APPLICATION FOR A STATEWIDE CATERER S LICENSE
|
|
|
- Antony O’Brien’
- 9 years ago
- Views:
Transcription
1 See page 5 for guidelines and instructions. For the use of: (Check one) Check type of license desired: An individual Partnership General Limited Corporation Limited Liability Co. License Annual Fee General SCAT License...$2, Limited SCAT License - More than 600,000 but less than 1,000,000 total population... $1, Limited SCAT License - More than 300,000 but less than 600,000 total population... $1, Limited SCAT License - Not more than 300,000 total population...$ OFFICE USE ONLY Check Number Amount $ Deposit Approved License # Stub # Issued Do not remit any license fee with this application. If your application is approved, you will be advised of the appropriate license fee based upon provisions of the law. If applying for a Limited License, list the three contiguous political subdivisions of the state in which you plan to operate: Application is made by the undersigned under the provisions of Article 2B, as amended, title Alcoholic Beverages, for the type of license checked above, and the applicant(s) submit and certify to the following information required by law: 1. Applicants * (1) (2) (3) Name Residence Home Phone of Birth Place of Birth Social Security Number ** Position Qualifying Maryland Resident? *** Yes No Yes No Yes No MD Resident Since () * In the case of a corporation, the law requires three officers to apply as license applicants, unless less than three exist. (In the latter case, submit supporting documentation.) ** The disclosure of applicant s Social Security Number is mandatory and will be used for background investigations, including a criminal history records checks, pursuant to Section of Article 2B, Annotated Code of Maryland. *** At least one applicant must be a voter and taxpayer in Maryland presently and for the two immediately preceding years. In case of partnership, all individuals must meet this requirement. 2. Company name and/or trade name 3. Location of desired licensed premises/principal office 4. Description of premises to be covered under license applied for (lot, type, size, and construction of building) 5. Business phone number(s) Fax number address
2 Page 2 6. a. business began b. Type of accounting period (calendar yr, fiscal yr, etc.) Month FY begins c. If corporation or limited liability company, date chartered State d. Federal Employer Identification Number e. MD Central Registration Number 7. Name and address of the owner of premises 8. The applicants are presently the holders of the following alcoholic beverages licenses or permits issued by the state of Maryland, any other state or jurisdiction, or the United States government (if more space is needed, attach additional sheet). Issuing Authority Type Expiration Number 9. The applicants have previously held the following alcoholic beverage licenses or permits: 10. The applicants have applications pending for the following alcoholic beverage licenses or permits: 11. Please answer each of the following questions applicable to all individual applicants: (attach explanation if Yes to (*) questions): *A. Has any applicant ever been convicted of a felony by any state or federal court?... Yes No *B. Has any applicant ever been convicted of a violation of the laws of the United States, Maryland, or any other state concerning alcoholic beverages, gaming, or gambling?... Yes No *C. Has any applicant ever been denied or had revoked an alcoholic beverage license or permit?... Yes No D. Do the applicants agree to conform to all the laws, rules and regulations of the state of Maryland relating to the business in which they propose to engage under this license?... Yes No E. Do the applicants authorize the comptroller and his duly authorized personnel to search without warrant any premise or vehicle used in the business to be conducted under this license at any and all hours agreeable to the state of Maryland?... Yes No F. Do the applicants meet all state and local requirements and hold all requisite licenses relating to the catering business conducted?... Yes No G. Do the applicants hold the requisite health department permit or certification to engage in catering activities in the jurisdiction where their principal office is located? (If yes, attach a copy of license or certification. If no, attach documentation from the appropriate authority indicating no permit or certification is required.)... Yes No H. Do the applicants hold a retail alcoholic beverage license solely for the privilege of catering alcoholic beverages or do they pay an additional local fee for the privilege of catering alcoholic beverages? (If yes, attach documentation) Yes No I. Do the applicants agree to have an employee who has completed a certified alcohol awareness program present at all times during catered events under this license?... Yes No 12. Section of Article 2B of the Annotated Code of Maryland titled Workers Compensation Compliance requires the evidence of such compliance prior to the issuance of any license by this office. The applicant hereby affirms (complete one): a. the applicant is not an employer required to provide coverage by the Maryland Workers Compensation Law; or b. _the applicant is an employer required to provide employee coverage by the Maryland Workers Compensation Law and has secured such coverage as evidenced by the certificate of compliance attached herewith; or c. _the applicant is an employer required to provide employee coverage by the Maryland Workers Compensation Law and has secured such coverage. As evidence of such coverage, the following is submitted: 1. Name of Insurance Co. 2. Policy or Binder No.
