned employees;
(2)$75,000 if the applicant employs at least 250 but not more than 750 assigned employees; and
(3)$100,000 if the applicant employs more than 750 assigned employees.
The audited financial statement must be prepared in accordance with generally accepted accounting principles, be audited by an independent certified public accountant, and be without qualification as to the going concern status of the applicant.
Please note: surety bonds, letters of credit, or guarantees ALONE are no longer accepted as proof of positive working capital. You MUST submit an audited financial statement for the company named on this application. Any deficiencies in the working capital requirement may be satisfied through guarantees, letters of credit, a surety bond or other security acceptable to TDLR, provided they are accompanied by the company’s audited financial statement. For more information on working capital requirements, please see our website: www.license.state.tx.us/sls/sls.htm or call us at (800) 803-9202.
14. Controlling Persons and/or Corporations
FORMS ARE AVAILABLE AT OUR WEBSITE: www.license.state.tx.us/sls/slsforms.htm
Please submit a Controlling Person Personal Information Form for each Controlling Person of your company.
Please submit a Controlling Corporation Information Form, if applicable.
15. Additional Attachments & Information
WORKER’S COMPENSATION CERTIFICATE OF INSURANCE: Please enclose a certificate of insurance if you offer worker’s comp insurance to employees assigned in Texas. Insurers must be authorized by Texas Dept. of Insurance. INSURANCE INFORMATION FORM: Please complete the enclosed Insurance Information Form (page 3) for all other types of insurance offered to employees assigned in Texas, if applicable. Do not submit certificates or booklets for other types of insurance (health, disability, life, etc.).
DESIGNATED AGENT FOR SERVICE: Please provide the following information for your agent for service in Texas:
________________________________________________________________(________)__________ - ___________
Agent Name
Agent Phone
_______________________________________________________________________________________________________TX_______________
Agent Address
City
16. Authorized Signature
I certify that I have read the Staff Leasing Services Act, Title 2, Labor Code, Subtitle E, and the current Department of Licensing and Regulation rules. If the license is issued, I agree to furnish to the Department of Licensing and Regulation any change in information on this form and all attached documents within FORTY-FIVE (45) DAYS of the change.
Licensure is subject to revocation if the department is not notified, in writing, of any changes in the information given on this application or if there is a rule or law violation.
I certify that all information submitted on this application and on all attached documents is true and correct.
Authorized Representative’s SignatureDate
Authorized Representative’s Printed Name
Date
PLEASE CONTINUE TO PAGE 3.
Page 2 of 3
17. Insurance Information Form
Please list all types of insurance coverage offered to employees assigned in Texas. Insurers must be authorized by the Texas Department of Insurance. If you offer worker’s comp insurance, please enclose the Certificate of Insurance in addition to listing it below. Do not submit any other type of certificate of insurance, booklet, or paperwork for any other type of insurance except worker’s comp.
Be advised that “self-insurance” health benefit plans are not allowed except as described in the Staff Leasing Services Labor Code:
Sec. 91.043. Health Benefit Plans.
(a)A license holder may not sponsor a plan of self insurance for health benefits except as permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.).
(b)For purposes of this section, a "plan of self insurance" includes any arrangement except an arrangement under which an insurance carrier authorized to do business in this state has issued an insurance policy that covers all of the obligations of the health benefits plan.
If you are using any plan which is not fully insured, you will be required to submit an opinion from the U.S. Dept. of Labor that states your insurance plan is permitted by the Employee Retirement Income Security Act (ERISA).
Are you currently providing a plan which is NOT fully insured?
NO
YES
NAME OF INSURER
TYPE OF COVERAGE
EFF. DATE
EXP. DATE
POLICY NUMBER
__________________________________
_________________
_________
_____________________
Please submit this completed application, any attachments and the appropriate fees to the address at the top of page 1. For additional forms and information, please visit our website at: www.license.state.tx.us/sls/sls.htm
Page 3 of 3
Applying for a staff leasing services license in Texas requires careful attention to detail and precise documentation. The form SLS 017 is a step towards obtaining a new limited license, demanding accurate business and contact information, alongside specific documents to support your application, such as financial statements and insurance certificates. While filling out this form might seem like a straightforward task, it's crucial to provide all the requested details to ensure a smooth processing of your application. Below, you'll find a comprehensive guide to complete the Texas Vtdlr SLS 017 form correctly.
After completing all sections of the form and attaching the required documents, submit the entire package to the address listed at the top of the form. Ensure you have provided comprehensive and accurate information to avoid delays in the processing of your application. For additional assistance or to access more forms, visit the Texas Department of Licensing and Regulation website.
