DIVISION OF REVENUE AND TAXATION
|
|
- Janis Logan
- 7 years ago
- Views:
Transcription
1 O W L O I I L F I I L L OH H I H L IL IVIIO VU XIO O O W O H H H Business License pplication equirements for cuba iving Instruction and/or our Operator O F F I Business License pplication for cuba iving Instruction and/or our Operation (equired attachments listed on art of the application) ffidavit of ertification and Good tanding (must be notarized) Workers ompensation pplication for learance Updated nnual eport (filed with I egistrar of orporations) opies of assports of orporate Officers, irectors and hareholders Immigration tatus of orporate Officers, irectors and hareholders (non-u) ap of hysical Location of Business Original License(s) to be renewed F: Form: BULI- UB IVIG IUIO $ UB IVIG OU OIO $ age 1 ote: his revision is effective ovember 2015
2 O H O O W Y LIIO ew enewal Business License o. mendment (check below) dditional location hange of location dd B O I I L Business License pplication for cuba iving Instruction and/or our Operator F I I L L. OH H I H L IL O W L IVIIO VU XIO H H O F F I axpayer s I.. o.: Federal mployer I.. o.: 1st Year of Operation: hange of business name equest for duplicate license B. LI IFOIO 1. Form of Business: orporation ole roprietorship artnership Limited Liability ompany Other LI: 2. ailing ddress: el: Fax:. LI() BUI LI FO: mail address: UB IVIG IUIO.B.. (assumed name) UB IVIG OU OIO Island Village If the applicant is a foreign corporation or a non-i resident, please provide the name of the registered agent below. ame: ailing ddress: el:. H HO H FOLLOWIG OU: roof of employment for each employee serving as a scuba diving instructor or tour leader. opy of certification card issued by I, UI, or other certification agency for each instructor, assistant instructor, or dive master employed by the business. ffidavit of certification and good standing completed and signed by each employee to be employed as a scuba diving instructor and/or tour leader. roof of liability insurance sufficient to insure the employee(s) and business against accidental injury of any student and/or customer that may occur during the course of the instruction or scuba diving tour in an amount no less than five hundred thousand dollars ($500,000.00) per incident ote liability insurance must be shown in U.. dollars.. LI LIO I declare under penalty of perjury that the information above and documents attached hereto are true and correct, and that I have complied with all ommonwealth laws, rules and regulations, promulgated pursuant thereto. I understand that any violation of I licensing requirements or the afe iving ct, or any willful misstatement or omission of a material fact on this application, or any documents attached hereto, shall be grounds for denial or revocation of a business license, and shall subject me to the imposition of civil and/or criminal penalties, or both, as allowed by law. eclaration is made on this day of 20 at. rint pplicant s ame ignature itle ate FIIL U OLY he applicant is is not recommended for approval for the issuance of a business license. eviewed by ate pproved by ate ate license issued Business License umber License fee paid $ enalty $ ate paid eceipt o. Form: BULI- age 2 ote: his revision is effective ovember 2015
3 O W L O I I L ffidavit of ertification and Good tanding for cuba iving Instruction and/or our Operator F I I L L OH H I H L IL IVIIO VU XIO O O W O H H H O F F I I,, being duly sworn and on oath do hereby depose and say; 1. hat I, am a resident of, 2. hat I, am a certified. (Indicate level of certification, i.e., instructor, assistant instructor, or dive master and indicate certifying organization). 3. hat I, am employed by (ame of company, corporation, or employer) in the capacity of a (indicate if employed as an instructor or tour leader for scuba diving) 4. ttached hereto is a true and correct copy of my certification, indicating current status. If employed as a scuba diving tour leader: he standard of the certifying organization indicated in item number (2) above does does not permit me to guide scuba divers underwater. y certification is current and has not been revoked or lapsed. ated this day of 20. UBIB WO O before me, this day of 20 OY UBLI Form: BULI- age 3 ote: his revision is effective ovember 2015
4 OOWLH H OH I IL IVIIO VU XIO IL OOWLH H OH I FIIL L Business License pplication Business Location O F F I ap of Business Location (i.e., street name, village, etc...) hysical Location of Business Form: BULI age 3 ote: his revision is effective ovember 2015