3 Page All applicants must complete this section Also, by signing this application, I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct to the best of my knowledge, information, and belief. Print name(s) and address(es) of officer(s): (Note: All officers must be listed - attach separate sheet if necessary.) Signature of president or vice-president Note: If president or vice-president is one of the applicants, he/she must sign both as president/ vice-president and as applicant. (Corporation Seal) This Section Must be Completed by the Owner of the Premises 14. Statement of owner of premises required in connection with alcoholic beverages law of Maryland (I/we) hereby certify, that (I am/we are) the owner(s) of property known as named in the afore going application made to the State Comptroller under the Alcoholic Beverages Law of Maryland; that (I / we) assent to the granting of the license applied for, and that (I/we) hereby authorize the State Comptroller, his duly authorized deputies, inspectors and clerks, the Board of License Commissioners of the jurisdiction in which the place of business is located, its duly authorized agents and employees, and any peace officer of such jurisdiction to inspect and search, without warrant, the premises upon which the business is to be conducted, and any and all parts of building in which said business is to be conducted, at any and all hours. I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct to the best of my knowledge, information and belief. Signature Type or print name Title
4 Page 4 Third Party Checks I do solemnly declare and affirm under the penalties of perjury that the contents below are true and correct to the best of my knowledge, and that I am authorized and empowered to issue a check and make payment for the license/permit fee on behalf of the applicant. Name of Corporation; Partners of Partnership; or Individual (include Trade Name) Complete Mailing Address Signature of Owner, Partner or Corporate Officer Title Federal Identification Number and/or Social Security Number
5 INSTRUCTIONS A SCAT license may be issued to a person who: (1) is engaged in the business of catering; (2) meets all State and local licensing requirements; (3) holds any catering license that may be required by a local political subdivision; and (4) holds an existing permanent retail alcoholic beverages license other than a Class C license or does not hold an alcoholic beverages license but has a permanent office and storage facility for alcoholic beverages in the State. A SCAT licensee may acquire alcoholic beverages through a licensed wholesaler, if the licensee also holds a retail license, or through a retail dealer in the State. A SCAT licensee may serve alcoholic beverages at a catered event throughout the State to persons of legal drinking age on unlicensed premises or on temporarily licensed premises. A licensee may store unused alcoholic beverages at the principal place of business for use at future catered events. A licensed retailer who operates solely in a political subdivision under the authority of the local Board of License Commissioners need not acquire a SCAT license. Local boards are authorized to monitor SCAT licensees and report violations of alcoholic beverages law to the Comptroller s Office. A SCAT licensee is required to supply service personnel, and ensure that the personnel are present at all times during the catered event. The personnel must be present for deliveries of alcoholic beverages, and at least one individual must be certified by an alcohol awareness program that is licensed by the State Comptroller. All unused alcoholic beverages must be returned at the end of a catered event to the principal place of business. The sale of food must represent at least 70% of the total cost of the event. A SCAT licensee may not serve alcoholic beverages at its office, or at any event for which the holder is a sponsor, except when operating under a permanent on-premises retail alcoholic beverages license. A SCAT licensee may sell and serve alcoholic beverages only during the hours and days that the holder of a Class B license may operate