Instructions and List of Forms for Professional Employer Organization (PEO) or Professional Employer Organization Group (PEO Group)


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For PEO Applicant

  • For PEO Applicant That Has $150,000 in Working Capital
  • PEO 1 Initial and Renewal Application for Professional Employer Organization or Professional Employer Organization Group; AND
    • PEO 2 Attestation of Financial Statement for an applicant that has sufficient operating history to have audited financial statements based on at least twelve months of operating history and has a minimum of $150,000 of working capital; OR 
    • PEO 3 Attestation of Financial Statement for an applicant that has not had sufficient operating history to have audited financial statements based on at least twelve months of operating history and has a minimum of $150,000 of working capital. 
  • For PEO Applicant That Does Not Have $150,000 in Working Capital 
  • PEO 1 Initial and Renewal Application for Professional Employer Organization or Professional Employer Organization Group; AND
  • PEO 5 Attestation of Financial Statement for an applicant with less than $150,000 in working capital at renewal AND
    • PEO 2 Attestation of Financial Statement for an applicant that has sufficient operating history to have audited financial statements based on at least twelve months of operating history; OR 
    • PEO 3 Attestation of Financial Statement for an applicant that has not had sufficient operating history to have audited financial statements based on at least twelve months of operating history; AND
    • PEO 8 Attestation of the Provision of a Bond 
  • For PEO Applicant Whose Application is Certified by an Approved Assurance Organization 
  • PEO 1 Initial and Renewal Application for Professional Employer Organization or Professional Employer Organization group; AND 
  • PEO 7 Attestation from an Approved Assurance Organization 


For PEO Group Applicant

  • For PEO Group Applicant That Has $150,000 in Working Capital
  • PEO 1 Initial and Renewal Application for Professional Employer Organization or Professional Employer Organization Group; AND
    • PEO 2 Attestation of Financial Statement for an applicant that has sufficient operating history to have audited financial statements based on at least twelve months of operating history and has a minimum of $150,000 of working capital; OR
    • PEO 3 Attestation of Financial Statement for an applicant that has not had sufficient operating history to have audited financial statements based on at least twelve months of operating history and has a minimum of $150,000 of working capital; AND
  • PEO 6 Attestation Guaranteeing the Obligations of the Professional Employer Organizations with a Professional Employer Organization Group 
  • For PEO Group Applicant That Does Not Have $150,000 in Working Capital 
  • PEO 1 Initial and Renewal Application for Professional Employer Organization or Professional Employer Organization Group; AND
  • PEO 5 Attestation of Financial Statement for an applicant with less than $150,000 in working capital at renewal AND
    • PEO 2 Attestation of Financial Statement for an applicant that has sufficient operating history to have audited financial statements based on at least twelve months of operating history; OR 
    • PE0 3 Attestation of Financial Statement for an applicant that has not had sufficient operating history to have audited financial statements based on at least twelve months of operating history; OR
    • PEO 6 Attestation Guaranteeing the Obligations of the Professional Employer Organizations with a Professional Employer Organization group; AND
    • PEO 8 Attestation of the Provision of a Bond 
  • For PEO Group Applicant Whose Application is Certified by an Approved Assurance Organization 
  • PEO 1 Initial and Renewal Application for Professional Employer Organization or Professional Employer Organization Group; AND 
  • PEO 7 Attestation from an Approved Assurance Organization 


Limited Registration

  • For PEO or PEO Group Applicant Requesting a Limited Registration 
  • PEO 4 Application for Limited Registration 

 

The Application Packet should be mailed to:
Wage and Workplace Standards Division 
200 Folly Brook Boulevard, Wethersfield, CT 06109. 
The check should be made payable to: Wage and Workplace Standards Division.

Professional Employer Organizations (PEO)

Wage and workplace standards