Section 24.04 - Application Requirements for Employment Agencies and Placement Agencies(1)Requirement for Submission of a Completed Application for Licensure or Registration. An Owner of an Agency engaging in the activities of an Agency, including but not limited to recruiting workers, soliciting clients, or advertising such services in Massachusetts shall submit to the Department a completed Application for Employment Agency License or Placement Agency Registration with all required attachments on a form prescribed by the Director.(2)Information Required for Initial Employment Agency License Application. Applicants for an initial Employment Agency License shall submit the following information on or with the initial application form: (b) name under which business will be conducted;(c) physical and mailing addresses of the Agency. Persons wishing to use a post office box for mailing or public information purposes must specify to the Department the actual address where records will be kept and business will be conducted;(d) name and address of the Agency Owner;(e) copy of a government-issued photo identification for the Agency Owner;(f) evidence that the person is properly registered as a business with local or state government as required by law;(g) federal tax identification number; (h) name of the Agency manager;(i) types of jobs or Engagements which the Agency will refer or assign Job Applicants or Workers;(j) information relating to any Applicant Fees or charges assessed to Job Applicants or Workers by the Agency;(k) information relating to how Job Applicants or Workers are paid;(l) certification of compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting of child support in accordance with M.G.L. c. 62C, § 49A(a); unemployment insurance contributions in accordance with M.G.L. c. 151A, § 19A(a); workers' compensation insurance in accordance with M.G.L. c. 152, § 25C(6); and classification of employees in accordance with M.G.L. c. 149 § 148B; (m) an affirmation of compliance with the requirement to post or distribute the Massachusetts Wage and Hour poster pursuant to 454 CMR 27.00: Minimum Wage;(n) a surety bond filed in the penal sum of $3,000 payable to the people of the Commonwealth on a form prescribed by the Director. A separate bond is required for each location licensed as an Employment Agency;(o) two affidavits from reputable residents of the Commonwealth for each Owner attesting to the Owner's character, on a form prescribed by the Director; an affidavit supplied by a member of an Owner's immediate family or subordinate is not acceptable;(p) a signed and dated CORI Request Form for each Owner;(q) a copy of the Agency placement manager's most recent resume;(r) a sample of every form, contract, agreement, time sheet, brochure, Applicant Fee schedule, job application, job description, and other document to be provided to Clients, Job Applicants, or Workers;(s) non-refundable, annual application fee;(t) a certification of compliance with M.G.L. c. 140, §§ 46A through 46R; (u) certification of compliance with M.G.L. c. 149, § 159C, if applicable; and(v) such other information as the Director may reasonably require.(3)Information Required for Initial Registration of Placement Agencies. Applicants applying for an initial Placement Agency Registration shall submit the following information on or with the initial application form: (b) name under which business will be conducted;(c) physical and mailing addresses of the Agency. Persons wishing to use a post office box for mailing or public information purposes must specify to the Department the actual address where records will be kept and business will be conducted;(d) name and address of the Agency Owner;(e) copy of a government-issued photo identification for the Agency Owner;(f) evidence that the person is properly registered as a business with local or state government as required by law;(g) federal tax identification number; (h) name of the Agency manager;(i) types of jobs or engagements to which the Agency will refer or assign Job Applicants or Workers;(j) information relating to Applicant Fees or charges assessed to Job Applicants or Workers by the Agency;(k) information relating to how Job Applicants or Workers are paid;(l) non-refundable, annual application fee;(m) certification of compliance with laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting of child support in accordance with M.G.L. c. 62C, § 49A(a); unemployment insurance contributions in accordance with M.G.L. c. 151A, § 19A(a); workers' compensation insurance in accordance with M.G.L. c. 152, § 25C(6); and classification of employees in accordance with M.G.L. c. 149, § 148B;(n) certification of compliance with M.G.L. c. 149, § 159C, if applicable; and(o) such other information as the Director may reasonably require. (4)Review of Application, Applicability and Classification. Upon receipt of a complete Application, the Department shall review said application and supporting documentation. The Department shall have the right to investigate any information provided by a License or Registration applicant. The Department shall determine whether an Agency must be Licensed or Registered. In making such determinations, the Department may utilize information from all sources legally available to it, including but not limited to, information provided by the applicant, information in the public domain and information supplied through government agencies, inspection, hearings, and testimony.Adopted by Mass Register Issue 1276, eff. 12/19/2014.Amended by Mass Register Issue 1329, eff. 12/30/2016.