in the jurisdiction where the catered event is conducted. A person or establishment may have only one SCAT license. The SCAT license may be issued as a general or limited license. A general SCAT license authorizes the holder to operate in any political subdivision of the state and a limited SCAT license authorizes the holder to operate in not more than three contiguous designated political subdivisions provided that the total population of the designated political subdivisions does not exceed 1,000,000. The annual fee for a general SCAT license is $2, For a limited SCAT license, the fee is based upon the most recent applicable records of the designated political subdivisions as compiled by the Department of Health and Mental Hygiene as follows: 1. A population of at least 600,000 $1, A population of more than 300,000 but less than 600,000 $1, A population of not more than 300,000 $ An applicant for a SCAT license who holds a permanent retail license and a special catering license, or who pays an additional fee for the privilege of catering in the applicant s political subdivision, shall be entitled to a license fee credit not to exceed the additional catering fee paid. However, there must be a minimum license fee payment of $250 for a general or limited SCAT license. Comptroller of Maryland Revenue Administration Division Licensing & Registration PO Box 2999 Annapolis, MD
How To Get A Transporter Tag In Martha Michael
CS-050 (12-13) Instructions for Interchangeable Registration Plates for Transporters and Finance Companies All CS forms listed on this sheet should be included in this licensing package. Please call (410)
INSTRUCTIONS FOR COMPLETING DBPR ABT 6021 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR PASSENGER VESSEL PERMIT
INSTRUCTIONS FOR COMPLETING DBPR ABT 6021 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR PASSENGER VESSEL PERMIT If you have any questions or need assistance in completing this application,
2016-2017 Liquor License Application Applicant Name:
Cook County Liquor Control Commission 118 N. Clark Street, Room 1160 Chicago, Illinois 60602 (312) 603-3727 (312) 603-5771 (fax) Toni Preckwinkle President Cook County Board of Commissioners Zahra Ali
INSTRUCTIONS 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,
Home Inspector License Application
New York State DEPARTMENT OF STATE Division of Licensing Services P.O. Box 22001 Customer Service: (518) 474-4429 Albany, NY 12201-2001 www.dos.ny.gov Home Inspector License Application Read the instructions
Kentucky Motor Vehicle Commission SALESPERSON LICENSE APPLICATION IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL
IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL All persons employed by a dealership in a sales capacity, even if on a temporary basis, and those individuals identified in 605 KAR 1:050 Section 5 must be
COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT REGISTRATION REQUIREMENTS FOR PURCHASING GROUPS
COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT REGISTRATION REQUIREMENTS FOR PURCHASING GROUPS REGISTRATION REQUIREMENTS FOR PURCHASING GROUPS The Commonwealth of Pennsylvania appreciates your interest
MASSAGE THERAPIST LICENSE APPLICATION
2015 First Avenue, Anoka, MN 55303 Phone: (763) 576-2700 Website: www.ci.anoka.mn.us MASSAGE THERAPIST LICENSE APPLICATION NOTE: Once the license is approved and issued, it is the Licensee s responsibility
CLASS A LICENSE RENEWAL APPLICATION
- BINGO - INSTRUCTIONS CLASS A LICENSE RENEWAL APPLICATION Pinellas County Code, Chapter 10 requires charitable organizations and authorized organizations holding a Class A Bingo License to apply to renew
NORTH CAROLINA DEPARTMENT OF INSURANCE RALEIGH, NORTH CAROLINA INDIVIDUAL EMPLOYERS SELF-INSURED FOR WORKERS COMPENSATION APPLICATION TO SELF-INSURE
NORTH CAROLINA DEPARTMENT OF INSURANCE RALEIGH, NORTH CAROLINA INDIVIDUAL EMPLOYERS SELF-INSURED FOR WORKERS COMPENSATION APPLICATION TO SELF-INSURE The undersigned, an employer subject to the current
STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT
STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A LICENSE UNDER THE CALIFORNIA FINANCE LENDERS LAW (CFLL) WHO IS REQUIRED TO OBTAIN A FINANCE LENDERS
