Request for Participation (RFP)

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1 Request for Participation (RFP) Form Purpose Applicant Supervisor Form Approval and Processing Approval Notification Form Filing Prudential Financial Planning Services For Prudential Financial Planning Services, Financial Planning Program or Investment Advisor Representative Program The purpose of this document is for the applicant to request permission to obtain any of the following statuses: Full Financial Planner, Financial Planning Program Solicitor, Financial Planning Program Supervisor, or IAR status only, as a Financial Advisor or Financial Professional, as applicable (in order to sell managed money products). All Applicants: The RFP is to be completed by Applicant. On page two, Section 1, check the box for the status you are requesting as discussed above. Review your Form U4 information and ensure it is current. Attach documentation to the RFP that supports requirements are completed as applicable. Refer to Section 3 and company policy. Attest to completing all regulatory and company requirements to gain the status requested, that required documentation is attached, and that your Form U4 is current. Refer to Section 4. Submit RFP with required documentation to Supervisor for review and approval. Specific to Box 1 4 Applicants (see page 2): Refer to Chapter or of the Compliance Manual for Associates of Individual Life Insurance and Pruco Securities ( Compliance Manual ) for details on entry requirements for producers and managers, respectively. Specific to Box 5 Applicants (see page 2): Complete the Financial Advisor (IAR) Curriculum located on Prudential Learning Network ( PLN ). Refer to Chapter Policy 1.02 in the Compliance Manual - Licensing, Appointment and Registration for licensing and registration requirements. Incomplete RFPs will not be processed. Therefore, to ensure Applicant s RFP is approved by home office, Supervisor must: Ensure all requirements for the status selected by Applicant on page 2 are completed in accordance with published policy. Ascertain that Applicant has attached documentation to the RFP that supports requirements have been completed, as applicable. Refer to Section 3 and company policy. Review the Form U4 with Applicant to ensure it is current. Attest that Applicant completed all regulatory and company requirements to gain any of the above mentioned statuses, that required documentation is attached, and that Applicant s Form U4 is current. Refer to Section 5. After approving, Supervisor must fax the RFP and required attachments to the following two fax numbers: Field Administration at: (844) Licensing and Registration Services ( LRS ) at: (877) Applicant is not to engage in any investment advisory services until Applicant is notified by LRS that status has been activated. In addition, Financial Planning Applicant is not to engage in financial planning services until Applicant has also been notified by Field Administration that status has been activated. Approval notification is required from Field Administration. Firms are to maintain a copy of the form approved by Supervisor and all required attachments. Page 1 of 5

2 1 Applicant and Supervisor Information Prudential Financial Planning Services Request for Participation (RFP) For Prudential Financial Planning Services, Financial Planning Program or Investment Advisor Representative Program Name of Applicant (first, last name) Today s date / / 20 Contract number Telephone number ( ) Firm code Name of Managing Director (first, last name) Telephone number ( ) Contract number Name of Qualified Delegate, if applicable (first, last name, title) Telephone number ( ) Applicant, check box that applies: o Box 1: Full Financial Planner status for managers and producers (includes producers who have completed the one year wait period after loss of Financial Planner status) o Box 2: Those producers seeking to obtain Financial Planning Program Solicitor status Those selecting this box must select the title requested (check one): o Financial Advisor, or o Financial Professional o Box 3: Those producers seeking to recertify as a Financial Planner (producers not subject to the one year wait period) o Box 4: Those managers seeking to obtain Financial Planning Program Supervisor status o Box 5: Those producers seeking IAR status only Those selecting this box must select the title requested (check one): o Financial Advisor, or o Financial Professional 2 Solutions Quick Verification Solutions Usage : To be completed by those who selected Box 1 in Section 1 above, excluding all field managers. Enter approved and delivered Solutions Reports for the twelve month period prior to submitting the RFP. Client Last Name Solutions Client Report Number Analysis was Approved or Delivered * * Analysis was Approved or Delivered for the Twelve-Month Period Prior to the RFP Submission. Page 2 of 5

