Maine Department of Professional and Financial Regulation - Bureau of Consumer Credit Protection

Branch Application

$150 if the company's main office license expires in less than 12 months and $300 if the main office license expires in more than 12 months.

$300

By July 31 of even-numbered years for licensees with names beginning with letters A-M and by July 31 of odd-numbered years for licensees with names beginning with N-Z.

Renewal forms are mailed around June 1st.

Debt Collector License Application

$300 if filing in the second half of the biennial license period and $600 if filing in the first half of the biennial license period.

$600

By July 31 of even-numbered years for licensees with names beginning with letters A-M and by July 31 of odd-numbered years for licensees with names beginning with N-Z.

Renewal forms are mailed around June 1st.

Employee Leasing Company Registration Form

Registration Instructions & Information

$500

• List of all other states in which applicant has operated in the past 5 years. Please identify any alternative names, predecessors, and, if known, successor firms to or of registrant in each state.
• List of all natural/legal persons, or entities who possess 5% or greater ownership interest in the registrant at the time of filing this new or renewal registration form
• List all natural/legal persons or entities and dates, other than those listed in the current ownership section, who have possessed 5% or greater ownership interest in the preceding 5 years.
• Name and address of current Maine-licensed workers’ compensation insurer (Insurance Company)
• A copy of your current workers’ compensation certificate of liability
• Name and address of Maine-licensed producer (agent) handling the sale of workers’ compensation coverage for the client companies
• Name and address of Maine licensed agency handling the sale of workers’ compensation coverage for the client companies
• Health benefit or self-funded plan information (if applicable)

Employee Leasing Company Registration Form (Renewal)

Registration Instructions & Information

$100

Annually by January 31.

• List of all other states in which applicant has operated in the past year. Please identify any alternative names, predecessors, and, if known, successor firms to or of registrant in each state.
• List of all natural/legal persons, or entities who possess 5% or greater ownership interest in the registrant at the time of filing this new or renewal registration form
• List all natural/legal persons or entities and dates, other than those listed in the current ownership section, who have possessed 5% or greater ownership interest in the preceding year.
• Name and address of current Maine-licensed workers’ compensation insurer (Insurance Company)
• A copy of your current workers’ compensation certificate of liability
• Name and address of Maine-licensed producer (agent) handling the sale of workers’ compensation coverage for the client companies
• Name and address of Maine licensed agency handling the sale of workers’ compensation coverage for the client companies
• Health benefit or self-funded plan information (if applicable)