GENERAL 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
INSTRUCTIONS FOR PREPAID SERVICE PLANS NEW OR RENEWAL APPLICATIONS
INSTRUCTIONS FOR PREPAID SERVICE PLANS NEW OR RENEWAL APPLICATIONS The attached documents comprise the application necessary to obtain a Certificate of Registration as a prepaid legal or dental service
GUIDE TO EXCAVATING CONTRACTORS REGISTRATION
GUIDE TO EXCAVATING CONTRACTORS REGISTRATION Pursuant to Section 6-19 of the General Code of the City of Chelsea Ordinances, all excavating contractors must obtain registration annually before conducting
APPLICATION FOR CROWDFUNDING EXEMPTION Pursuant to Montana Code Annotated Section 30-10-105(22)
Monica J. Lindeen Montana State Auditor 840 Helena Ave Phone: 406.444.2040 800.332.6148 Fax: 406.444.3497 www.csimt.gov APPLICATION FOR CROWDFUNDING EXEMPTION Pursuant to Montana Code Annotated Section
How To Become A Real Estate Salesperson In New York
New York State DEPARTMENT OF STATE Division of Licensing Services Customer Service: (518) 474-4429 P.O. Box 22001 Fax: (518) 402-4559 Albany, NY 12201-2001 Website: www.dos.state.ny.us Real Estate Salesperson
TAX GRIEVANCE CONSULTANT LICENSE APPLICATION INSTRUCTIONS
Steven Bellone Suffolk County Executive Frank Nardelli Commissioner SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING & CONSUMER AFFAIRS P.O. Box 6100, Hauppauge, NY 11788-0099 (631) 853-4600 FAX (631) 853-4825
Private Process Server Program Application Requirements
Private Process Server Program Application Requirements Minimum Qualifications 18 yrs. or older Resident of Guam (at least 1 yr. preceding application Must have no felony or misdemeanor convictions involving
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLES AMENDED RULES AND REGULATIONS RELATIVE TO
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLES AMENDED RULES AND REGULATIONS RELATIVE TO COMPULSORY INSURANCE OR FINANCIAL RESPONSIBILITY WALTER R. CRADDOCK,
BROKER LICENSE INDIVIDUAL REQUIREMENTS. The following are the basic requirements an applicant must satisfy to obtain a broker license:
COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT BUREAU OF PRODUCER LICENSING 1300 Strawberry Square Phone (717) 787-3840 Harrisburg, PA 17120 Fax (717) 787-8553 BROKER LICENSE INDIVIDUAL REQUIREMENTS
SOUTH DAKOTA DIVISION OF INSURANCE 124 S Euclid Ave, 2 ND Floor Pierre, South Dakota 57501 (605) 773-3563 http://dlr.sd.
SOUTH DAKOTA DIVISION OF INSURANCE 124 S Euclid Ave, 2 ND Floor Pierre, South Dakota 57501 (605) 773-3563 http://dlr.sd.gov/insurance Purchasing Group (PG) Registration To Do The Business of Insurance.
ASSOCIATED LICENSEE LOAN MODIFICATION CONSULTANT, FORECLOSURE CONSULTANT AND COVERED SERVICE PROVIDER APPLICATION FOR RENEWAL OF LICENSE AND CHECKLIST
STATE OF NEVADA DEPARTMENT OF BUSINESS AND INDUSTRY DIVISION OF MORTGAGE LENDING 1830 College Parkway, Suite 100 Carson City, NV 89706 (775) 684-7060 Fax (775) 684-7061 www.mld.nv.gov ASSOCIATED LICENSEE
STATE OF FLORIDA OFFICE OF FINANCIAL REGULATION
STATE OF FLORIDA OFFICE OF FINANCIAL REGULATION Registration of Crowdfunding Intermediary Application (Form FL-INT) Pursuant to Section 517.12, Florida Statutes GENERAL INSTRUCTIONS An intermediary of
City or Town, State or Country and ZIP+ 4 5. Home Email Address. 6. Work Address (Number and Street) Room/Suite 7. Work Telephone Number
Form CHAR012 Professional Solicitor Registration Statement The Capitol Albany, NY 12224 http://www.charitiesnys.com Open to Public Inspection Article 7-A of the Executive Law (excluding page 3) Part A
INSTRUCTION TO APPLICANTS FOR LICENSURE AS A OCCUPATIONAL THERAPIST OR OCCUPATIONAL THERAPY ASSISTANT
INSTRUCTION TO APPLICANTS FOR LICENSURE AS A OCCUPATIONAL THERAPIST OR OCCUPATIONAL THERAPY ASSISTANT A. TEMPORARY LICENSE (90 DAYS)- Applicant must submit the following: Temporary licenses are valid for
New 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
APPLICATION FOR A TEACHER S LICENSE - DENTISTRY OR DENTAL HYGIENE
Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510 APPLICATION FOR A TEACHER S LICENSE - DENTISTRY OR