5 epartment of ommerce WOK OIO OIIO OOWLH H OH I IL.O. Box 5795 HB, aipan el: (670) /8024 Fax (670) Website: pplication for ertificate of learance lease take notice that pursuant to the I Workers' ompensation Law, as amended, every employer in the ommonwealth is required to secure insurance coverage for employee(s) in case of occupational injury, illness, or death. he law further requires that all applicants for business licenses in the I (whether its an application for a new business or the renewal for an existing business) must obtain a ertificate of learance from the Workers' ompensation ommission before the ecretary of Finance will issue such business license. ame of Business: ddress: ame of pplicant/epresentative:. L K H OI () BLOW. BUI LI LI - W: I am not an employer now. I do, however, understand the requirement of the Workers' ompensation Law. If I hire any employee in the future, I will comply with the requirements as mandated by law, and immediately secure coverage for my employee(s) and will file a ertificate of ompliance within 30 days thereafter. I am an employer or will be hiring personnel within a few days. I am providing a copy of the workers' compensation insurance policy in effect and a ertificate of ompliance (FO W- I 00) as required. I have never been an employer operating under a different name. B. BUI LI LI - WL: I have renewed the workers' compensation insurance coverage. I am providing a copy of the workers' compensation insurance policy in effect and a ertificate of ompliance (FO W-100) as required. I did not or no longer have any personnel employed by the business. ignature of pplicant or epresentative ate aipan Branch: FO W-101 (V 6/96) inian Branch: ota Branch:
6
THE COMMONWEALTH OF MASSACHUSETTS TOWN OF DOUGLAS BUSINESS CERTIFICATE
THE COMMONWEALTH OF MASSACHUSETTS TOWN OF DOUGLAS BUSINESS CERTIFICATE, 20 In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned
More informationKentucky Transportation Cabinet Department of Vehicle Regulation Division of Motor Carriers Transportation Network Company Authority Application
Page 1 of 10 MAIL TO: PO BOX 2007, Frankfort, KY 40602 2007 Phone: (502) 564 1257 Fax: (502) 564 4138 Walk ins: 8:00 am 4:00 pm EST http://transportation.ky.gov/motor carriers Application for New Authority
More informationHOUSE BILL NO. HB0235 A BILL. for. AN ACT relating to foreign corporations and foreign limited. liability partnerships; providing procedures for
0 STATE OF WYOMING LSO-0 HOUSE BILL NO. HB0 Foreign business entities-reinstatement. Sponsored by: Representative(s) Brown A BILL for AN ACT relating to foreign corporations and foreign limited liability
More information63rd Legislature AN ACT GENERALLY REVISING THE MONTANA DEFERRED DEPOSIT LOAN ACT; EXTENDING THE TIME
63rd Legislature HB0116 AN ACT GENERALLY REVISING THE MONTANA DEFERRED DEPOSIT LOAN ACT; EXTENDING THE TIME TO REQUEST A HEARING; ADDING PENALTIES INCLUDING FORFEITURE OF LOAN PRINCIPAL FOR LOANS MADE
More informationINSTRUCTIONS FOR FILING A BUSINESS CERTIFICATE
INSTRUCTIONS FOR FILING A BUSINESS CERTIFICATE Who Must File? Any person conducting business in Waltham Any person doing business under any title other than the complete real name of the owner, (i.e. John
More informationState of Oklahoma COUNCIL ON LAW ENFORCEMENT EDUCATION AND TRAINING Private Security Licensing Division
State of Oklahoma COUNCIL ON LAW ENFORCEMENT EDUCATION AND TRAINING Private Security Licensing Division CLEET Private Security Division Ada, Oklahoma 74820-0669 (405) 239-5100 Dear Agency Applicant: Thank
More informationInstructions to Complete a DBA application:
Instructions to Complete a DBA application: Per M.G.L. Chapter 110, Section 5, any person conducting business in the Commonwealth, whether individually or as a partnership, shall file in the Office of
More informationCORAL SPRINGS BUILDING DIVISION HOMEOWNER PERMIT INFORMATION
CORAL SPRINGS BUILDING DIVISION HOMEOWNER PERMIT INFORMATION To obtain an owner/builder permit the following is required: Completed Permit Application (Notary fee $5.00 for Coral Springs residents, $6.00
More informationNEW/RENEWAL APPLICATION FOR PAIN MANAGEMENT CLINIC REGISTRATION
Department of Regulatory and Economic Resources Business Affairs Division Office of Consumer Protection 601 NW 1st Court, 18th Floor Miami, Florida 33136 Tel: 786-469-2300 Fax: 786-469-2311 email: license@miamidade.gov
More informationDIVISION 2 WORKER S COMPENSATION
DIVISION 2 WORKER S COMPENSATION CHAPTER 10 WORKER S COMPENSATION COMMISSION 10100. Reports: Forms Authorized. 10101. Same: Forms Prescribed and Authorized. 10102. Notices and Reports May be Filed With
More informationLong Term Disability Conversion Insurance Application Instructions For Residents of: AR, CO, DC, KY, LA, NJ, NM, NY, OH, OK, PA, TN
Long Term Disability Conversion Insurance Application Instructions THE RIGHT TO CONVERT If your long term disability (LTD) insurance ends under your Employer s Group LTD Policy from Standard Insurance
More informationSTATE OF NEVADA DEPARTMENT OF BUSINESS AND INDUSTRY REAL ESTATE DIVISION 2501 East Sahara Avenue, Suite 102 * Las Vegas, NV 89104-4137 *(702) 486-4033
NEVADA OUT-OF-STATE COOPERATIVE CERTIFICATE CHECKLIST AND APPLICATION Cooperative Certificates are for A SINGLE TRANSACTION ONLY and NOT MEANT for conducting general real estate business on a day-to-day
More informationIDENTIFICATION # (VIN#, SERIAL #) GVW IF PHYSICAL DAMAGE COVERAGE IS REQUESTED, COMPLETE SPACES BELOW IN DETAIL FOR EACH RESPECTIVE UNIT ABOVE:
G U UC CMPY 0 edwood Way, uite 00, Petaluma, C 99-6 CMMC VC PPC C. ame of Business: ndividual Partnership Corporation. DB :. ame of Person Completing pplication: itle:. Mailing address: treet ddress City
More informationPlease submit TWO CHECKS as follows: $95.00, payable to the Rhode Island General Treasurer - For licenses issued on or after
Division of Commercial Licensing and State of Rhode Island and Providence Plantations REQUIREMENTS/APPLICATION FOR REAL ESTATE BROKERS The following Requirements apply to Rhode Island Residents and Non-residents.
