
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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How to fill out the NY LIC7: Safety Registration Form online
This guide provides a detailed overview of how to accurately complete the NY LIC7: Safety Registration Form online. Whether you are applying for the first time or renewing your registration, following these steps will ensure your application is filled out correctly.
Follow the steps to accurately complete the NY LIC7 form
- Click the ‘Get Form’ button to access the NY LIC7: Safety Registration Form. This will allow you to download the form and prepare it for completion.
- Indicate the application type by selecting one of the available options: Original, Renewal, or Change/Reissue. This is the first section of the form and sets the foundation for your submission.
- In the Safety Registration Endorsement Type section, check all applicable boxes related to your business activities, such as Construction, Demolition, Concrete, Corporation, or Partnership.
- Select the Type of Business, choosing from options like Individual/Sole Proprietor.
- Fill in the Business Information section. This includes the Legal Name of Business, Trade/Doing-Business-As (DBA) Name, Business Address, City, State, Zip, and Email, which is mandatory. Providing the Business Telephone is also required, while Business Fax and Mobile Telephone are optional.
- Complete the Primary Business Contact section, ensuring to include the contact’s Last Name, First Name, Social Security Number, Date of Birth in m/d/y format, Home Address, City, State, Zip, Email, Mobile Telephone, and % Control. Home address is mandatory if you are an individual/sole proprietor.
- Document the Corporate Officers, Partners, and Any Stakeholders information. You need to list the Last Name, First Name, Middle Initial, Social Security Number, % Control, Title, Date of Birth, Telephone, and Email for each relevant individual.
- In the Business Affiliation Information section, answer the questions about any associations with other entities or employment history with city agencies. Provide details about any affirmative responses in the designated area.
- Share any comments or additional information that may support your application in the Comments section.
- Review the Applicant Statements and Signatures section, confirming that all information provided is correct. Print your name, provide your signature, date the document, and ensure notarization is completed properly.
- Once you have filled out all sections, save your changes to ensure your information is not lost. You may also download, print, or share the completed form as needed.
Complete your NY LIC7: Safety Registration Form online today to ensure timely processing of your application.
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