NORTH CAROLINA REAL ESTATE COMMISSION P. O. Box 17100 Raleigh, North Carolina 27619-7100 919/875-3700 www.ncrec.gov
APPLICATION FEES: $30 - ORIGINAL APPLICATION $55 - LICENSE REINSTATEMENT If application is to reinstate an expired or revoked firm license, check the box below and provide the old license number. Reinstatement
ALL LOAN BROKERS AND ORIGINATORS DOING BUSINESS IN INDIANA FROM: OFFICE OF SECRETARY OF STATE TODD ROKITA, SECURITIES DIVISION
MEMORANDUM TO: ALL LOAN BROKERS AND ORIGINATORS DOING BUSINESS IN INDIANA FROM: OFFICE OF SECRETARY OF STATE TODD ROKITA, SECURITIES DIVISION RE: LICENSING AND REGISTRATION REQUIREMENTS FOR LOAN BROKERS
Employee Leasing Company (PEO) Registration Application
State of Nevada Department of Business and Industry Division of Industrial Relations WORKERS COMPENSATION SECTION Employee Leasing Company (PEO) Registration Application Completion of this Registration
PEDDLER & SOLICITOR LICENSE APPLICATION PACKET
PEDDLER & SOLICITOR LICENSE APPLICATION PACKET REQUIRED FORMS: License Application (provided in this packet) Authorization and Release Form; one for each applicant (provided in this packet) Applicant provides
Kansas Statutes - Insurance Laws CHAPTER 40-- INSURANCE Article 41 -- RISK RETENTION AND PURCHASING GROUPS
Kansas Statutes - Insurance Laws CHAPTER 40-- INSURANCE Article 41 -- RISK RETENTION AND PURCHASING GROUPS 40-4101 Definitions As used in this act: (a) Commissioner means the insurance commissioner of
DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS
STATE OF MINNESOTA DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS RE: CONSUMER SMALL LOAN LENDER ACT Application may be made on the attached forms for a Consumer Small Loan Lending license pursuant
General Contractor License - Application
General Contractor License - Application Please Type or Print Legibly Refer to Instructions on Pages 7 & 8 Section 1 - Applicant Information Applicant Name: Company Name: Principal Office Address (no PO
FORM MLOE-1. State of Maryland Office of the Attorney General Securities Division
FORM MLOE-1 State of Maryland Office of the Attorney General Securities Division NOTICE CLAIMING MARYLAND LIMITED OFFERING EXEMPTION (MLOE) Under The Maryland Securities Act Section 11-602(9) and Regulations
AUDIOLOGY APPLICATION FOR FULL LICENSURE
DEPARTMENT OF HEALTH AND MENTAL HYGIENE BOARD OF EXAMINERS FOR AUDIOLOGISTS, HEARING AID DISPENSERS AND SPEECH-LANGUAGE PATHOLOGISTS 4201 PATTERSON AVENUE BALTIMORE, MARYLAND 21215-2299 PHONE 410-764-4725
Application for General Contractor License
Application for General Contractor License 1. Type or print legibly in black ink only. 2. Review the checklist attached. 3. Sign and date application. 4. Attach Proof of Insurance, A.M. Best rating, Affidavits
Carmel Unified School District. Prequalification Application For Bleacher and Pressbox Replacement Project at Carmel High School
Carmel Unified School District Prequalification Application For Bleacher and Pressbox Replacement Project at Carmel High School January 4, 2016 1 NOTICE REGARDING PREQUALIFICATION FOR BLEACHER AND PRESSBOX
N J DEPARTMENT OF BANKING AND INSURANCE LICENSING SERVICES BUREAU P.O. BOX 473 TRENTON, NJ 08625
N J DEPARTMENT OF BANKING AND INSURANCE LICENSING SERVICES BUREAU P.O. BOX 473 TRENTON, NJ 08625 LICENSE APPLICATION INSTRUCTIONS NEW JERSEY IN-STATE OFFICE LOCATION REQUIRED All applications submitted
CITY OF NICHOLASVILLE ALCOHOLIC BEVERAGE CONTROL LICENSE APPLICATION
CITY OF NICHOLASVILLE ALCOHOLIC BEVERAGE CONTROL LICENSE APPLICATION Revised 3-27-2015 Page 1 of 6 CITY OF NICHOLASVILLE ALCOHOLIC BEVERAGE CONTROL 517 NORTH MAIN STREET, NICHOLASVILLE, KY 40356 (859)
APPLICATION FOR REGISTRATION AS A VETERINARY TECHNICIAN State Form 49703 (R3 / 2-16) Approved by State Board of Accounts, 2016
APPLICATION FOR REGISTRATION AS A VETERINARY TECHNICIAN State Form 49703 (R3 / 2-16) Approved by State Board of Accounts, 2016 INSTRUCTIONS: Please type or print and answer all questions. INDIANA BOARD
CITY OF ST. MARYS, GEORGIA 418 Osborne Street St. Marys, GA 31558 (912) 510-4039 ITEMS TO BE SUBMITTED WITH THE APPLICATION FOR A NEW ALCOHOL LICENSE