More informationRules and Regulations Relating to The Licensing And Regulation. of The Private Security Guard Business
Rules and Regulations Relating to The Licensing And Regulation of The Private Security Guard Business Pursuant To The Private Security Guards Act of 1987 R.I.G.L. 5-5.1-1 et. seq. TABLE OF CONTENTS Section
More informationNEW JERSEY BOARD OF PUBLIC UTILITIES 44 S. Clinton Ave., P.O. Box 350 Trenton, New Jersey 08625
NEW JERSEY BOARD OF PUBLIC UTILITIES 44 S. Clinton Ave., P.O. Box 350 Trenton, New Jersey 08625 ENERGY AGENT and/or PRIVATE AGGREGATOR REGISTRATION RENEWAL (Also applicable for Energy Consultant) Please
More informationApplication for Employment
Date: pplicant s ame: ast First Middle pplication for mployment P Box 645 Brenham, X 77834 (979) 836-5224 www.germaniainsurance.com Farm Mutual ssociation Fire & Casualty elect ife General gency, nc Purchasing
More informationTable of Contents ARCHIVE
Table of Contents 17.02.11 - Administrative Rules of the Under the Workers Compensation Law -- Security for Compensation -- Self-Insured Employers 000. Legal Authority.... 2 001. Title And Scope.... 2
More informationHempfield Township Board of Supervisors
Hempfield Township Board of Supervisors 05/05/2015 MASSAGE THERAPIST APPLICATION Attach the following items at the time of application and renewal. Incomplete applications will not be processed or accepted.
More informationGeneral Contractor Registration Application Please read and follow these instructions.
General Contractor Registration Application Please read and follow these instructions. Your general contractor registration consists of the following forms: 1. Application Form 2. Bond Form 3. Insurance
More informationSTATE OF OKLAHOMA. 2nd Session of the 53rd Legislature (2012) COMMITTEE SUBSTITUTE
STATE OF OKLAHOMA nd Session of the rd Legislature () COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 0 By: Stiles COMMITTEE SUBSTITUTE An Act relating to professions and occupations; amending O.S., Sections.,.,.,.,.,.,.,.,.
More information2015-2016 Hillsborough County Pain Management Clinic Licensing Important Information
2015-2016 Hillsborough County Pain Management Clinic Licensing Important Information All pain management clinics currently licensed by Hillsborough County must apply for a 2015-2016 license prior to October
More informationCHAPTER 70-02-05 ERRORS AND OMISSIONS INSURANCE
CHAPTER 70-02-05 ERRORS AND OMISSIONS INSURANCE Section 70-02-05-01 Definitions 70-02-05-02 Insurance Required 70-02-05-03 Minimum Standards 70-02-05-04 Exceptions to Coverage 70-02-05-05 Group Policy
More informationPublic Act No. 15-162
Public Act No. 15-162 AN ACT CONCERNING A STUDENT LOAN BILL OF RIGHTS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective October 1, 2015)
More informationNEW YORK CITY TAXI AND LIMOUSINE COMMISSION. Notice of Public Hearing and Opportunity to Comment on Proposed Rules
NEW YORK CITY TAXI AND LIMOUSINE COMMISSION Notice of Public Hearing and Opportunity to Comment on Proposed Rules Notice is hereby given in accordance with section 1043 of the Charter of the City of New
More informationPROCESS SERVERS Section 22350 Business & Professions Code
PROCESS SERVERS Section 22350 Business & Professions Code NECESSITY OF FILING REGISTRATION CERTIFICATE Section 22350 a) Any natural person who makes more than 10 services of process within this county
More informationlicensed Alcoholism & Drug Abuse Counselor Licenses in Arkansas