The Texas Vtdlr Sls 017 form is an application designed for businesses seeking a new limited license to operate as Staff Leasing Services companies within Texas. It collects necessary information about the business, its ownership type, contact details, and additional required documents to ensure compliance with state regulations regarding staff leasing services.
Any business intending to provide staff leasing services in Texas and seeking to obtain a new limited license must complete this form. This includes companies that may not be based in Texas but intend to employ, assign employees to client companies, or solicit client companies within the state.
The working capital requirements specified in the form vary based on the number of assigned employees a company plans to have in Texas:
In addition to the completed application, businesses must submit:
Yes, there is a fee of $900 required when submitting the application. This fee helps cover the processing and administrative costs associated with the licensing process.
All completed forms, required attachments, and the appropriate fee should be sent to the Texas Department of Licensing and Regulation at the address provided at the top of the form: P.O. Box 12157, Austin, Texas, 78711.
License holders are required to inform the Department of Licensing and Regulation of any changes in the information provided on the application or attached documents within forty-five (45) days of the change. Failure to do so may result in revocation of the license.
For more detailed information about licensing requirements, forms, and the application process, interested parties should visit the Texas Department of Licensing and Regulation’s website at www.license.state.tx.us/sls/sls.htm or contact their office directly at (800) 803-9202.
Filling out the Texas Vtdlr Sls 017 form correctly is crucial for businesses seeking to register for staff leasing services. However, several common mistakes can delay the application process or lead to outright rejection. Here are five mistakes to avoid:
Not including the correct business name on all documents: It's essential to use the exact business name across all submitted documents, including those from the Texas Secretary of State, to avoid processing delays.
Omitting the Federal ID Number (FEIN): This number is critical for identifying your business with the federal government. Leaving it blank can result in the inability to process your application.
Not specifying the type of ownership for the company clearly. Whether it's a Corporate, Partnership, Individual, or Limited Liability Company, this information helps in understanding the legal structure of your business.
Failing to provide a copy of the audited financial statement showing positive working capital, as required based on the number of assigned employees. This oversight can be especially problematic since it directly relates to financial viability under the rules set by the Texas Department of Licensing and Regulation.
Incomplete insurance information: Whether it’s worker’s compensation or any other type of insurance offered to employees assigned in Texas, all details including the insurer's name, type of coverage, policy numbers, and effective dates must be correctly filled out. Notably, for plans not fully insured, failing to submit an opinion from the U.S. Dept. of Labor confirming ERISA compliance could result in the rejection of the application.
Avoid these mistakes by carefully reviewing all the instructions and ensuring that every section of the form is completed accurately before submission. Remember, attention to detail can significantly expedite the licensing process.
When handling the Texas VTDLR SLS 017 form, several additional documents and forms are often necessary to fully support an application for a new limited license in staff leasing services. These documents vary in their purpose, ranging from legal requirement proofs to financial stability demonstrations, helping to provide a comprehensive picture of the business applying for licensure. Below is a list of common documents that accompany the SLS 017 form:
This compilation of forms and documents ensures the Texas Department of Licensing and Regulation has a full understanding of the business's operations, legal standing, and financial health, facilitating a smoother application process. Individuals are encouraged to review each document thoroughly and ensure all information is accurate and up-to-date before submission alongside the Texas VTDLR SLS 017 form.
The Texas Vtdlr Sls 017 form is intricately designed for businesses seeking a new limited license under the jurisdiction of the Texas Department of Licensing and Regulation, particularly for those in the staff leasing services sector. This form closely mirrors the function and structure of the General Business License Application form used in various states. Similarly, the General Business License Application collects comprehensive information about a business seeking licensure, including company ownership types, physical and mailing addresses, and contact details. Both forms serve as initial steps for businesses to gain legal approval to operate within their respective states, emphasizing the necessity for detailed business information, adherence to state-specific guidelines, and the inclusion of financial or insurance-related documentation.
Another document similar to the Texas Vtdlr Sls 017 form is the Employer Identification Number (EIN) Application (Form SS-4) with the Internal Revenue Service. Though the EIN Application primarily focuses on tax identification for businesses, it shares commonalities with the Vtdlr Sls 017 form, such as gathering detailed business information, including the type of business entity, address, and the principal officer’s details. Both documents are crucial steps in formalizing a business's operational and legal status, providing government bodies with necessary company details for regulatory, tax, and employment purposes.
