Florida Department of Business & Professional Regulation - Board of Employee Leasing Companies

Form ELC 1: Controlling Person

Mail or online.

$106.75 application fee + license fee of $600 if applying during the first year of the biennial license period or $300 if applying during the second year of the biennial license period.

• Electronic fingerprints
• Credit report on the applicant from a nationally recognized credit reporting agency, which includes a
  public records statement that records have been checked at local, state, and federal levels
• A certified transcript of college credits if using college credit to meet the education
  requirements for licensure as a controlling person and/or complete a separate Verification of Employment (section V) for each employer within the past 10 years
• IRS Form 8821

Online

$600

By April 30 of even-numbered years.

Form ELC 3: Employee Leasing Company Group

Mail or online.

$250 application fee + license fee of $1,500 if applying during the first year of the biennial license period or $750 if applying during the second year of the biennial license period.

• Certificate of Good Standing or Authority from Florida Secretary of State’s office
• Workers’ Compensation Certificate of Insurance (COI)
• A copy of the contractual agreement which will be used after licensure to engage in employee leasing with client companies
• Accrual basis financial statements as determined by generally accepted accounting principles as of the date of the most recent fiscal year end. The financial statements must be audited or reviewed by an independent certified public accountant. If the leasing company has a gross Florida payroll of $2,500,000 or above, audited financial statements are required
• Copies of UCT-6 Forms (Employer’s Quarterly Report)
• State Taxes Letter of Good Standing
• A letter of verification/good standing for each state in which you hold a license to practice as an employee leasing company/group
• IRS Form 8821 for each employee leasing company
• Cross Guarantee Form

Online

$1,500

By April 30 of even-numbered years.

• "Historical Sketch" - Individuals directly or indirectly controlling 20% or more of the voting stock if the company is publicly traded, Individuals directly or indirectly controlling 10% or more of the voting stock if the company is a closely held company, All Directors or Principal Officers
• Controlling person application for each person who will need to be licensed as a controlling person who is not already a licensed controlling person
• Health Insurance Statement stating the plan of insurance is fully-insured
• Quarterly Compliance Form
• Cross-Guarantee Form
• Certificate of Good Standing or Authorit from Florida Secretary of State's office
• Workers' Compensation Certificate of Insurance (COI)
• Contractual Agreement copy used to engage in employee leasing with client companies
• Accrual Basis Financial Statements (Balance Sheet, Statement of Income and Retained Earnings, Statement of Cash Flows, and Notes to the Financial Statements) with a minimum of $50,000 tangible accounting net worth
• Copiesof UCT-6 Forms (Employer's Quarterly Report)
• State Taxes Letter of Good Standing
• State License Letter of Verification/Good Standing for each state in which a license is held to practice as an employee leasing company/group
• IRS Form 8821 for each employee leasing company

$0

Within 120 after the close of the entity's fiscal year.

FL Admin Code § 61G7-10.0011

Each employee leasing company shall submit, not later than 120 days after their fiscal year end, a copy of their current fiscal year end financial statements, prepared in accordance with generally accepted accounting principles, which shall include statement of income and retained earnings, balance sheet, statement of changes in financial position (cash flows), and applicable footnotes.

Form DBPR EL 4522: Quarterly Compliance Form

$0

Within 75 days of the end of each quarter.

The first and third quarterly reports shall include a balance sheet and income statement demonstrating that the employee leasing company has adequate reserves to pay, when due, all payroll and payroll-related taxes, workers' compensation and health related premiums, and amounts due under any plan or self-insurance. A copy of the company's workers' compensation certificate of insurance in effect for the applicable quarter shall be submitted.

Form ELC 3: Employee Leasing Company Group Member

Mail or online.

$250 application fee + license fee of $1,500 if applying during the first year of the biennial license period or $750 if applying during the second year of the biennial license period.

• Certificate of Good Standing or Authority from Florida Secretary of State’s office
• Workers’ Compensation Certificate of Insurance (COI)
• A copy of the contractual agreement which will be used after licensure to engage in employee leasing with client companies
• Accrual basis financial statements as determined by generally accepted accounting principles as of the date of the most recent fiscal year end. The financial statements must be audited or reviewed by an independent certified public accountant. If the leasing company has a gross Florida payroll of $2,500,000 or above, audited financial statements are required
• Copies of UCT-6 Forms (Employer’s Quarterly Report)
• State Taxes Letter of Good Standing
• A letter of verification/good standing for each state in which you hold a license to practice as an employee leasing company/group
• IRS Form 8821 for each employee leasing company
• Cross Guarantee Form

Online

$1,500

By April 30 of even-numbered years.