Stricken language would be deleted from and underlined language would be added to the law as it existed prior to this session of the General Assembly. 0 State of Arkansas th General Assembly A Bill Regular
More informationHawkers & Peddlers Certificate
Hawkers &Peddlers License Hawkers & Peddlers Certificate Push Cart Permit For sale of food & non-food IF YOU HAVE A State License All of MA Required for public way Need H&P Certificate also No Indemnification
More informationWho Can Apply (A or B)
Community & Economic Development Dept. www.ci.miramar.fl.us Who Can Apply (A or B) CHANGE OF CONTRACTOR APPLICATION PACKAGE A. Licensed Contractors for Residential & Commercial Permit can be issued to
More informationEMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT
POLICY NUMBER: CL CG 04 57 07 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the
More informationLICENSING PROCEDURES FOR MANAGING GENERAL AGENTS TO OBTAIN AUTHORITY IN VIRGINIA
LICENSING PROCEDURES FOR MANAGING GENERAL AGENTS TO OBTAIN AUTHORITY IN VIRGINIA October 2005 GENERAL INFORMATION The 1992 Virginia General Assembly passed legislation requiring the licensing of managing
More informationSUBSTITUTE SENATE BILL 6319. State of Washington 64th Legislature 2016 Regular Session
S-.1 SUBSTITUTE SENATE BILL 1 State of Washington th Legislature 01 Regular Session By Senate Commerce & Labor (originally sponsored by Senators Jayapal, Litzow, Billig, Mullet, Hobbs, Fain, Hasegawa,
More informationEX PARTE EMERGENCY ORDER TO CEASE AND DESIST THE UNAUTHORIZED AND UNLAWFUL TRANSACTION OF THE BUSINESS OF TITLE INSURANCE IN THE STATE OF COLORADO
BEFORE THE DIVISION OF INSURANCE STATE OF COLORADO Case File No. 144415 Order No. O-05-020 EX PARTE EMERGENCY ORDER TO CEASE AND DESIST THE UNAUTHORIZED AND UNLAWFUL TRANSACTION OF THE BUSINESS OF TITLE
More information4501-45-02 Certification requirements for immobilizing or disabling devices other than ignition interlock devices.
ACTION: Original DATE: 01/15/2016 1:26 PM 4501-45-02 Certification requirements for immobilizing or disabling devices other than ignition interlock devices. (A) A manufacturer of an immobilizing or disabling
More informationIMINA' TRENTA NA LIHESLATURAN GUAHAN 2009 (FIRST) Regular Session, AN ACT TO ADD A NEW ARTICLE 9 TO CHAPTER 15 OF 22GCA RELATIVE TO PUBLIC ADJUSTERS.
Bill No. Introduced by: IMINA' TRENTA NA LIHESLATURAN GUAHAN 2009 (FIRST) Regular Session, V'l ~ RaYTenori~ AN ACT TO ADD A NEW ARTICLE 9 TO CHAPTER 15 OF 22GCA RELATIVE TO PUBLIC ADJUSTERS. 1 BE IT ENACTED
More informationSTATE OF NEBRASKA DEPARTMENT OF INSURANCE 941 O STREET, SUITE 400 LINCOLN, NE 68508 Switchboard (402) 471-2201 Licensing Division (402) 471-4913
STATE OF NEBRASKA DEPARTMENT OF INSURANCE 941 O STREET, SUITE 400 LINCOLN, NE 68508 Switchboard (402) 471-2201 Licensing Division (402) 471-4913 REQUIREMENTS AND PROCEDURE FOR OBTAINING A CORPORATE INSURANCE
More informationERRORS & OMISSIONS RENEWAL APPLICATION
ERRORS & OMISSIONS RENEWAL APPLICATION UNDERWRITING OFFICE: 14643 Dallas Parkway Suite 770 Dallas, TX 75254 THIS IS AN APPLICATION FOR A CLAIMS MADE AND REPORTED POLICY. THIS POLICY APPLIES ONLY TO THOSE
More informationLife Insurance Benefits Application Instructions
Application Instructions Please Read Carefully The application for life insurance benefits consists of the forms included in this packet, as well as the additional information noted under item 1 below.
