Get Ny Form 1ic 2018-2025

Completing the NY Form 1IC is essential for attesting to your infection control training as a professional in New York. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the NY Form 1IC online.

1. Press the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Enter your social security number in item 1. If you do not have a U.S. Social Security Number, leave this field blank.
3. In item 2, fill in your birth date by selecting the month, day, and year.
4. For item 3, print your full name in the appropriate fields: last name, first name, and middle name if applicable.
5. Item 4 requires you to provide your license number.
6. In item 5, indicate whether your mailing address is either home or business. Fill in your complete address in line 1, city, state, ZIP code, and country/province.
7. For item 6, check the profession that applies to you from the provided list.
8. Item 7 is focused on infection control training. Complete either Section I or II. If completing Section I, enter the provider name and date of coursework. If using Section II, check only one option that applies to your situation and provide any necessary details.
9. In item 8, sign and date the form, affirming the truthfulness of your attestation.
10. Once all fields are completed, you can save your changes, download, print, or share the completed form as necessary.

Complete your NY Form 1IC online to ensure compliance with professional licensing requirements.