Get Physical Examination Form - Nyc.gov

The Physical Examination Form - NYC.gov is an essential document for applicants needing to provide verification of work history and qualifications. This guide offers clear, step-by-step instructions to assist users in completing the form online efficiently and accurately.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the applicant's personal information section, which includes fields for last name, first name, middle initial, social security number, and date of birth. Ensure that all information is accurate and complete.
3. In the business information section, enter the business name, business telephone, business address, and any optional fields such as business fax and email. This information helps in verifying your employment details.
4. Select the appropriate license type as applicable to your role. This may include options such as Construction Superintendent or Concrete Safety Manager.
5. In the third party verification section, indicate how you will provide verification of your employment history. Choose between obtaining notarized employment verification forms from employers or from a union.
6. Complete the authorized union representative statements if applicable. Include their name, title, and contact information to confirm that they have verified your work history.
7. In the applicant statements section, affirm that all the information provided is correct and complete. This section also requires your signature and date.
8. List your relevant employment history by starting with the most recent employment. Include all necessary details such as employer name, contact information, start and end dates, work location, position, and responsibilities.
9. Once all sections are completed, ensure that you have reviewed all information for accuracy. Save changes to your document.
10. After finalizing your form, you can download, print, or share the completed document as needed.

Complete your Physical Examination Form online today to ensure timely processing.