Guarantee
If position employment service has obtained for applicant ends within 90 days from date of employment, regardless of reason, the service charge will be reduced to 20 percent of gross earnings of applicant. All refunds due shall be made promptly by employment service upon proper verification of earnings with employer, and in no case shall the delay exceed 14 days from applicant's request. If applicant accepts a position and then remains with his present employer, he agrees to pay 20 percent of the applicable fee for position accepted.
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SIGNATURE OF APPLICANT
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DATE
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SOCIAL SECURITY #
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SIGNATURE OF PES REPRESENTATIVE
La. Admin. Code tit. 40, § XV-127