Vermont Department of Labor

Form EL-1: Employee Leasing Company Licensure & Registration Application

EL-7 Employer Leasing How to Apply

$100 application fee + $1,000 license fee

• EL-3 Surety Bond Form or EL-4 Memo-of-Understanding and Letter of Credit
• EL-2-Authorizing-Individual-Affidavit from each authorizing individual
• C-50 Limited Power of Attorney for each client company
• C-1 Business Registration for each Vermont client who does not already have an established account with the Vermont Department of Labor
• EL-6 List of Vermont Clients
• Proof of workers' compensation coverage for each Vermont client company. This should be a separate policy issued to each of the client companies.
• Copy of each employee Leasing agreement
• If you are licensed in any other state, provide a copy of each license.
• A copy of your most recent audited financial statement that demonstrates that you have an adjusted net worth of at least $100,000 or 5 percent of the prior years Vermont wages, benefits, workers' compensation premiums or awards or unemployment compensation contributions, whichever is greater. The financial statement shall have been prepared within six months of the date of application by an independent certified public accountant licensed in Vermont.

$1,000

Annually at least 60 days before the expiration date of the license.

$0

Within 10 days after the agreement is executed and within 10 days after an agreement is terminated.

21 V.S.A. § 1038

Employee leasing companies must notify the department when contracts with clients are executed or terminated.

Form C-101: Employers Quarterly Wage and Contribution Report

$0

Quarterly