Blank Texas Vtdlr Sls 017 PDF Form

Blank Texas Vtdlr Sls 017 PDF Form

The Texas Vtdlr Sls 017 form is an essential application for businesses seeking a limited license in staff leasing services within Texas. This form collects vital information about the business, including ownership structure, employee count, and financial requirements. Completing this form accurately is crucial for compliance and successful licensing, so take the first step by filling it out today!

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The Texas VTDLR SLS 017 form is a critical document for businesses seeking to obtain a limited license for staff leasing services in the state. This form requires comprehensive information about the business, including its name, ownership structure, and physical and mailing addresses. Applicants must provide their Federal ID number and answer specific questions regarding employee assignments and operations within Texas. Notably, the form mandates the submission of an audited financial statement to demonstrate positive working capital, a requirement that varies based on the number of employees assigned in Texas. Additional documentation, such as a certificate from the Texas Secretary of State and proof of worker's compensation insurance, is also necessary to complete the application. This ensures that businesses not only comply with state regulations but also maintain a standard of financial responsibility and operational transparency. The form serves as a gateway for companies to legally operate within the staff leasing industry in Texas, making it essential for all prospective applicants to understand its requirements thoroughly.

Document Sample

TEXAS DEPARTMENT OF LICENSING AND REGULATION

P. O. Box 12157 • Austin, Texas 78711 • (800) 803-9202 • Fax (512) 463-5984

E-mail: [email protected] 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

___________________________________________________________________________________________________________

CITY

STATE

ZIP

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?

[

] Yes

[

]

No

Does this company solicit client companies located or domiciled in Texas?

[

] Yes

[

]

No

Does this company maintain an office in Texas?

[

] Yes

[

]

No

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)

Page 1 of 3

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

ZIP

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

__________________________________

_________________

_________

_________

_____________________

__________________________________

_________________

_________

_________

_____________________

__________________________________

_________________

_________

_________

_____________________

__________________________________

_________________

_________

_________

_____________________

__________________________________

_________________

_________

_________

_____________________

__________________________________

_________________

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_____________________

__________________________________

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__________________________________

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__________________________________

_________________

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_____________________

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

File Specifics

Fact Name Details
Governing Law The Texas Staff Leasing Services Act, Title 2, Labor Code, Subtitle E governs the application process.
Application Fee The fee for processing the application is $900, which must be submitted with the form.
Working Capital Requirement Applicants must demonstrate positive working capital, with amounts varying based on the number of employees assigned in Texas.
Required Attachments Include a copy of the Texas Secretary of State document and an audited financial statement with the application.

How to Use Texas Vtdlr Sls 017

Filling out the Texas VTDLR SLS 017 form requires careful attention to detail. It is essential to provide accurate information and include all necessary attachments. After completing the form, it should be submitted to the appropriate address along with the required fees.

  1. Business Information: Enter the name of the business to be licensed and the DBA (if applicable) in the designated fields.
  2. Provide the Federal ID Number (FEIN).
  3. Select the type of ownership for the company by marking the appropriate box (Corporate, Partnership, Individual, Limited Liability Company).
  4. Fill in the business physical address, including the street number, city, state, and ZIP code.
  5. Enter the business mailing address, if different from the physical address.
  6. Provide the business phone number and fax number.
  7. Employee Information: Answer the questions regarding employee assignments and office locations in Texas by marking "Yes" or "No" for each question.
  8. Indicate the number of employees assigned in Texas and the state where the company is domiciled.
  9. Contact Information: Fill in the contact person's name, title, email, and phone number.
  10. Attach a copy of the document from the Texas Secretary of State that recognizes the business entity.
  11. Financial Information: Include the most recent audited financial statement showing positive working capital.
  12. Submit a Controlling Person Personal Information Form for each controlling person of the company, along with a Controlling Corporation Information Form if applicable.
  13. Provide a Worker’s Compensation Certificate of Insurance if applicable.
  14. Complete the Insurance Information Form for other types of insurance offered to employees assigned in Texas.
  15. Fill in the information for the designated agent for service in Texas.
  16. Signature: The authorized representative must sign and date the application, certifying that all information is true and correct.

After completing these steps, ensure that all attachments are included before submitting the application to the address provided at the top of the form. For additional information or forms, refer to the Texas Department of Licensing and Regulation website.

Your Questions, Answered

  1. What is the Texas VTDLR SLS 017 form?

    The Texas VTDLR SLS 017 form is an application for a limited license for staff leasing services in Texas. This form is required for companies that wish to operate as staff leasing entities, which assign employees to client companies. It collects essential information about the business, its ownership, and its operations in Texas.