More informationCriminals; Rehabilitation CHAPTER 364 CRIMINAL OFFENDERS; REHABILITATION
1 MINNESOTA STATUTES 2013 364.02 Criminals; Rehabilitation CHAPTER 364 CRIMINAL OFFENDERS; REHABILITATION 364.01 POLICY. 364.02 DEFINITIONS. 364.021 PUBLIC AND PRIVATE EMPLOYMENT; CONSIDERATION OF CRIMINAL
More informationMEDICAL MARIHUANA LICENSE APPLICATION for GROWING by PATIENTS
MEDICAL MARIHUANA LICENSE APPLICATION for GROWING by PATIENTS City of Muskegon Clerk s Office Ann Marie Cummings, City Clerk 933 Terrace Street, Muskegon, MI 49440 Office (231)724-6705 Fax (231)724-4178
More informationShed Application Package
City of Miramar Building Division Community & Economic Development Department 2200 Civic Center Place Miramar, Florida 33025 Tel: 954.602.3200 Fax: 954.602.3635 www.miramarfl.gov Shed Application Package
More informationFINAL ORDER Effective: 11/08/2004
BEFORE THE COMMISSIONER OF INSURANCE OF THE STATE OF KANSAS In the Matter of the Kansas Resident ) Insurance Agent s License of ) Docket No. 3391-SO KEN CAMPBELL ) FINAL ORDER Effective: 11/08/2004 SUMMARY
More informationCITY OF AURORA CITY COUNCIL ORDINANCE NUMBER DATE OF PASSAGE
DRAFT PETITIONER: The City of Aurora ORDINANCE NUMBER DATE OF PASSAGE CITY OF AURORA CITY COUNCIL AN ORDINANCE AMENDING CHAPTER 25 OF THE CITY OF AURORA CODE OF ORDINANCES TO ADD A NEW ARTICLE XI THERETO
More informationHAZARDOUS MATERIALS TRANSPORTATION ACT Act 138 of 1998. The People of the State of Michigan enact:
HAZARDOUS MATERIALS TRANSPORTATION ACT Act 138 of 1998 AN ACT to regulate the transportation of certain hazardous materials; to prescribe the powers and duties of certain state agencies and officials;
More informationAPPLICATION FOR ELECTRICIAN'S LICENSE IOWA ELECTRICAL EXAMINING BOARD
APPLICATION FOR ELECTRICIAN'S LICENSE IOWA ELECTRICAL EXAMINING BOARD SUBMIT TO: ELECTRICAL EXAMINING BOARD 215 EAST 7 TH STREET DES MOINES, IA 50319 APPLICABLE LICENSE FEE PAYABLE TO IOWA ELECTRICAL EXAMINING
More informationLAWYERS PROFESSIONAL LIABILITY INSURANCE APPLICATION
LAWYERS PROFESSIONAL LIABILITY INSURANCE APPLICATION ProAssurance Casualty Company PO Box 150 Okemos, MI 48805-0150 800.292.1036 517.349.6500 Fax 517.347.6321 NOTICE: This professional liability coverage
More informationADOPTED REGULATION OF THE DEPARTMENT OF MOTOR VEHICLES. LCB File No. R074-01. Effective November 8, 2001
ADOPTED REGULATION OF THE DEPARTMENT OF MOTOR VEHICLES LCB File No. R074-01 Effective November 8, 2001 EXPLANATION Matter in italics is new; matter in brackets [omitted material] is material to be omitted.
More informationSECURITY GUARD LICENSE GUIDE
SECURITY GUARD LICENSE GUIDE DISCLAIMER: The information provided below is not an all inclusive set of laws or rules and regulations that must be followed if licensure is obtained. The information below
More informationApplication for Registration or Renewal of Athlete Agent
11 F0091 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE Post Office Box 136, Jackson, MS 39205-0136 (601)359-9055 Application for Registration or Renewal of Athlete Agent A Certificate of Registration or
More informationYale University Life Insurance Benefits Application Instructions
Application Instructions PLEASE READ CAREFULLY The application for life insurance benefits consists of the forms included in this packet, as well as the additional information noted under item 1 below.
More informationGENERAL INSTRUCTION COMMON VICTUALLER APPLICATION
MARY-RITA O'SHEA City Clerk CITY OF MELROSE OFFICE OF THE CITY CLERK City Hall, 562 Main Street Melrose, Massachusetts 02176 Telephone - (781) 979-4114 Fax - (781) 979-4149 GENERAL INSTRUCTION COMMON VICTUALLER
More informationRHODE ISLAND DEPARTMENT OF LABOR AND TRAINING DIVISION OF WORKFORCE REGULATION AND SAFETY PROFESSIONAL REGULTION UNIT
RHODE ISLAND DEPARTMENT OF LABOR AND TRAINING DIVISION OF WORKFORCE REGULATION AND SAFETY PROFESSIONAL REGULTION UNIT NEW ALARM BUSNIESS LICENSE REQUIERMENTS: Application for Alarm Business License must
More informationAPPLICATION FOR LICENSE FOR INSTALLER / TRANSPORTER OF FACTORY-BUILT HOMES
MISSISSIPPI Insurance Department Office of the State Fire Marshal Factory-Built Home Division Post Office Box 79 Jackson, Mississippi 39205 (601) 359-1061 Phone (601) 359-1076 Fax MAN-3 September 2, 2015
More informationRULES OF TENNESSEE DEPARTMENT OF LABOR DIVISION OF WORKER S COMPENSATION CHAPTER 0800-02-01 GENERAL RULES OF THE WORKERS COMPENSATION PROGRAM
