Edit, Download, and Sign the Illinois Employee Registration Card Renewal Form
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How do I fill this out?
To complete this form, gather all required personal and employer information. Carefully read each question and provide accurate responses. Review your application before submission to ensure it is error-free.

How to fill out the Illinois Employee Registration Card Renewal Form?
1
Collect necessary personal information including license number and date of birth.
2
Answer all questions regarding delinquency in child support, taxes, and workers' compensation.
3
Verify completion of required training in the last three years.
4
Sign the certification statement to confirm the truthfulness of your application.
5
Submit the application with the required payment to the appropriate address.
Who needs the Illinois Employee Registration Card Renewal Form?
1
Employees seeking to renew their Permanent Employee Registration Card due to expiration.
2
New hires in Illinois requiring a valid employee registration card for employment.
3
Employers needing to verify the registration status of their employees.
4
Individuals applying for jobs that necessitate a current employee registration.
5
Human resource professionals managing employee compliance with state regulations.
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What are the instructions for submitting this form?
To submit this form, complete all required fields and ensure accuracy. You can send your completed application along with the $45 payment to the Illinois Department of Financial and Professional Regulation at the address provided in the form. As an alternative, check for any online submission options available on their official website for ease and efficiency.
What are the important dates for this form in 2024 and 2025?
The renewal application for the 2024 Permanent Employee Registration Card must be submitted before the expiration date. Ensure you have all necessary documentation ready to avoid delays. Check the Illinois Department's website for specific cut-off dates.

What is the purpose of this form?
The purpose of this form is to facilitate the renewal process for the Illinois Permanent Employee Registration Card. It ensures that individuals maintain compliance with state regulations concerning employment eligibility and professional credentials. Accurate completion of this form is critical for maintaining lawful employment in the state of Illinois.

Tell me about this form and its components and fields line-by-line.

- 1. License Number: The unique identifier for the employee's registration.
- 2. Date of Birth: The birth date of the employee.
- 3. First Name: The given name of the employee.
- 4. Last Name: The surname of the employee.
- 5. Licensee Email: Email address for correspondence.
- 6. Employer Name: The name of the employee's employer.
- 7. Employer Email: Contact email for the employer.
- 8. Employer Phone: Phone number for the employer.
- 9. Payment Information: Details for submitting the application fee.
What happens if I fail to submit this form?
Failure to submit this form may result in disciplinary action or loss of employment eligibility. Applicants will not be able to renew their registration, which can hinder their ability to work legally in Illinois. Therefore, timely submission is crucial.
- Disciplinary Action: Failure to comply with state licensing requirements can lead to penalties.
- Loss of Employment: An expired or unrenewed registration may result in job termination.
- Ineligibility for New Positions: Applications for jobs requiring valid registration may be denied.
How do I know when to use this form?

- 1. Renew your Registration: Use this form to update your card as it approaches expiration.
- 2. New Employee Registration: First-time applications for employees needing to register.
- 3. Employer Compliance Check: Employers can use this form to verify employee credentials.
Frequently Asked Questions
What is the purpose of this form?
This form is used for renewing your Illinois Permanent Employee Registration Card.
Can I edit the form after filling it out?
Yes, you can easily edit your form using our PDF editing tools on PrintFriendly.
How do I download the completed form?
After filling out your form, simply click on the download option to save it.
What should I do if I make a mistake?
You can edit your PDF at any time before your final download.
Is there a fee associated with this form?
Yes, a payment of $45 is required upon submission of the application.
Where can I submit this form?
You can send your completed form to the Illinois Department of Financial and Professional Regulation.
How long does processing take?
Processing times can vary; ensure all information is correct to avoid delays.
Do I need to provide supporting documents?
Yes, certain supporting documents may be required as part of your application.
What if my registration card has expired?
You should submit your renewal application as soon as possible.
Can I fill out this form electronically?
Absolutely, PrintFriendly allows for electronic completion and submission.
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