Statement Of Identity And Employment Application {DFPI-EL 17419}

DFPI–EL 17419 - STATEMENT OF IDENTITY AND EMPLOYMENT APPLICATION. This form is used by the California Department of Financial Protection and Innovation (DFPI) to gather detailed background information about an individual applying for a position within an escrow company. This form is intended to help assess the applicant’s qualifications and ensure compliance with state regulations. It asks for the applicant's full name, employment history for the last ten years, and residence addresses for the same period. The form also inquires about any legal issues the individual may have been involved in, including court judgments, bankruptcy, prior license refusals, criminal convictions (other than minor traffic violations), and bond issues. Furthermore, it asks about name changes, fictitious business names, and whether the individual expects to be involved in any escrows as a broker or salesperson. The applicant must sign a declaration under penalty of perjury, confirming the accuracy of the information provided. www.FormsWorkflow.com