RULES OF TENNESSEE DEPARTMENT OF LABOR DIVISION OF WORKER S COMPENSATION CHAPTER 0800-02-01 GENERAL RULES OF THE WORKERS COMPENSATION PROGRAM TABLE OF CONTENTS 0800-02-01-.01 Purpose and Scope 0800-02-01-.15
More informationGENERAL INFORMATION. Telephone Number: Fax Number: Email Address: Web Address:
1 st Choice Real Estate Services Professional Liability Coverage Application SM Travelers Casualty and Surety Company of America THE INFORMATION BEING REQUESTED IS FOR A CLAIMS MADE POLICY. IT IS IMPORTANT
More informationSummary of Emergency Adoption of Regulation Underground Utility License
Summary of Emergency Adoption of Regulation Underground Utility License Pursuant to Rhode Island General Law title 5, Chapter 5-65.3 the Board has the responsibility to regulate underground utility contractors
More informationCITY OF SPRINGFIELD, MISSOURI DIVISION OF PURCHASES INVITATION FOR BID #147-2016 ADDENDUM #1
CITY OF SPRINGFIELD, MISSOURI DIVISION OF PURCHASES INVITATION FOR BID #147-2016 ADDENDUM #1 Kara Daniel, Buyer Date Issued: March 31, 2016 City of Springfield Buyer s Email: kdaniel@springfieldmo.gov
More informationAsbestos Licensure Law. Code of West Virginia Chapter 16, Article 32 (As amended by the 1993 Legislative Session)
Asbestos Licensure Law Code of West Virginia Chapter 16, Article 32 (As amended by the 1993 Legislative Session) Be it enacted by the Legislature of West Virginia: That chapter sixteen of the code of West
More informationAPPLICATION FOR LICENSURE AS AN INSTALLMENT SELLER
APPLICATION FOR LICENSURE AS AN INSTALLMENT SELLER PART 1 The Pennsylvania Department of Banking and Securities (the Department) welcomes your request for this Installment Seller application. It is the
More information114CSR59. 114-59-4. Amendments to the West Virginia Medical Malpractice Policy Agreement Form.
114CSR59 WEST VIRGINIA LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 59 MEDICAL MALPRACTICE INSURANCE CONSENT TO RATE AND GUIDE A RATE AGREEMENTS Section 114-59-1. General. 114-59-2. Definitions. 114-59-3.
More informationImportant Message for Process Server Organizations and Individuals
Important Message for Process Server Organizations and Individuals The new regulations for Process Server Organizations and Individuals (including bond requirements) are in effect. Attached are Surety
More informationSubstitute for HOUSE BILL No. 2024
Substitute for HOUSE BILL No. 2024 AN ACT enacting the Kansas roofing contractor registration act. Be it enacted by the Legislature of the State of Kansas: Section 1. Sections 1 through 18, and amendments
More informationLicensure as a Pharmacy Technician
*** Submit this page with application *** ***FOR OFFICE USE ONLY*** Receipt # ID # Issue Date License # State of Rhode Island Board of Pharmacy Room 205 3 Capitol Hill Providence, RI 02908-5097 Instructions
More informationDISTRICT OF COLUMBIA MUNICIPAL REGULATIONS for SOCIAL WORK
DISTRICT OF COLUMBIA MUNICIPAL REGULATIONS for SOCIAL WORK 5/4/12 1 CHAPTER 70 SOCIAL WORK Secs. 7000 General Provisions 7001 Term of License 7002 Educational and Training Requirements 7003 Applicants
More informationCOMBINED SHORT LINE RAILROAD LIABILITY INSURANCE & PROPERTY/INLAND MARINE INSURANCE APPLICATION
COMBINED SHORT LINE RAILROAD LIABILITY INSURANCE & PROPERTY/INLAND MARINE INSURANCE APPLICATION Note: This application is for claims made insurance coverage for Liability Insurance. Please type or print
More information304.20-040 Cancellation, nonrenewal, or termination of automobile insurance -- Definitions -- Scope -- Penalties. (1) As used in this section: (a)
304.20-040 Cancellation, nonrenewal, or termination of automobile insurance -- Definitions -- Scope -- Penalties. (1) As used in this section: (a) "Policy" means an automobile liability insurance policy,
More information*87503* Group Insurance. Group Life Claim for Total Disability Benefits Employee Statement
Group Life Claim for Total Disability Benefits Employee Statement Instructions to file a Claim for Group Life Insurance Coverage for Total Disability 1. Complete all sections of the Employee Statement
More informationCITY OF THE VILLAGE OF DOUGLAS ALLEGAN COUNTY, MICHIGAN ORDINANCE NO. 04-2013
CITY OF THE VILLAGE OF DOUGLAS ALLEGAN COUNTY, MICHIGAN ORDINANCE NO. 04-2013 AN ORDINANCE TO ESTABLISH REGULATIONS AND LICENSING REQUIREMENTS REGARDING MEDICAL MARIHUANA ACTIVITIES WITHIN THE CITY OF
More informationNC General Statutes - Chapter 20 Article 13 1
