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Get NY DoL SH 870 2012-2021

# ________________ Fee ________________ Cert. # ________________ Class ________________ Expires ________________ Application for a Pyrotechnician’s Certificate of Competence Check One: First time applicant - Complete all items Renewal applicant - Complete items 1 – 15. Please type or print all answers 2. NYS Dept. of Motor Vehicles Driver License or ID Number 1. Social Security Number 4. Last Name of Applicant 3. Date of Birth First Name 5. Number and Street City, Town, Vil.

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