CITY OF ST. MARYS, GEORGIA 418 Osborne Street St. Marys, GA 31558 (912) 510-4039 ITEMS TO BE SUBMITTED WITH THE APPLICATION FOR A NEW ALCOHOL LICENSE (1) Complete and accurate application form. NOTE: Incomplete
Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510
Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510 APPLICATION FOR RECOGNITION TO ADMINISTER LOCAL ANESTHESIA
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF TRANSPORTATION DIVISION OF MOTOR VEHICLES AMENDED RULES AND REGULATIONS RELATIVE TO
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF TRANSPORTATION DIVISION OF MOTOR VEHICLES AMENDED RULES AND REGULATIONS RELATIVE TO COMPULSORY INSURANCE OR FINANCIAL RESPONSIBILITY DANTE
Plumbing Contractor or Restricted Plumbing Contractor
Licensing and Certification / Plumbing 443 Lafayette Road North St. Paul, MN 55155 Mailing Address: Plumbing Contractor or Restricted Plumbing Contractor BUSINESS LICENSE APPLICATION INSTRUCTIONS E-mail:
DEPARTMENT OF HEALTH. APPLICATION FOR LIMITED LICENSURE and Instructions
DEPARTMENT OF HEALTH BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MENTAL HEALTH COUNSELING APPLICATION FOR LIMITED LICENSURE and Instructions APPLICATION FOR LIMITED LICENSURE INSTRUCTIONS
63rd 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
Registered OR- Certified Public Accountant Renewal/Reinstatement Application
Vermont Secretary of State Attn: Renewal Clerk Office of Professional Regulation 89 Main St. 3 rd Floor Montpelier, VT 05620-3402 Accountancy Board Renewal Clerk (802) 828-1505 www.vtprofessionals.org
ALCOHOL BEVERAGE LICENSE New License Application
New License Application Attached is the application and additional documents to apply for a new Alcohol Beverage License. Please complete forms and instructions as indicated. For detail on the City of
MEMORANDUM. Requirements Under Liability Risk Retention Act of 1986 and Nebraska Risk Retention Act
MEMORANDUM TO: FROM: SUBJECT: All Purchasing Groups Proposing to Transact Business in Nebraska Department of Insurance Requirements Under Liability Risk Retention Act of 1986 and Nebraska Risk Retention
Town of Newbury, MA One-Day Liquor License Information
APPLICATION DATE: Submittal Deadline: At least twenty-one (21) days prior to Event. MGL, CHAPTER 138, SECTION 14: The Local Licensing Authorities may issue special licenses for the sale of Wine and Malt
Minnesota Board of Accountancy Phone: 651-296-7938 85 East 7 th Place, Suite 125 Fax: 651-282-2644
Minnesota Board of Accountancy Phone: 651-296-7938 85 East 7 th Place, Suite 125 Fax: 651-282-2644 Saint Paul, Minnesota 55101-2143 www.boa.state.mn.us 2015 CPA Firm Permit Renewal Instructions PLEASE
APPLICATION INSTRUCTIONS FOR LICENSED ALCOHOL AND DRUG ABUSE COUNSELOR (LADAC)
New Mexico Regulation and Licensing Department BOARDS AND COMMISSIONS DIVISION Counseling and Therapy Practice Board PO Box 25101 Santa Fe, New Mexico 87505 (505) 476-4610 Fax (505) 476-4645 www.rld.state.nm.us
RETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540
APPLICATION, CHANGE IN LOCATION OF ABC PERMITTED BUSINESS RETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540 APPLICATION INSTRUCTIONS Please read these instructions
APPLICATION FOR LICENSURE AS A CLINICAL SOCIAL WORKER (LCSW) State Form 50325 (R2 / 2-06) Approved by State Board of Accounts, 2006 SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST AND MENTAL HEALTH COUNSELOR
Instructions to Apply for Registration as a Health Care Services Firm (N.J.A.C. 13:45B-13.3)
New Jersey Office of the Attorney General Division of Consumer Affairs Office of Consumer Protection Regulated Business Section 124 Halsey Street, 7th Floor, P.O. Box 45028 Newark, NJ 07101 (973) 504-6370
30 Day Limited Permits for Professional Engineers and Land Surveyors
THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234 Office of the Professions, State Board for Engineering and Land Surveying PHONE: 518-474-3817 ext. 140 FAX: 518-473-6282
OCCUPATIONAL DRIVER S LICENSE SUSPENDED OR REVOKED DRIVER S LICENSE
OCCUPATIONAL DRIVER S LICENSE SUSPENDED OR REVOKED DRIVER S LICENSE 1. Your driver s license may be suspended or your right to get a license can be denied for many reasons, such as: Refusing to take a