  2. Who needs to fill out the SLS 017 form?

    Any business that plans to provide staff leasing services in Texas must complete this form. This includes corporations, partnerships, individuals, and limited liability companies that assign employees to client companies based in Texas or maintain an office in the state.

  3. What information is required on the form?

    The form requires various details, including:

    • Name of the business and any "doing business as" (DBA) names.
    • Federal ID Number (FEIN).
    • Type of ownership (corporate, partnership, etc.).
    • Business addresses (physical and mailing).
    • Contact person’s details.
    • Answers to specific questions about employee assignments and operations in Texas.
  4. What are the financial requirements for the application?

    Applicants must submit an audited financial statement demonstrating positive working capital. The required amounts depend on the number of employees assigned in Texas:

    • $50,000 for fewer than 250 employees.
    • $75,000 for 250 to 750 employees.
    • $100,000 for more than 750 employees.

    Surety bonds or letters of credit alone are not sufficient; an audited financial statement is mandatory.

  5. What if my business is already licensed in another state?

    If your business is licensed or registered as a staff leasing services company in another state, you must attach a copy of that license or registration with your application. This helps verify your compliance with licensing standards.

  6. Is there a fee for submitting the SLS 017 form?

    Yes, there is a fee of $900 associated with the submission of the SLS 017 form. This fee must be included with your application. Ensure that you do not write anything in the fee area on the form itself.

  7. How long does it take to process the application?

    The processing time can vary. However, it is advisable to submit your application well in advance of when you plan to start operations. This allows time for any potential issues to be resolved and ensures that you can begin providing services without unnecessary delays.

  8. Where can I find additional information or assistance?

    For further details, you can visit the Texas Department of Licensing and Regulation website at www.license.state.tx.us . You may also contact their office directly at (800) 803-9202 or via email at [email protected] for any specific questions or concerns.

Common mistakes

  1. Incomplete Business Name: Failing to provide the full legal name of the business can lead to application rejection.

  2. Incorrect Federal ID Number: Entering an invalid or incorrect FEIN can delay processing and cause issues with the IRS.

  3. Ownership Type Not Specified: Not indicating the type of ownership can result in confusion and additional requests for information.

  4. Missing Physical Address: Omitting the business physical address can lead to application denial.

  5. Neglecting Mailing Address: Failing to provide a mailing address can prevent the receipt of important correspondence.

  6. Omitting Contact Information: Not including a contact person or their details can hinder communication during the review process.

  7. Ignoring Financial Statement Requirements: Not attaching the required audited financial statement can lead to immediate disqualification.

  8. Incorrect Working Capital Amount: Miscalculating the required working capital based on employee count can result in application rejection.

  9. Missing Supporting Documents: Not including the Texas Secretary of State document can delay or invalidate the application.

  10. Failure to Sign and Date: Not providing an authorized signature or date on the application can cause it to be considered incomplete.

Documents used along the form

The Texas Vtdlr Sls 017 form is a crucial document for businesses seeking a staff leasing services license in Texas. Alongside this form, several other documents and forms are commonly required to ensure compliance with state regulations. Below is a list of these additional forms and documents, each playing a significant role in the application process.

  • Texas Secretary of State Document: This document verifies the business entity's existence and must be issued in the same name as the applicant. It can be a Certificate of Authority or Certificate of Incorporation, confirming that the business is legally recognized in Texas.
  • Audited Financial Statement: All applicants must provide an audited financial statement demonstrating positive working capital. This statement should show the applicant's current assets minus current liabilities and must be prepared by an independent certified public accountant.
  • Controlling Person Personal Information Form: This form is required for each controlling person of the company. It provides essential personal details to help establish the integrity and qualifications of those in charge of the business.
  • Controlling Corporation Information Form: If applicable, this form must be submitted to provide information about any corporations that control the applicant company. It helps in understanding the ownership structure and affiliations.
  • Worker’s Compensation Certificate of Insurance: If the business offers worker’s compensation insurance to employees in Texas, a certificate of insurance must be included. This certificate must come from an insurer authorized by the Texas Department of Insurance.
  • Insurance Information Form: This form lists all types of insurance coverage provided to employees assigned in Texas, other than worker’s compensation. It is essential for ensuring that the business meets insurance requirements for its employees.

In summary, when applying for a staff leasing services license in Texas, it is essential to gather and submit not just the Texas Vtdlr Sls 017 form but also these accompanying documents. Each piece of paperwork serves a specific purpose in establishing the business's legitimacy and compliance with state regulations.

Similar forms

The Texas VTDLR SLS 017 form is similar to the Texas Secretary of State's Certificate of Authority. This document establishes a business's legal right to operate in Texas as a foreign entity. Like the SLS 017, the Certificate of Authority requires specific information about the business, including its name and address. Both documents ensure that the business complies with state regulations and provides transparency about its operations in Texas.

