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Get NY DOS-1206-f-a 2015

gov FEE $36 Employee Statement and Security Guard Application APPLICANT INFORMATION Please TYPE or PRINT all responses in ink. APPLICATION AS (Check only ONE): Security Guard Armed Security Guard Applicant’s Name: LAST NAME FIRST NAME MIDDLE NAME HOME ADDRESS (Required – P.O. Box may be added to ensure delivery) APT/UNIT/PO BOX CITY STATE COUNTY (Enter only if in New York State) APPLICANT’S PHONE NUMBER ZIP+4 E-MAIL ADDRESS Social Security Number: Birth Date: (*Required .

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