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Get NY LIC7: Safety Registration Form 2009-2024

Ledge. I understand it is unlawful to make a false statement to the Department; or to give to a city employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the job or in exchange for special consideration. Such actions are punishable by imprisonment, fine and/or loss of registration. Name (print) Notarization State of New York, County of: Signature Sworn to or affirmed under penalty of perjury Day of Date Notary Seal 20.

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