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Subject Matter List of Available Records (doc)

Following is a listing of application forms commonly used by the general public to apply for programs and services administered by the Department of State. Application forms are available on-line as noted below.

Key:
Bold typeface - posted on web
Normal typeface- to be posted on web in the near future
green Italic typeface - can not be posted on web, not readily convertible to internet format

Applications that are not readily convertible to internet format may be obtained by contacting the specific program indicated in the list.

Athletic Commission
Regulated Cemeteries

Building Code Enforcement
Corporations, State Records, and Uniform Commercial Code
Coastal Resources
Community Services Block Grant
Human Resources
Licensing Services
Local Government
Information Technology Services


ATHLETIC COMMISSION (Boxing and Wrestling Applications)

DOS-0318-a Application for Professional Matchmaker License
DOS-0321-a Application for Professional Boxer License
DOS-0322 Athletic Commission Promoter's License Application
DOS-0323-a Application for Professional Second License or Permit
DOS-0324-a Application for Professional Boxing Manager License or Permit
DOS-0329-a Application for Professional Boxing Referee License
DOS-0334 Surety Bond - (conduct, hold or give boxing, sparring and/or wrestling matches or exhibitions) ($20,000)
DOS-0335-a Application for Professional Boxer License Renewal
DOS-1417-a Application for Professional Boxing Judge w/ DOS-0761 History and Physical Examination Record
DOS-1848-a Application for Professional Announcer License or Permit
DOS-1849-a Application for Professional Time Keeper License or Permit
DOS-1887 Request for NYS Fingerprint Services - Card Scan - Athletic Commission License
DOS-1918-f-l-a Promoter's Contest Request Form
DOS-1959-a Application for Renewal of Seconds, Trainers, Managers, Matchmakers, Announcers and Timekeepers
DOS-1965 Surety Bond - (conduct, hold or give boxing and sparring exhibitions) $10,000
DOS-1970-a Application for Professional Boxer Permit

The following Athletic Commission applications are available by contacting the State Athletic Commission at www.dos.ny.gov/athletic/index.html

DOS-0730 Box Office Employee License Renewal Application
DOS-0731 CORP Treasurer License Renewal Application
DOS-0733 Judge License Renewal Application
DOS-0736 Referee License Renewal Application
DOS-0738 Ticket Taker License Renewal Application
DOS-0777 Temporary Working Permit
DOS-0963 Training Facility License Application


CEMETERIES, DIVISION OF (Regulated)

DOS-0204 Application for Approval to Transfer Cemetery Property
DOS-1583 Application for Restoration of Vandalism Damage
DOS-1585 Application for Repair or Removal of Dilapidated or Disrepaired Monuments That Create a Dangerous Condition
DOS-1663 Application to Reacquire Lot Pursuant to Not-for-Profit Corporations Law Section 1513-a(a)
DOS-1664 Application to Subdivide a Lot, and Reacquire Unused Portions of Resubdivided Lot Pursuant to Not-for-Profit Corporations Law Section 1513-a(b)
DOS-1665 Application to Subdivide a Lot, and Reacquire Unused Portions of Resubdivided Lot Pursuant to Not-for-Profit Corporations Law Section 1513-a(c)
DOS-1807 Application for Funds for Maintenance of Abandoned Cemeteries


CODE ENFORCEMENT AND ADMINISTRATION (Building Code Enforcement), DIVISION OF

DOS-0301 Building Permit Application
DOS-0311 Variance Application Form
DOS-1423 Local Code Enforcement Complaint Form
DOS-1831 Request for a Code Interpretation by the Secretary of State

Factory-Manufactured Buildings
DOS-1280 Application for Plan Approval of a Factory-Manufactured Building
DOS-1702 Application for an Installer's Warranty Seal
DOS-1704 Application for Certification as a Mechanic
DOS-1705 Application for Certification as an Installer
DOS-1727 Application for Limited Certification
DOS-1796 Application for Renewal of Manufacturing Certification
DOS-1797 Application for Renewal of Retailer Certification
DOS-1798 Application for Renewal of Installer Certification
DOS-1799 Application for Renewal of Mechanic Certification
DOS-1800 Application for Renewal of Limited Certification
DOS-1802 Application for Retailer Certification
DOS-1803 Application for Manufacturers Certification

 


COMMUNITY SERVICES BLOCK GRANT

DOS-1255 Community Services Block Grant List of Grantee Board of Directors and Officers
DOS-1256 Community Services Block Grant Authorized Signature Form



CORPORATIONS, STATE RECORDS, AND UNIFORM COMMERCIAL CODE, DIVISION OF

TRADEMARKS/SERVICEMARKS
DOS-0241 Original Application to Register a Trademark
DOS-0246 Original Application to Register a Service Mark