Article 13. The Vehicle Financial Responsibility Act of 1957. 20-309. Financial responsibility prerequisite to registration; must be maintained throughout registration period. (a) No motor vehicle shall
More informationCORPORATE SURETY LICENSE APPLICATION
CORPORATE SURETY LICENSE APPLICATION WILLIAMSON COUNTY BAIL BOND BOARD WILLIAMSON COUNTY DISTRICT ATTORNEY S OFFICE GEORGETOWN, TEXAS New Application Renewal Application NO APPLICATION SHALL BE DEEMED
More informationState of New Jersey Department of Labor and Workforce Development Division of Wage and Hour Compliance PO Box 389 Trenton, New Jersey 08625-0389
State of New Jersey Department of Labor and Workforce Development Division of Wage and Hour Compliance PO Box 389 Trenton, New Jersey 08625-0389 Instructions for Completing the Application for Public Works
More informationAPPLICATION FOR LICENSE BY EXAMINATION NURSING HOME ADMINISTRATOR
APPLICATION FOR LICENSE BY EXAMINATION NURSING HOME ADMINISTRATOR WEST VIRGINIA NURSING HOME ADMINISTRATORS LICENSING BOARD P. O. BOX 522 WINFIELD, WV 25213 Surname Given Name Middle/Maiden Name INSTRUCTIONS
More informationNew York Professional Employer Act
New York State Department of Labor Article 31 New York Professional Employer Act ART 31 (06/14) ARTICLE 31 NEW YORK PROFESSIONAL EMPLOYER ACT Section 915. Short title. 916. Definitions. 917. Continuing
More informationNC General Statutes - Chapter 90 Article 18D 1
Article 18D. Occupational Therapy. 90-270.65. Title. This Article shall be known as the "North Carolina Occupational Therapy Practice Act." (1983 (Reg. Sess., 1984), c. 1073, s. 1.) 90-270.66. Declaration
More informationOWNER-BUILDER ACKNOWLEDGEMENT & INFORMATION VERIFICATION
GEORGE CHAVEZ, City Building Official DAVID YELTON, Building Inspection Manager NESTOR OTAZU, Community Preservation Manager BUILDING & SAFETY DIVISION 455 North Rexford Drive, 1 st Floor Beverly Hills,
More informationTown of Clinton. TRENCH PERMIT 242 Church St.Clinton Ma. 01510 Telephone# Office (978) 365-4128 FAX (978) 612-0202. This Section for Official use only
Town of Clinton TRENCH PERMIT 242 Church St.Clinton Ma. 01510 Telephone# Office (978) 365-4128 FAX (978) 612-0202 Tony Zahariadis Building Commissioner Zoning Enforcement Officer This Section for Official
More informationINSTRUCTIONS FOR APPLICATION FOR NEW DEALERSHIP
DIVISION OF MOTOR VEHICLES DEALERS LICENSE AND REGULATION OFFICE INSTRUCTIONS FOR APPLICATION FOR NEW DEALERSHIP Instructions for applicants in making first application for dealers license application
More informationLICENSE APPLICATION FOR CONTRACTORS
LICENSE APPLICATION FOR CONTRACTORS www.ci.blaine.mn.us CITY OF BLAINE 10801 Town Square Drive NE Blaine, MN 55449 PHONE # 763-717-2628 FAX # 763-785-6111 DATE Firm or Business Name: Type of Business or
More informationINSTRUCTIONS FOR COMPLETING DBPR ABT 6006 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR CIGAR WHOLESALE DEALER PERMIT
INSTRUCTIONS FOR COMPLETING DBPR ABT 6006 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR CIGAR WHOLESALE DEALER PERMIT If you have any questions or need assistance in completing this application,
More informationFULTON COUNTY SCHOOLS IMMIGRATION AND SECURITY FORM
FULTON COUNTY SCHOOLS IMMIGRATION AND SECURITY FORM If you are providing service, performing work or delivering goods to the Fulton County Board of Education including, but not limited to schools, warehouses
More informationLocal Business Tax Receipts Regulations and Procedures
Local Business Tax Receipts Regulations and Procedures Sec. 41-68. - Definitions. The following words, terms and phrases, when used in this section, shall have the meanings ascribed to them in this section,
More informationRegular Session, 2014. ACT No. 136. To amend and reenact R.S. 37:2352(4), (5), (6) and (7), 2354(B), (C) and (D), 2355(B),
Regular Session, 0 SENATE BILL NO. BY SENATOR MARTINY ACT No. 0 AN ACT To amend and reenact R.S. :(), (), () and (), (B), (C) and (D), (B),, the introductory paragraph of (B), (E) and (G), (A), (B), (C)(),
More informationORDINANCE NO. 08-129
ORDINANCE NO. 08-129 AN ORDINANCE REPEALING AND REORDAINING PART 4 (ALARM LICENSES AND REGISTRATION) OF ARTICLE 3 (SALES OF GOODS AND SERVICES) OF CHAPTER 2 (BUSINESS LICENSES, LIQUOR REGULATION AND TAXATION),
More informationMCG, Inc. dba Georgia Regents Medical Center Life Insurance Benefits Application Instructions
Application Instructions Please Read Carefully The application for life insurance benefits consists of the forms included in this packet, as well as the additional information noted under item 1 below.
