"Request for License Roster" - South Carolina

Request for License Roster is a legal document that was released by the South Carolina Department of Labor, Licensing and Regulation - a government authority operating within South Carolina.

Form Details:

  • Released on December 1, 2019;
  • The latest edition currently provided by the South Carolina Department of Labor, Licensing and Regulation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Carolina Department of Labor, Licensing and Regulation.

ADVERTISEMENT
ADVERTISEMENT

Download "Request for License Roster" - South Carolina

Download PDF

Fill PDF online

Rate (4.4 / 5) 9 votes
REQUEST FOR LICENSE ROSTER
1. License Roster Requested:
(i.e., “Dentistry”)
Accountancy
2. Each request must be accompanied by a $10 check made payable to the respective Board.
Requesting roster be sent by:  Email or  Mail
Company Name:
Email:
Phone:
Mailing Address:
City:
State:
Zip Code:
Please confirm what type of list you’re requesting:
Return Mailing Address:
(Select Board)
Select Board...
P.O. Box 11329
Columbia, SC 29211
3. STATEMENT OF COMPLIANCE WITH THE SOUTH CAROLINA FAMILY PRIVACY PROTECTION
ACT OF 2002
Section 30-2-50 of the Code of Laws of the State of South Carolina provides that no person or private entity shall
knowingly obtain or use any personal information obtained from a public body for commercial solicitation. The
South Carolina Department of Labor, Licensing and Regulation gives notice to you, as a requestor of records
from this agency, that obtaining or using these public records for commercial solicitation is prohibited.
Commercial solicitation means contact by telephone, mail or electronic mail for the purpose of selling or marketing a
consumer product or service. State law requires agencies to take measures to ensure no personal information is
distributed for unlawful purposes.
The following uses of the information are not considered to be commercial solicitation under the law:
• Offering membership in a credit union;
• Notification of continuing education opportunities;
• Selling or marketing banking, insurance, securities, or commodities services provided by an institution or entity
defined in or required to comply with the Federal Gramm-Leach-Bliley Financial Modernization Act, 113 Stat.
1338; or
• Contacting persons for political purposes using information on file with state and local voter registration offices.
Any person who knowingly uses public records for commercial solicitation is guilty of a misdemeanor and, upon
conviction, must be fined an amount not to exceed $500 or imprisoned for a term not to exceed one year, or both.
For a complete copy of the South Carolina Family Privacy Protection Act of 2002, visit:
http://www.scstatehouse.gov/code/t30c002.php
I hereby certify that I have read the above information regarding the South Carolina Family Privacy Protection Act of 2002,
and that I will not use any of the information obtained from the South Carolina Department of Labor, Licensing and
Regulation for commercial solicitation directed to any person in this State.
Print Name
Signature
Date
Request for License Roster (12/19)
Page 1 of 1
REQUEST FOR LICENSE ROSTER
1. License Roster Requested:
(i.e., “Dentistry”)
Accountancy
2. Each request must be accompanied by a $10 check made payable to the respective Board.
Requesting roster be sent by:  Email or  Mail
Company Name:
Email:
Phone:
Mailing Address:
City:
State:
Zip Code:
Please confirm what type of list you’re requesting:
Return Mailing Address:
(Select Board)
Select Board...
P.O. Box 11329
Columbia, SC 29211
3. STATEMENT OF COMPLIANCE WITH THE SOUTH CAROLINA FAMILY PRIVACY PROTECTION
ACT OF 2002
Section 30-2-50 of the Code of Laws of the State of South Carolina provides that no person or private entity shall
knowingly obtain or use any personal information obtained from a public body for commercial solicitation. The
South Carolina Department of Labor, Licensing and Regulation gives notice to you, as a requestor of records
from this agency, that obtaining or using these public records for commercial solicitation is prohibited.
Commercial solicitation means contact by telephone, mail or electronic mail for the purpose of selling or marketing a
consumer product or service. State law requires agencies to take measures to ensure no personal information is
distributed for unlawful purposes.
The following uses of the information are not considered to be commercial solicitation under the law:
• Offering membership in a credit union;
• Notification of continuing education opportunities;
• Selling or marketing banking, insurance, securities, or commodities services provided by an institution or entity
defined in or required to comply with the Federal Gramm-Leach-Bliley Financial Modernization Act, 113 Stat.
1338; or
• Contacting persons for political purposes using information on file with state and local voter registration offices.
Any person who knowingly uses public records for commercial solicitation is guilty of a misdemeanor and, upon
conviction, must be fined an amount not to exceed $500 or imprisoned for a term not to exceed one year, or both.
For a complete copy of the South Carolina Family Privacy Protection Act of 2002, visit:
http://www.scstatehouse.gov/code/t30c002.php
I hereby certify that I have read the above information regarding the South Carolina Family Privacy Protection Act of 2002,
and that I will not use any of the information obtained from the South Carolina Department of Labor, Licensing and
Regulation for commercial solicitation directed to any person in this State.
Print Name
Signature
Date
Request for License Roster (12/19)
Page 1 of 1