3 3 Supervisor or Qualified Delegate Checklist : Section 3 is to be completed by Applicant s supervisor or the qualified delegate. Requirements vary dependent on status sought by Applicant. Do not sign Section 5 below unless you have reviewed and determined that all requirements have been completed. Proof of completion should be attached to this form as indicated below. Box Selected All Requirement You have determined Applicant passed the Series 65 or 66, as applicable. Supervisor Reviewed All 1 (N/A for all field managers) You have reviewed Applicant s Form U4 with Applicant and have determined that Applicant s Form U4 is current. You have determined that Applicant completed the necessary designation course work and proof of completion is attached to this form. 1 You have determined that Applicant completed the Full Planner Status and 1 (N/A for all field managers) You have determined Applicant completed the required Solutions Quick Cases per the Solutions software and have confirmed that the information listed in Section 2 is accurate. 1 or 3 You have reviewed and approved Applicant s business and marketing plans. 2 You have determined that Applicant completed the Planner Solicitor and 4 You have determined that Applicant completed the Planner Supervisor and 1-4 You have determined the necessary appeals, if applicable, have been approved in the Exceptions Database and you have attached a copy of the approvals. List appeals approved: Requirement Appealed Approved by Home Office 5. You have reviewed and determined that Applicant completed the Financial Advisor Curriculum on PLN. Page 3 of 5

4 4 Applicant Certifications Political Contributions: Prudential Financial Planning Services must comply with laws which govern political contributions made by its investment advisory representatives and family members, including SEC Rule 206(4)-5, that affect its investment advisory business and applies pay-to-play limits to certain past political contributions of new investment advisory representatives that had been made anywhere in the United States. These laws are in place to prevent conflicts of interest and allow PFPS to do business with governmental clients. Based on your responses to questions asked below, and in order to preserve PFPS ability to solicit and contract with government entities, please respond to the following questions. This information will be used to determine whether approving your request to act as an investment advisory representative, including financial planner, may have an impact on PFPS ability to solicit and contract with such entities. 1. Have you, your spouse, including civil union partner, or your dependent child made any political contributions on or after March 14, 2011, valued at $150 or more? o No o Yes If yes, complete next question. 2. If you answered YES to the above question, please indicate the donor s identity (you, your spouse or civil union partner, or dependent child), the name of the candidate or official to whom the contribution was made, the office held or sought, and the date and amount of such contribution. Conflicts of Interest Please confirm that you are: 1. Aware of company policies surrounding outside business activities and personal trading. o Yes o No 2. That all information regarding outside business activities you perform, personal trading accounts held at other financial institutions have been properly reported in accordance with company policy. o Yes o No 3. You understand and will comply with Pruco Securities requirements that you must not engage in securities activities, including but not limited to the offering or sale of securities product, which have not been approved by Pruco Securities (selling away activities). o Yes o No Applicant: You may NOT commence any financial planning related activities or sell managed money products until you and your supervisor have received confirmation from Field Administration that your RFP has been approved. By signing this document and forwarding it to your supervisor, you certify that: Your Form U4 is current. You completed all requirements, including training as specified in company policy for the status you are requesting. You attached proof of requirements completed per company policy and as discussed in Section 3 above. This document authorizes Prudential to verify or investigate your responses herin in order to consider your eligibility. Before signing and forwarding this document and a copy of your Current Form U4 to your approver, you should carefully review all answers in this application and your Form U4 to be certain that both documents are accurate and complete as any material misrepresentation or omission may result in a disciplinary action that may include termination of employment. Applicant s signature Page 4 of 5

5 5 Managing Director or Qualified Delegate Certification Managing Director/Qualified Delegate: By signing and forwarding this document to Field Administration and LRS for processing, you certify that: If Applicant has answered yes to the Political Contribution question or no to any of the Conflict of Interest questions in Section 4, you must review and discuss the answer(s) in detail with Applicant to determine if further inquiry is necessary. You have discussed Applicant s request to become an IAR and if applicable, either a Financial Planner, Financial Planning Program Solicitor, or Supervisor, with your management team for feedback. You personally interviewed Applicant and reviewed his or her RFP, current U4, and proof of course work completed. Applicant has completed all of the requirements and training in accordance with company policy. Proof of requirements completed are attached per company policy and as discussed in Section 3. You endorse the Applicant to proceed with gaining the status he/she requested. Managing Director s or qualified delegate s signature TVP s signature (only if applicant is an MD) 6 Home Office Form Processing AD Field Administration or LRS Approval / / Approver Name (first, last name) Page 5 of 5