• "Historical Sketch" - Individuals directly or indirectly controlling 20% or more of the voting stock if the company is publicly traded, Individuals directly or indirectly controlling 10% or more of the voting stock if the company is a closely held company, All Directors or Principal Officers
• Controlling person application for each person who will need to be licensed as a controlling person who is not already a licensed controlling person
• Health Insurance Statement stating the plan of insurance is fully-insured
• Quarterly Compliance Form
• Cross-Guarantee Form
• Certificate of Good Standing or Authorit from Florida Secretary of State's office
• Workers' Compensation Certificate of Insurance (COI)
• Contractual Agreement copy used to engage in employee leasing with client companies
• Accrual Basis Financial Statements (Balance Sheet, Statement of Income and Retained Earnings, Statement of Cash Flows, and Notes to the Financial Statements) with a minimum of $50,000 tangible accounting net worth
• Copiesof UCT-6 Forms (Employer's Quarterly Report)
• State Taxes Letter of Good Standing
• State License Letter of Verification/Good Standing for each state in which a license is held to practice as an employee leasing company/group
• IRS Form 8821 for each employee leasing company

$0

Within 120 after the close of the entity's fiscal year.

FL Admin Code § 61G7-10.0011

Each employee leasing company shall submit, not later than 120 days after their fiscal year end, a copy of their current fiscal year end financial statements, prepared in accordance with generally accepted accounting principles, which shall include statement of income and retained earnings, balance sheet, statement of changes in financial position (cash flows), and applicable footnotes.

Form DBPR EL 4522: Quarterly Compliance Form

$0

Within 75 days of the end of each quarter.

The first and third quarterly reports shall include a balance sheet and income statement demonstrating that the employee leasing company has adequate reserves to pay, when due, all payroll and payroll-related taxes, workers' compensation and health related premiums, and amounts due under any plan or self-insurance. A copy of the company's workers' compensation certificate of insurance in effect for the applicable quarter shall be submitted.

Form ELC 2: Employee Leasing Company

Mail or online.

$250 application fee + license fee of $900 if applying during the first year of the biennial license period or $450 if applying during the second year of the biennial license period.

• Certificate of Good Standing or Authority from Florida Secretary of State’s office
• Workers’ Compensation Certificate of Insurance (COI)
• A copy of the contractual agreement which will be used after licensure to engage in employee leasing with client companies
• Accrual basis financial statements as determined by generally accepted accounting principles as of the date of the most recent fiscal year end. The financial statements must be audited or reviewed by an independent certified public accountant. If the leasing company has a gross Florida payroll of $2,500,000 or above, audited financial statements are required
• Copies of UCT-6 Forms (Employer’s Quarterly Report)
• State Taxes Letter of Good Standing
• A letter of verification/good standing for each state in which you hold a license to practice as an employee leasing company/group
• IRS Form 8821 for each employee leasing company

Online

$900

By April 30 of even-numbered years.

• "Historical Sketch" - Individuals directly or indirectly controlling 20% or more of the voting stock if the company is publicly traded, Individuals directly or indirectly controlling 10% or more of the voting stock if the company is a closely held company, All Directors or Principal Officers
• Controlling person application for each person who will need to be licensed as a controlling person who is not already a licensed controlling person
• Health Insurance Statement stating the plan of insurance is fully-insured
• Quarterly Compliance Form
• Certificate of Good Standing or Authorit from Florida Secretary of State's office
• Workers' Compensation Certificate of Insurance (COI)
• Contractual Agreement copy used to engage in employee leasing with client companies
• Accrual Basis Financial Statements (Balance Sheet, Statement of Income and Retained Earnings, Statement of Cash Flows, and Notes to the Financial Statements) with a minimum of $50,000 tangible accounting net worth
• Copiesof UCT-6 Forms (Employer's Quarterly Report)
• State Taxes Letter of Good Standing
• State License Letter of Verification/Good Standing for each state in which a license is held to practice as an employee leasing company/group
• IRS Form 8821 for each employee leasing company

$0

Within 120 after the close of the entity's fiscal year.

FL Admin Code § 61G7-10.0011

Each employee leasing company shall submit, not later than 120 days after their fiscal year end, a copy of their current fiscal year end financial statements, prepared in accordance with generally accepted accounting principles, which shall include statement of income and retained earnings, balance sheet, statement of changes in financial position (cash flows), and applicable footnotes.

Form DBPR EL 4522: Quarterly Compliance Form

$0

Within 75 days of the end of each quarter.

The first and third quarterly reports shall include a balance sheet and income statement demonstrating that the employee leasing company has adequate reserves to pay, when due, all payroll and payroll-related taxes, workers' compensation and health related premiums, and amounts due under any plan or self-insurance. A copy of the company's workers' compensation certificate of insurance in effect for the applicable quarter shall be submitted.