GAMES OF CHANCE
DOS-0255 Games of Chance Registration

UNIFORM COMMERCIAL CODE
UCC 1 UCC Financing Statement
UCC 1Ad UCC Financing Statement Addendum
UCC 1AP UCC Financing Statement Additional Party
UCC 3  UCC Financing Statement Amendment
UCC 3Ad National UCC Financing Statement Amendment Addendum                   
UCC 3AP UCC Financing Statement Amendment Additional Party
UCC 1CAd New York UCC Financing Statement Cooperative Addendum
UCC 5 National Correction Statement
UCC 11 National Information Request                  


HUMAN RESOURCES

DOS-0095 Application for Employment
DOS‐1882 Request for NYS Fingerprinting Services ‐ Information Form


INFORMATION TECHNOLOGY SERVICES, BUREAU OF


LICENSING SERVICES, DIVISION OF

Some Division of Licensing Services applications (green italic typeface) are not readily convertible to Internet format. Security features as well as technical issues, including the need to comply with the Division of Licensing Services' policies and procedures prevent posting of these applications on the website. Those applications may be obtained by contacting the Department of State Division of Licensing Services at www.dos.ny.gov/lcns/contact.htm

DOS-0017 Uniform Irrevocable Consent and Designation Foreign Corporation
DOS-0999 Request for Certification/Certified Copies of Records
DOS-1353 Examination Review Request
DOS-1398 DMV Consent Form
DOS-1450 Credit Card Authorization
DOS-1507 Preliminary Statement of Complaint
DOS-1508 Duplicate License/Registration Request
DOS-1536 Bond for Private Investigator / Bail Enforcement Agent / Watch, Guard or Patrol Agency / Health Club / Appearance Enhancement Business / Telemarketers / Ticket Resellers
DOS-1579 Certification of Bonded Status
DOS-1591 Special Testing Arrangements Req. Form
DOS-1473 Change of Personal Name, Business or Residence Address - Bail Enforcement Agent, Central Dispatch Facility, Hearing Aid Business, Hearing Aid Dispenser, Private Investigator, Real Estate Appraiser, Security Guard, Security & Fire Alarm Installer, or Watch, Guard, Patrol Agency

APARTMENT INFORMATION VENDOR/APARTMENT SHARING AGENT
DOS-0070 Apartment Information Vendor/Apartment Sharing Agent Application
DOS-0068 Apartment Information Vendor/Apartment Sharing Agent Renewal

APPEARANCE ENHANCEMENT: Cosmetology, Esthetics, Nail Specialty, Natural Hair Styling & Waxing
DOS-0034 Cosmetology Application
DOS-0035 Appearance Enhancement Business/Area Renter Application
DOS-1321 Natural Hair Styling Application
DOS-1322 Nail Specialty Application
DOS-1323 Esthetics Application
DOS-1384 Waxing Application
DOS-1543 Experience Statement - Operator's License for: Barber, Cosmetology, Esthetics, Nail Specialty, Natural Hair Styling, and Waxing

DOS-1028 Appearance Enhancement Business Renewal Application
DOS-1029 Appearance Enhancement Area Renter Renewal Application
DOS-1404 Operator Renewal Application for Appearance Enhancement
DOS-1729 Esthetics Re-Apply Application
DOS-1730 Natural Hair Styling Re-Apply Application
DOS-1738 Nail Specialty Re-Apply Application
DOS-1739 Cosmetology Re-Apply Application

ARMORED CAR CARRIER/ARMORED CAR GUARD
DOS-1350 Armored Car Carrier Application
DOS-1351 Armored Car Guard Application
DOS-1357 Notice of Employment Status (Armored Car Guard)
DOS-1475 Armored Car Guard Renewal Application
DOS-1607 Armored Car Carrier Renewal

DOS-1872 Request for NYS Fingerprint Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff
DOS-1873 Request for NYS Card Scan Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff

ATHLETE AGENT
DOS-1640 Athlete Agent Application

BAIL ENFORCEMENT AGENT/ PRIVATE INVESTIGATOR/ WATCH, GUARD OR PATROL AGENCIES
DOS-1355 Request for Duplicate Private Investigator or Watch, Guard and Patrol Agency Pocket ID Card
DOS-1545 Bail Enforcement Qualifying Course Approval Application
DOS-1546 Bail Enforcement Instructor Application
DOS-1603 Bail Enforcement Qualifying Course Approval Renewal Application
DOS-0075 Private Investigator, Bail Enforcement Agent, Watch, Guard or Patrol Agency Application
DOS-0613 Private Investigator, Bail Enforcement Agent, Watch, Guard or Patrol Agency, Agency Support Staff/Employee's Statement
DOS-1542 Private Investigator, Bail Enforcement Agent, or Watch, Guard or Patrol Agency Branch Office Application
DOS-1613 Private Investigator, Bail Enforcement Agent, Watch, Guard or Patrol Agency Change of Status, Long Form
DOS-0073 Renewal Application for: Private Investigator, Bail Enforcement Agent, Watch, Guard or Patrol Agency
DOS-1872 Request for NYS Fingerprint Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff
DOS-1873 Request for NYS Card Scan Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff

BARBERING
DOS-0030 Barber Operator Application

DOS-1444 Barber Apprentice Application
DOS-1509 Barber Shop Owner or Area Renter Application
DOS-1543 Experience Statement - Operator's License for: Barber, Cosmetology, Esthetics, Nail Specialty, Natural Hair Styling, and Waxing
DOS-1552 Apprentice Barber Time Record
DOS-1402 Barber Shop Owner Renewal Application
DOS-1403 Barber Area Renter Renewal Application
DOS-1429 Barber Shop Owner or Renter Renewal Application, Long Form
DOS-1731 Barber Operator Re-Apply Application
DOS-1781 Barber Operator License Renewal Application


BEDDING
DOS-1427 Manufacturer, Repairer-Renovator or Rebuilder of New and/or Used Bedding and/or Retailer/Wholesaler of Used Bedding Application
DOS 42 Articles of Bedding Renewal Application


CENTRAL DISPATCH FACILITY
DOS-1413  Central Dispatch Facility Application
DOS-1476 Central Dispatch Facility Renewal Application

COIN PROCESSOR
DOS-1397 Coin Processor Application
DOS-1872 Request for NYS Fingerprint Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff
DOS-1873 Request for NYS Card Scan Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff

DOCUMENT DESTRUCTION CONTRACTOR
DOS-1812 Document Destruction Contractor Application
DOS-1811 Document Destruction Contractor Branch Office Application
DOS-1865 Request for NYS Fingerprint services ‐ Information Form ‐Document Destruction Contractor
DOS-1867 Request for NYS Card Scan Services ‐ Information Form ‐ Document Destruction Contractor
DOS‐1902 Document Destruction Contractor Renewal

HEALTH CLUB
DOS-1597 Health Club Certificate of Deposit


HEARING AID DISPENSER
DOS-1433 Hearing Aid Dispenser Application - Individual Registrant
DOS-1445 Hearing Aid Business Application - Branch or Additional Office Locations
DOS-1447 Hearing Aid Dispenser Qualifying Course Approval Application
DOS-1448 Hearing Aid Dispenser Instructor Application
DOS-1464 Hearing Aid Dispenser Continuing Education Course Approval Application
DOS-1465 Technical Hearing Aid Dispenser Instructor Application
DOS-1467 Hearing Aid Dispenser Notice of Employment Status
DOS-1513 Hearing Aid Dispenser Continuing Equivalency Education Credit Application
DOS-1517 Hearing Aid Dispenser Continuing Education Course Approval Renewal Application
DOS-1518 Hearing Aid Dispenser Qualifying Course Approval Renewal Application

DOS-1532 Temporary Certification of Registration of Hearing Aid Dispenser Renewal
DOS-1534 Hearing Aid Dispenser Renewal Application
DOS-1600 Hearing Aid Business Renewal Application, Long Form


HOME INSPECTOR
DOS-1694 Home Inspector License Application
DOS-1695 Home Inspector Instructor Application
DOS-1696 Technical Home Inspection Instructor Application
DOS-1697 Home Inspection Qualifying Course Secondary Location Approval Application
DOS-1698 Home Inspection Qualifying Course Approval Application
DOS-1733 Home Inspector Qualifying Course Approval Renewal Application
DOS-1744 Home Inspector Continuing Education Course Approval Renewal Application
DOS-1745 Home Inspector Continuing Education Course Approval Application
DOS-1746 Home Inspector Continuing Education Equivalency Credit Application

DOS-1699 Home Inspector Examination Application
DOS-1700 Home Inspector Examination Application (Result)
DOS-1752 Home Inspector Renewal Application


PET CEMETERIES
DOS-1478 Operation of Pet Cemeteries and Pet Crematoriums Application
DOS-1474 Operation of Pet Cemeteries & Pet Crematoriums Renewal Application

REAL ESTATE PROFESSIONALS
DOS-0022 Real Estate Salesperson Application
DOS-0036 Real Estate Broker/Associate Broker Application

