An application for a recycler license must contain the following information in such form as the Secretary of State may prescribe:
1. Identification. The applicant's name, type of business organization and place of organization;
2. History. The qualifications and business history of the applicant and any partner, officer or director;
3. Criminal and civil record. Whether the applicant has been found guilty of any criminal offense within the past 5 years or has had a judgment of liability in a civil action involving fraud, misrepresentation or conversion. For a corporation or partnership, the application must provide the information required in this subsection for all directors, officers or partners;
4. Place of business. A satisfactory report from a representative of the Secretary of State that the applicant has an established place of business at each business location in the State; and
5. Additional information. Any other information that the Secretary of State requires to implement this section.