Professional Employer Organization Initial De Minimis Registration Notification
North Carolina Department of Insurance Wayne Goodwin, Commissioner Professional Employer Organization Initial De Minimis Registration Notification North Carolina Department of Insurance Financial Evaluation
APPLICATION FOR DOMESTIC RECIPROCITY LICENSE. The State Board of Cosmetology may grant license by reciprocity, without examination, if:
2401 NW 23rd Street, Suite 84 Reciprocity Department 405.522.7620 Fax 405.521.2440 MARY FALLIN GOVERNOR SHERRY G. LEWELLING EXECUTIVE DIRECTOR APPLICATION FOR DOMESTIC RECIPROCITY LICENSE The State Board
Initial Application for Debt Management License Attachments and Instructions
FIS 0506 (05/15) Department of Insurance and Financial Services Page 1 of 3 Initial Application for Debt Management License Initial Application for Debt Management License Attachments and Instructions
Synopsis of Nevada Probate Law. Don W. Ashworth Probate Commissioner Eighth Judicial District Court
Synopsis of Nevada Probate Law Don W. Ashworth Probate Commissioner Eighth Judicial District Court SYNOPSIS OF NEVADA PROBATE LAW LETTER OF ENTITLEMENT 146.080 This section is only applicable to estates
çbev~rly~rly CITY OF BEVERLY HILLS STAFF REPORT
çbev~rly~rly CITY OF BEVERLY HILLS STAFF REPORT Meeting Date: November 19, 2013 To: From: Subject: Honorable Mayor & City Council Cheryl Friedling, Deputy City Manager for Public Affairs Proposal from
Psychology (Doctorate/Masters) Renewal/Reinstatement Application
Vermont Secretary of State Attn: Renewal Clerk Office of Professional Regulation 89 Main St. 3 rd Floor Montpelier, VT 05620-3402 Board of Psychological Examiners Renewal Clerk (802) 828-1505 www.vtprofessionals.org
Proper 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
Appearance Enhancement Business or Area Renter Application
New York State Department of State Division of Licensing Services Appearance Enhancement P.O. BOX 22049 Albany, NY 12201-2049 Customer Service: (518) 474-4429 www.dos.ny.gov Appearance Enhancement Business
LICENSE 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
VEHICLE FOR HIRE COMPANY APPLICATION (VEHICLE PERMITS) NOT TAXICAB
Administration & Regulatory Affairs Department Regulatory Affairs Division 1002 Washington Ave. Houston Texas 77002 Phone: (832) 394-8803 Fax: (832)395-9632 Monday through Friday -- 8:00AM until 4:30PM
2. Be of good moral character. Have 2 recommendations completed on page 3.
STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA 17105-2649 717-783-1389 FAX 717-787-7769 Email [email protected] Website www.dos.pa.gov/social
Substitute 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
Licensed Clinical Mental Health Counselor Renewal/Reinstatement Application
Vermont Secretary of State Attn: Renewal Clerk Office of Professional Regulation 89 Main St. 3 rd Floor Montpelier, VT 05620-3402 Board of Allied Mental Health Renewal Clerk (802) 828-1505 www.vtprofessionals.org
Transient Sellers Program: Employee Application Required Fee: $31. (includes criminal records check fee)
STATE OF MAINE DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION OFFICE OF PROFESSIONAL & OCCUPATIONAL REGULATION INDIVIDUAL LICENSE APPLICATION APPLICANT INFORMATION (please print) FULL LEGAL NAME FIRST
APPLICATION FOR ASSIGNMENT, SALE, TRANSFER OR CHANGE OF OWNERSHIP STRUCTURE OF EXISTING PRIVATE CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
OFFICE OF AMBULANCE REGULATION COORDINATION 140 WEST FLAGLER STREET SUITE 904 MIAMI, FLORIDA 33130-1561 Tel: (305) 375-5801 Fax: (305) 372-6321 E-mail: [email protected] APPLICATION FOR ASSIGNMENT,
State of Florida Department of Business and Professional Regulation Mold Related Services Application for Licensure Form # DBPR MRS 0701
State of Florida Department of Business and Professional Regulation Mold Related Services Application for Licensure Form # DBPR MRS 0701 1 of 11 APPLICATION CHECKLIST IMPORTANT Submit all items on the
For more information you may contact Jeannette Martínez at (787) 723-8403 or 723-3131 ext. 2305.
