Form EA-649-001 "Employment Agency Surety Bond" - Washington

What Is Form EA-649-001?

This is a legal form that was released by the Washington State Department of Licensing - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the Washington State Department of Licensing;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form EA-649-001 by clicking the link below or browse more documents and templates provided by the Washington State Department of Licensing.

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Download Form EA-649-001 "Employment Agency Surety Bond" - Washington

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Employment Agency
Surety Bond
This is a surety bond for use by employment agencies. When completed, send to:
Employment Agency Program, Department of Licensing, PO Box 9034, Olympia WA 98507-9034
Know all persons by these presents: That
Legal name of applicant/owner
a
Sole proprietor
Partnership
Corporation
Other:
Type of entity
doing business as
Business name
as Principal, at the following address
Business address
a corporation organized and existing under the laws of the State of
and authorized to transact surety business in the State of Washington, as Surety, are held and firmly bound unto the State
of Washington in the sum of $2000 Dollars lawful money of the United States of America to be paid to the said State
of Washington, for which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally firmly by these presents.
The condition of the above obligation is such that: Whereas, the said principal has made application for an Employment
Agency license by the Business and Professions Division of the State of Washington for carrying on the business of an
Employment Agency within the State of Washington; and is required by Chapter 19.31 RCW to furnish a bond in the
penal sum of $2000 Dollars with good and sufficient surety, conditioned as required by said law.
Now, therefore, If the said principal will comply with all the provisions of Chapter 19.31 RCW of the State of Washington
and with all rules and regulations adopted by the Director of the Department of Licensing, of said state pursuant to the
provisions of Chapter 19.31 RCW and will pay all amounts that may be adjudged against principal by reason of violation
of Chapter 19.31 RCW or any rules or regulations adopted pursuant thereto in the conduct of principal’s business as an
Employment Agency then the above obligation shall be null and void; otherwise to remain in full force and effect.
Provided: That any person having a claim against the principal for damage as a result of any violation by principal or his/
her agent of Chapter 19.31 RCW or any rules or regulations adopted pursuant thereto may bring a suit on this bond in
the Superior Court of the County in which the principal’s business is located, or of any county in which jurisdiction of the
principal may be had.
Provided further: That the aggregate liability of the Surety hereunder for any and all claims presented shall not exceed the
penal sum of this bond. Provided further: That the Business and Professions Divisions shall be notified ten days prior to
the cancellation of this bond, along with the reason for cancellation or termination. No bond filed shall be approved unless
it expressly provides that it will be effective for one year following the effective date of its cancellation or termination,
whether because of expiration, suspension, or revocation of the license, or otherwise, as to any covered act or acts and
omission or omissions of the licensee occurring on, or prior to, the effective date of cancellation or termination.
In witness whereof, the said Principal and the said Surety have affixed their hands and seal this
day of
,
.
Effective date of bond
Bond number
Signature of principal
Surety
X
Owner/Individual authorized to sign for partnership/corporation signs here.
Name
Signature of sole owner or individual authorized to sign for partnership or corporation
Attorney-in-Fact
(Surety seal)
Agency name
Resident agent
Address
EA-649-001 (R/7/13)WA
Click here to START or CLEAR, then hit the TAB button
Employment Agency
Surety Bond
This is a surety bond for use by employment agencies. When completed, send to:
Employment Agency Program, Department of Licensing, PO Box 9034, Olympia WA 98507-9034
Know all persons by these presents: That
Legal name of applicant/owner
a
Sole proprietor
Partnership
Corporation
Other:
Type of entity
doing business as
Business name
as Principal, at the following address
Business address
a corporation organized and existing under the laws of the State of
and authorized to transact surety business in the State of Washington, as Surety, are held and firmly bound unto the State
of Washington in the sum of $2000 Dollars lawful money of the United States of America to be paid to the said State
of Washington, for which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally firmly by these presents.
The condition of the above obligation is such that: Whereas, the said principal has made application for an Employment
Agency license by the Business and Professions Division of the State of Washington for carrying on the business of an
Employment Agency within the State of Washington; and is required by Chapter 19.31 RCW to furnish a bond in the
penal sum of $2000 Dollars with good and sufficient surety, conditioned as required by said law.
Now, therefore, If the said principal will comply with all the provisions of Chapter 19.31 RCW of the State of Washington
and with all rules and regulations adopted by the Director of the Department of Licensing, of said state pursuant to the
provisions of Chapter 19.31 RCW and will pay all amounts that may be adjudged against principal by reason of violation
of Chapter 19.31 RCW or any rules or regulations adopted pursuant thereto in the conduct of principal’s business as an
Employment Agency then the above obligation shall be null and void; otherwise to remain in full force and effect.
Provided: That any person having a claim against the principal for damage as a result of any violation by principal or his/
her agent of Chapter 19.31 RCW or any rules or regulations adopted pursuant thereto may bring a suit on this bond in
the Superior Court of the County in which the principal’s business is located, or of any county in which jurisdiction of the
principal may be had.
Provided further: That the aggregate liability of the Surety hereunder for any and all claims presented shall not exceed the
penal sum of this bond. Provided further: That the Business and Professions Divisions shall be notified ten days prior to
the cancellation of this bond, along with the reason for cancellation or termination. No bond filed shall be approved unless
it expressly provides that it will be effective for one year following the effective date of its cancellation or termination,
whether because of expiration, suspension, or revocation of the license, or otherwise, as to any covered act or acts and
omission or omissions of the licensee occurring on, or prior to, the effective date of cancellation or termination.
In witness whereof, the said Principal and the said Surety have affixed their hands and seal this
day of
,
.
Effective date of bond
Bond number
Signature of principal
Surety
X
Owner/Individual authorized to sign for partnership/corporation signs here.
Name
Signature of sole owner or individual authorized to sign for partnership or corporation
Attorney-in-Fact
(Surety seal)
Agency name
Resident agent
Address
EA-649-001 (R/7/13)WA