More informationCity of Los Angeles Disability Insurance Claim Packet Instructions
Claim Packet Instructions Your Disability Benefit Claim This packet contains the forms necessary to apply for disability benefits. It also addresses common questions about Disability claims. Please save
More informationBUCKS COUNTY DEPARTMENT OF HEALTH RULES AND REGULATIONS FOR CONDUCTING AND OPERATING FOOD FACILITIES
BUCKS COUNTY DEPARTMENT OF HEALTH RULES AND REGULATIONS FOR CONDUCTING AND OPERATING FOOD FACILITIES EFFECTIVE DATE: October 1, 2014 BUCKS COUNTY DEPARTMENT OF HEALTH RULES AND REGULATIONS FOR CONDUCTING
More information1. FEES ALL FEES ARE NON-REFUNDABLE
WASHOE COUNTY SHERIFF S OFFICE APPLICATION FOR CONCEALED WEAPON PERMIT GENERAL INFORMATION AND INSTRUCTIONS 1. FEES ALL FEES ARE NON-REFUNDABLE (a) Initial application: The following fees are to be submitted
More informationCity of Miramar Building Division
Concrete Slab, Driveway & Pavers Application Package Who Can Apply (A or B) A. Licensed Contractors for Residential Permit can be issued to Licensed Contractors properly registered in the Community Development
More informationASSEMBLY BILL No. 2570
AMENDED IN SENATE JULY, 0 AMENDED IN SENATE JUNE, 0 california legislature 00 regular session ASSEMBLY BILL No. 0 Introduced by Assembly Member Ma February, 0 An act to add Section 0. to the Unemployment
More informationPRN Medical Transport Employment Application Packet
edical ransport mployment pplication acket : ll pplicants : anagement hank you for expressing an interest in edical ransport. edical ransport provides non emergency medical transportation for patients
More informationCOMMUNITY ASSOCIATION MANAGER APPLICATION FOR LICENSURE
COMMUNITY ASSOCIATION MANAGER APPLICATION FOR LICENSURE ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION Division of Professional Regulation 320 West Washington Street, 3 rd Floor Springfield,
More informationKentucky Transportation Cabinet Department of Vehicle Regulation Division of Motor Carriers Charter Bus Authority Application
Page 1 of 9 MAIL TO: PO BOX 2007, Frankfort, KY 40602-2007 Phone: (502) 564-1257 Fax: (502) 564-4138 Walk-ins: 8:00 am 4:00 pm EST http://transportation.ky.gov/motor-carriers Application for New Authority
More informationState of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Commercial Licensing Cranston, Rhode Island
State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Commercial Licensing Cranston, Rhode Island Commercial Licensing Regulation 16 Motor Vehicle Body Repair Technician
More informationForm 2501 General Information (Application for Registration as an Athlete Agent)
Form 2501 General Information (Application for Registration as an Athlete Agent) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This
More informationPage 1 of 24 Bingo Application & Instructions
HERNANDO COUNTY ORDINANCE NO. 93-18, AS AMENDED, REQUIRES ANYONE SPONSORING A BINGO GAME OR LEASING PROPERTY THAT WILL BE USED FOR THE PURPOSE OF CONDUCTING BINGO TO OBTAIN A BINGO PERMIT. This packet
More informationProper Procedures to Make Business Permit Changes
Proper Procedures to Make Business Permit Changes Board approval to make changes to a business permit depends upon: A properly completed Application to Make Business Permit Changes accompanied by the appropriate
More informationElevator Contractor Limited Elevator Contractor Business License Application Instructions
Licensing and Certification Services Mailing Address: PO Box 64227 E-mail: dli.license@state.mn.us Web Site: www.dli.mn.gov/ccld.asp Directions: http://www.dli.mn.gov/direct.asp Phone: (651) 284-5034 Elevator
More informationGROUP LIFE INSURANCE CLAIM PACKET (Death)
GROUP LIFE INSURANCE CLAIM PACKET (Death) You Can Help Ensure A Quick Claim Decision All required claim forms must be signed, dated and completed fully and accurately. Provide all supporting documentation
More informationINFORMATION FOR ASBESTOS HANDLING LICENSE APPLICANTS
STATE OF NEW YORK > DEPARTMENT OF LABOR DIVISION OF SAFETY AND HEALTH LICENSE AND CERTIFICATE UNIT BUILDING 12, ROOM 161 STATE CAMPUS ALBANY, NY 12240 (518) 457>2735 GENERAL INFORMATION INFORMATION FOR
More informationRULES AND REGULATIONS FOR LICENSING OF NURSING HOME ADMINISTRATORS (R5-45-NHA)
RULES AND REGULATIONS FOR LICENSING OF NURSING HOME ADMINISTRATORS (R5-45-NHA) STATE OF RHODE ISLAND PROVIDENCE PLANTATIONS Department of Health April 1971 As Amended: April 1981 January 1986 April 1988
More information