05/10 Commonwealth of Puerto Rico COMMISSIONER OF FINANCIAL INSTITUTIONS Centro Europa Building, Suite 600 1492 Ponce de León Avenue San Juan, PR 00907-4127 Tel. (787) 723-8403 Fax: (787) 724-2604 INVESTMENT
Application for Consumer Finance License
NC Office of the Commissioner of Banks Location: 316 W. Edenton Street, Raleigh, NC 27603 Mail Address: 4309 Mail Service Center, Raleigh, NC 27699-4309 Telephone: 919/733-3016 Fax: 919/733-6918 Internet:
PROCESS 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
FELONY WAIVER APPLICATION
FELONY WAIVER APPLICATION State Form 47670 (R2 / 11-14) INDIANA GAMING COMMISSION FELONY WAIVER APPLICATION I. PROCEDURE If you have a felony conviction, you may be eligible for a waiver of the Indiana
MONTANA BOARD OF PUBLIC ACCOUNTANTS
MONTANA BOARD OF PUBLIC ACCOUNTANTS 301 South Park 4 th Floor PO Box 200513 Helena Mt 59620 0513 Phone: 406 841 2203 E mail: [email protected] Website: www.publicaccountant.mt.gov APPLICATION FOR ORIGINAL
Rules and Regulations and Establishment Self Inspection Worksheet:
ESTABLISHMENT APPLICATION RESPONSIBLITIES/REQUIREMENTS Establishment Application Requirements: Please call or email the Board of Barbering and Cosmetology (Board) at [email protected] if you have
NEW HOME BUILDER REGISTRATION APPLICATION. Instructions
PO Box 805 Trenton, New Jersey 08625-0805 (609) 984-7534-7563 NEW HOME BUILDER REGISTRATION APPLICATION Instructions Please read carefully before completing this application. Application must be typed
MASSAGE THERAPIST LICENSE APPLICATION. SSN: MN Tax ID: FEIN: City: State: ZIP Code:
Name (first middle last): 1620 MAPLE AVENUE P.O. BOX 97 MAPLE PLAIN, MN 55359 (763) 479-0515 MASSAGE THERAPIST LICENSE APPLICATION Other Name Applicant may be known as: of birth: Place of birth: Current
Department of Commerce
Department of Commerce COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS Caller Box 10007 CK, Saipan, MP 96950 Telephone: (670) 664-3064/3000 Fax: (670) 664-3067 Email: [email protected] Website: www.commerce.gov.mp/
INFORMATION 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
Sec. 90-27. Certificates of use.
Sec. 90-27. Certificates of use. (1) It is hereby deemed unlawful for any person to open or operate any business and/or occupy any structure within the town limits for the privilege of engaging in any
INFORMATION FOR APPLYING FOR A USED MOTOR VEHICLE DEALERS LICENSE
INFORMATION FOR APPLYING FOR A USED MOTOR VEHICLE DEALERS LICENSE The Used Motor Vehicle Division meets six times per year. Please refer to the board meeting schedule on the internet. The website is www.sos.ga.gov/plb/usedcar.
State of New Jersey Department of Banking and Insurance Third Party Billing Services (TPBS) APPLICATION FOR CERTIFICATION FORM.
State of New Jersey Department of Banking and Insurance Third Party Billing Services (TPBS) APPLICATION FOR CERTIFICATION FORM Instructions The information required by this Application is based upon the
FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY NON-PROFIT CORPORATION PERMIT APPLICATION
FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY N-PROFIT CORPORATION PERMIT APPLICATION Applications will be accepted only if completed by an officer of the non-profit organization. Any questions not applicable
INSTRUCTIONS FOR APPLICANTS WHO HOLD NBRC CERTIFICATION
Email: [email protected] [email protected] Medicine 717-783-1400/717-787-2381 Osteopathic 717-783-4858 APPLICATION FOR LICENSURE AS A RESPIRATORY THERAPIST This application can be used for licensure
INSTRUCTIONS APPLICATION FOR HOME MEDICAL EQUIPMENT PROVIDER
INSTRUCTIONS APPLICATION FOR HOME MEDICAL EQUIPMENT PROVIDER Purpose Completing the Application The application which you submit is valid for 3 years from date of receipt. The Home Medical Equipment and