The Workers' Compensation Insurance Coverage Verification is another form bearing a resemblance to the Texas Vtdlr Sls 017 form, particularly in its requirement for businesses to provide proof of workers' compensation insurance. Both documents are designed to ensure businesses adhere to state laws regarding employee safety and financial security in the event of workplace injuries. Employers must submit accurate insurance information, highlighting the insurance carriers authorized to operate within the state and the specific coverage details, to comply with regulatory and safety standards for workers.
The Professional Licensing Application forms, used by various professional regulatory bodies across different industries, also share similarities with the Texas Vtdlr Sls 017 form. These applications commonly require detailed business and personal information from the applicants, including ownership structure, physical location, and a detailed account of the business operations. Moreover, both sets of forms may require additional documentation such as proof of financial stability, insurance coverage, or professional qualifications, underscoring the thorough vetting process businesses and professionals undergo before being granted a license to operate.
The Business Entity Registration form, necessary for registering a new business entity with state authorities, mirrors the Texas Vtdlr Sls 017 form in several aspects. It collects comprehensive information on the business, including its name, type of legal structure, principal address, and the identification of key individuals involved in the business. This process is fundamental for establishing a business’s legal identity, ensuring accountability, and enabling the government to provide necessary oversight and support.
The Commercial Auto Insurance Application is reminiscent of the section in the Texas Vtdlr Sls 017 form requiring insurance information. Both documents necessitate detailed disclosures about the insurance policies businesses carry, including insurer details, coverage types, and effective dates. This ensures that businesses maintain adequate insurance coverage for their operations, protecting against liability and aligning with regulatory requirements for operational safety and financial responsibility.
Lastly, the Change of Business Information form used by many state agencies shares the underlying principle of the Texas Vtdlr Sls 017 form, in that both require up-to-date, accurate business information and necessitate formal updates when changes occur. This is vital for maintaining the integrity and accuracy of the official business records, ensuring that regulatory bodies have current information for communication, compliance checks, and enforcement of laws and regulations.
Filling out the Texas Vtdlr Sls 017 form, a crucial document for staff leasing services application, requires meticulous attention to detail. Below are guidelines on what you should and shouldn't do to ensure your application process is smooth and successful.
Do's:
Don'ts:
Adhering to these do's and don'ts not only simplifies the application process but also expedites the approval of your Texas Vtdlr Sls 017 form, setting your staff leasing services on the path to compliance and success in Texas.
Understanding the complexities of state licensing forms is crucial for businesses to operate legally and efficiently. In Texas, companies offering staff leasing services are required to navigate the nuances of the Texas Department of Licensing and Regulation's (TDLR) regulations, including the submission of the Vtdlr Sls 017 form. However, there are several misconceptions surrounding this form and its requirements. Here, we aim to clarify some of the most common misunderstandings.
This fee is neither optional nor negotiable. It is a required payment for the processing of the staff leasing services application form. The mention of "DO NOT WRITE IN THE FEE AREA IMMEDIATELY ABOVE" simply instructs applicants not to fill in that specific area of the form, as it is for official use only.
While it might appear that any business can apply, companies must meet specific requirements, such as working capital and employee counts, to qualify. The form asks if the company employs fewer than 50 assigned employees in Texas at one time, indicating that there are thresholds and standards that must be met.
Submitting the Sls 017 form is only a part of the application process. Applicants must also provide additional documents, such as audited financial statements and certificates of insurance, as mentioned in the later sections of the form.
The form explicitly asks if the company is licensed or registered as a staff leasing services company in the state where domiciled. This implies that being licensed or registered in the home state could be a prerequisite or at the very least, an important piece of information for the TDLR.
While the application does cater to companies operating within Texas, it also encompasses businesses assigning employees to client companies based or domiciled in Texas, or those soliciting client companies located in Texas. This means out-of-state businesses engaging with Texas clientele also need to apply.
Although working capital is a crucial requirement, with specific amounts outlined for different sizes of staff leasing companies, it is not the sole financial criterion. The application mandates the submission of an audited financial statement prepared according to generally accepted accounting principles. This shows that the financial vetting process is comprehensive, encompassing more than just working capital.
Understanding these aspects of the Sls 017 form ensures that businesses provide all necessary information and comply with Texas regulations, facilitating a smoother licensing process for companies providing staff leasing services.
When navigating the complexities of the Texas Vtdlr Sls 017 form, it's important to have a clear understanding of what's required. Here are some key takeaways to help guide you through filling out and using this form effectively:
These steps are designed to ensure that your business complies with Texas regulations regarding staff leasing services. Paying close attention to the requirements and providing thorough, accurate information will help streamline the application process. For further guidance, the Texas Department of Licensing and Regulation website offers additional resources and contact information for assistance.
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