Form Cscl Lbl 021 PDF Details

Form Cscl Lbl 021 is a form used to document the results of an environmental scan. An environmental scan is a process used to identify opportunities and threats in the external environment. The information collected during an environmental scan can be used to inform strategic planning and business decisions. Form Cscl Lbl 021 must be completed by anyone who conducts an environmental scan. The form asks for detailed information about the opportunities and threats identified during the scan.

QuestionAnswer
Form NameForm Cscl Lbl 021
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names1980, refundable, 1979, LARA

Form Preview Example

CSCL/LBL-021 (9/14)

Michigan Department of Licensing and Regulatory Affairs

Corporations, Securities & Commercial Licensing Bureau - Licensing Division P.O. Box 30245, Lansing, MI 48909

517-241-9288 www.michigan.gov/builders

FOR OFFICE USE ONLY

Approved By:

Date Approved:

License Number

QUALIFYING OFFICER CHANGE APPLICATION

AUTHORITY: 1980 PA 299, MCL 338.3434(A), AND 42 USC 654

 

 

 

PENALTY: FAILURE TO PROVIDE THIS INFORMATION MAY RESULT IN DENIAL OF THE APPLICATION

 

 

AND/OR DISCIPLINARY ACTION.

 

 

 

 

 

 

 

Name of Company

 

Permanent ID #

 

 

 

 

 

Business Address (NO PO BOX)

City

State

Zip Code

 

 

 

 

Mailing Address (if different)

City

State

Zip Code

 

 

 

 

Telephone Number

E-mail Address

 

 

 

 

 

 

NEW QUALIFYING OFFICER INFORMATION

Name (First, Middle, Last)

Permanent ID # or last 4 digits of Social Security Number

 

 

 

Have you ever been convicted of a felony not previously reported to the Department for this license type or occupation?

Yes

No

 

 

 

 

CERTIFICATION

I certify that the statements in this document are true and complete. I understand that any omitted statement, misrepresentation, or fraud may be cause for denial of my application, disciplinary action, or may be punishable by law.

Qualifying Officer Signature

 

Date

 

 

 

FEE PAYMENT INFORMATION (Check One Box)

FOR OFFICE USE ONLY

FOR OFFICE USE ONLY - VALIDATION

Residential Builder Qualifying Officer Change

$10.00

2102-33

 

Residential Maintenance & Alteration

$10.00

2104-33

 

Contractor Qualifying Officer Change

 

 

 

 

 

 

 

Make your check or money order in U.S. Currency payable to:

STATE OF MICHIGAN

FEES ARE AUTHORIZED BY THE STATE LICENSE FEE ACT, 1979 PA 152, AND ARE

NOT REFUNDABLE.

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

How to Edit Form Cscl Lbl 021 Online for Free

You are able to prepare REFUNDED easily using our PDFinity® online PDF tool. Our editor is consistently developing to present the very best user experience attainable, and that's due to our commitment to continuous enhancement and listening closely to comments from users. Should you be seeking to begin, here is what it's going to take:

Step 1: Click the "Get Form" button above. It's going to open up our tool so you can start completing your form.

Step 2: With our handy PDF editing tool, you're able to accomplish more than simply fill in blanks. Try all of the features and make your documents appear perfect with custom textual content added, or adjust the original input to excellence - all supported by an ability to incorporate stunning pictures and sign the file off.

This PDF will require particular info to be entered, so make sure to take some time to fill in what's required:

1. To begin with, once filling in the REFUNDED, start with the page that features the subsequent blanks:

1979 completion process explained (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Qualifying Officer Signature, Date, FEE PAYMENT INFORMATION Check One, FOR OFFICE USE ONLY, FOR OFFICE USE ONLY VALIDATION, Residential Builder Qualifying, Residential Maintenance, Make your check or money order in, STATE OF MICHIGAN, FEES ARE AUTHORIZED BY THE STATE, and LARA is an equal opportunity with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

The way to prepare 1979 portion 2

Be extremely attentive when completing LARA is an equal opportunity and Make your check or money order in, as this is where many people make a few mistakes.

Step 3: Make sure your information is right and then press "Done" to conclude the process. Acquire your REFUNDED when you subscribe to a 7-day free trial. Instantly gain access to the document inside your personal account page, with any edits and adjustments conveniently synced! FormsPal is devoted to the confidentiality of our users; we make sure that all personal data processed by our tool continues to be secure.

Form Cscl Lbl 021 isn’t the one you’re looking for?

Related Documents