Nebraska Department of Labor - Labor Standards Division

PEO Application

$100

• List of jurisdictions in which the PEO has operated in the five years preceding the date of application, if any
• Names under which the PEO has operated in the five years preceding the date of application, including any alternative names and trade names, if any
• If the PEO has acquired, purchased, transferred or sold any interest or has otherwise been preceded or succeeded by another business entity within the five years preceding the date of application, provide the names of predecessor and/or successor business entities, if known
• List of names, and business experience of any person that owns or controls 25% or more of the equity interest of the PEO
• List of names, and business experience of any person any person serving as president, chief executive officer, or senior executive officer of the PEO
• Proof that the applicant is domiciled outside this state and is licensed or registered as a professional employer organization in another state
• Proof that the applicant does not maintain an office in this state or directly solicit clients located or domiciled within this state
• Proof that the applicant does not have more than fifty covered employees employed or domiciled in this state on any given day

PEO Application (Renewal)

$100

Annually within 180 days after the end of the registrant's fiscal year.

• List of jurisdictions in which the PEO has operated in the five years preceding the date of application, if any
• Names under which the PEO has operated in the five years preceding the date of application, including any alternative names and trade names, if any
• If the PEO has acquired, purchased, transferred or sold any interest or has otherwise been preceded or succeeded by another business entity within the five years preceding the date of application, provide the names of predecessor and/or successor business entities, if known
• List of names, and business experience of any person that owns or controls 25% or more of the equity interest of the PEO
• List of names, and business experience of any person any person serving as president, chief executive officer, or senior executive officer of the PEO

PEO Application

$250

• List of jurisdictions in which the PEO has operated in the five years preceding the date of application, if any
• Names under which the PEO has operated in the five years preceding the date of application, including any alternative names and trade names, if any
• If the PEO has acquired, purchased, transferred or sold any interest or has otherwise been preceded or succeeded by another business entity within the five years preceding the date of application, provide the names of predecessor and/or successor business entities, if known
• List of names, and business experience of any person that owns or controls 25% or more of the equity interest of the PEO
• List of names, and business experience of any person any person serving as president, chief executive officer, or senior executive officer of the PEO
• For PEOs or PEO groups with at least 12 months of operating history: a financial statement, prepared in accordance with generally accepted accounting principles, audited by an independent certified public accountant licensed to practice in the jurisdiction in which the accountant is located, that has been issued less than 13 months from the date of the application
• For PEOs or PEO groups with less than 12 months of operating history: financial statements for the period of operation, prepared in accordance with generally accepted accounting principles by an independent certified public accountant licensed to practice in the jurisdiction in which the accountant is located, that has been issued less than 13 months from the date of the application

PEO Application (Renewal)

$150

Annually within 180 days after the end of the registrant's fiscal year.

• List of jurisdictions in which the PEO has operated in the five years preceding the date of application, if any
• Names under which the PEO has operated in the five years preceding the date of application, including any alternative names and trade names, if any
• If the PEO has acquired, purchased, transferred or sold any interest or has otherwise been preceded or succeeded by another business entity within the five years preceding the date of application, provide the names of predecessor and/or successor business entities, if known
• List of names, and business experience of any person that owns or controls 25% or more of the equity interest of the PEO
• List of names, and business experience of any person any person serving as president, chief executive officer, or senior executive officer of the PEO
• For PEOs or PEO groups with at least 12 months of operating history: a financial statement, prepared in accordance with generally accepted accounting principles, audited by an independent certified public accountant licensed to practice in the jurisdiction in which the accountant is located, that has been issued less than 13 months from the date of the application
• For PEOs or PEO groups with less than 12 months of operating history: financial statements for the period of operation, prepared in accordance with generally accepted accounting principles by an independent certified public accountant licensed to practice in the jurisdiction in which the accountant is located, that has been issued less than 13 months from the date of the application