Another document akin to the Texas VTDLR SLS 017 is the Texas Franchise Tax Report. This report is necessary for businesses operating in Texas and requires financial information about the company's revenue and ownership structure. Similar to the SLS 017, it seeks to maintain regulatory oversight and ensure that businesses contribute to state revenues. Both forms demand accurate financial disclosures and are essential for legal compliance.

The Application for a Sales Tax Permit issued by the Texas Comptroller of Public Accounts shares similarities with the SLS 017 form as well. This application allows businesses to collect sales tax from customers. Like the SLS 017, it requires detailed business information and is vital for legal operations within Texas. Both documents help the state monitor business activities and ensure compliance with tax laws.

Additionally, the Texas Employment Application is comparable to the SLS 017 form. This document collects essential information from potential employees, such as their work history and qualifications. Both forms aim to ensure that businesses operate within legal frameworks and maintain accurate records. They both emphasize the importance of transparency in employment practices.

The Texas Workers' Compensation Insurance Policy is another document similar to the SLS 017. This policy provides coverage for employees who may be injured on the job. Like the SLS 017, it requires businesses to submit proof of insurance and adhere to specific regulations. Both documents reflect the state's commitment to protecting workers and ensuring businesses meet their obligations.

The Texas Business License Application also parallels the SLS 017 form. This application is necessary for businesses to legally operate within specific industries. Similar to the SLS 017, it requires detailed information about the business's ownership and operations. Both documents serve as a means for the state to regulate business activities and ensure compliance with applicable laws.

Moreover, the Texas Corporate Franchise Tax Application is akin to the SLS 017. This application requires corporations to report their financial status and pay any applicable franchise taxes. Both forms emphasize the importance of financial transparency and compliance with state laws. They serve as tools for the state to monitor and regulate corporate activities.

Finally, the Texas Certificate of Incorporation resembles the SLS 017 form. This document officially establishes a corporation in Texas and requires specific information about the business structure. Like the SLS 017, it is crucial for compliance with state regulations. Both documents ensure that businesses operate within the legal framework established by the state, promoting accountability and transparency.

Dos and Don'ts

When filling out the Texas VTDLR SLS 017 form, there are essential dos and don’ts to ensure a smooth application process. Here’s a helpful list to guide you:

  • Do read the entire form carefully before starting to fill it out.
  • Do provide accurate and complete information for all required fields.
  • Do include all necessary attachments, such as the Texas Secretary of State document and audited financial statements.
  • Do double-check your calculations, especially regarding working capital requirements.
  • Do ensure that the business name matches exactly as registered with the Texas Secretary of State.
  • Don't leave any fields blank; if a question does not apply, indicate that clearly.
  • Don't submit any certificates or documents that are not specifically requested in the form.
  • Don't use abbreviations or shorthand; clarity is key.
  • Don't forget to sign and date the application before submission.

By following these guidelines, you can help ensure that your application is processed efficiently and without unnecessary delays.

Misconceptions

  • Misconception 1: The Texas Vtdlr Sls 017 form is only for large companies.

    This form is applicable to any staff leasing company, regardless of size. Even businesses with fewer than 50 employees must complete this form to comply with state regulations.

  • Misconception 2: You can submit any financial document as proof of working capital.

    Only an audited financial statement prepared by an independent certified public accountant is acceptable. Other forms of proof, such as surety bonds or letters of credit, are not sufficient on their own.

  • Misconception 3: The form does not require any attachments.

    In fact, several attachments are mandatory, including a copy of the Texas Secretary of State document and the audited financial statement. Failing to include these can delay the application process.

  • Misconception 4: The application process is straightforward and quick.

    The application requires careful completion of multiple sections and the inclusion of specific documentation. It is essential to ensure all information is accurate and complete to avoid delays.

Key takeaways

When filling out the Texas VTDLR SLS 017 form, keep the following key points in mind:

  • Complete All Sections: Ensure that every section of the form is filled out completely. Incomplete applications may lead to delays or rejection.
  • Submit Required Documents: Attach all necessary documents, such as the Texas Secretary of State document and the audited financial statement, to support your application.
  • Understand Working Capital Requirements: Be aware of the specific working capital requirements based on the number of employees your company has. This is crucial for your application to be accepted.
  • Provide Accurate Contact Information: Include accurate contact details for the person responsible for the application. This will facilitate communication with the licensing department.
  • Review Before Submission: Double-check all information for accuracy and completeness before submitting the form. Mistakes can cause unnecessary delays.