DOS-0039 Real Estate Branch Office Application
DOS-1432 State Licensed/Certified Real Estate Appraiser Application
DOS-1488 Appraiser Continuing Education Course Approval Application
DOS-1489 Appraiser Continuing Education Course Approval Renewal Application
DOS-1490 Real Estate Appraiser Continuing Education Equivalency Education Credit
DOS-1491 Real Estate Appraiser Instructor Application
DOS-1492 Technical Real Estate Appraiser Instructor Application
DOS-1494 Appraiser Qualifying Course Approval Renewal Application
DOS-1498 Real Estate Continuing Education Approval Application
DOS-1499 Real Estate Continuing Education Course Approval Renewal Application
DOS-1500 Real Estate Continuing Education Courses Approval Appraiser Qualifying Course
DOS-1501 Real Estate Instructor Application
DOS-1502 Technical Real Estate Instructor Application
DOS-1503 Real Estate Qualifying Course Approval Application
DOS-1504 Real Estate Qualifying Course Approval Renewal Application
DOS-1533 Request for Cease & Desist List
DOS-1614 Property Condition Disclosure Statement
DOS-1735 Disclosure form for Landlord & Tenant
DOS-1736 Disclosure form for Buyer & Seller
DOS-1765 Real Estate Appraiser Qualifying Course Approval Application
DOS-1776 Real Estate Appraiser Examination Application/Re-Application
DOS-1783 Real Estate 30 Hour Remedial Course Approval Application
DOS-1813 Real Estate Branch Office Manager Change Notice
DOS-1833 Real Estate 30 Hour Remedial Course Approval Renewal Application

DOS-16 Real Estate License Renewal (eAccess)
DOS-0020 Real Estate Salesperson or Associate Broker Termination of Association
DOS-0021 Real Estate Salesperson or Associate Broker Change of Association or Address

DOS-0072 Real Estate Broker Change of Address
DOS-0084 Real Estate Branch Office Change Address

DOS-1072 Real Estate Appraiser License Renewal Application
DOS-1453 Real Estate Branch Office Renewal Application, Long Form
DOS-1617 Real Estate Name Availability

DOS-1842 Real Estate and/or Real Estate Appraiser Instructor Change of Name/Address Form

DOS-1875 Real Estate Branch Office Renewal

SECURITY OR FIRE ALARM INSTALLER
DOS-1495 Security or Fire Alarm System Installer Instructor Application
DOS-1496 Security or Fire Alarm System Installer Qualifying Course Approval Application
DOS-1497 Security or Fire Alarm System Installer Course Approval Renewal Application

DOS-1516  Business of Installing, Servicing or Maintaining Security or Fire Alarm Systems Employee's Statement
DOS-1587 Business of Installing, Servicing or Maintaining Security or Fire Alarm Systems Application
DOS-1235 Security Fire Alarm System Master Electrician Registration Renewal
DOS-1778 Status Renewal: Business of Installing, Servicing/ Maintaining Security/Fire Alarm
Systems by Licensed Master Electrician
DOS-1779 Business of Installing, Servicing or Maintaining Security or Fire Alarm Systems Renewal Application

DOS-1866 LICS Request for NYS Fingerprint Services ‐ Information Form Security or Fire Alarm Installer
DOS-1868 LICS Request for NYS Card Scan Services ‐ Information Form ‐ Security or Fire Alarm Installer

SECURITY GUARD
DOS-1619 Security Guard Change of Status
DOS-1205 Employment Status Notification Security Guard
DOS-1206 Security Guard Application and Instructions
DOS-1628 Proprietary Security Guard Employer Original Application
DOS-1870 Request for NYS Fingerprint Services ‐ Information Form Security Guard
DOS-1871 Request for NYS Card Scan Services ‐ Information Form ‐ Security Guard
DOS-1246 Security Guard Renewal Application

TELEMARKETER BUSINESS
DOS-1675 Irrevocable Letter of Credit/Telemarketers
DOS-1537 Registration of Telemarketer Application

DOS-1634 Telemarketer Registration Renewal Application

TICKET RESELLER
DOS-1769 Ticket Reseller Branch Office Application and Instructions
DOS-1770 Ticket Reseller Office Application and Instructions
DOS-1784 Ticket Reseller Renewal Application

NOTARY PUBLIC
DOS-0026 Notary Public Renewal Application
DOS-0033 Notary Public Application
DOS-0102 Change of Personal Name or Address - Barber Operator, Barber Apprentice,
Appearance Enhancement Operator, Shop (Barber/Beauty), Notary Public, Real Estate Broker/Salesperson, or Document Destruction Contractor
DOS-0722 Exam Application
DOS-1005 Duplicate License/ID Request

PRIVATE INVESTIGATOR, WATCH/GUARD/PATROL STAFF
DOS-1872 Request for NYS Fingerprint Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff
DOS-1873 Request for NYS Card Scan Services ‐ Information Form ‐ Armored Car Carrier, Armored Car Guard, Bail Enforcement Agent, Coin Processor, PI/WGP/Support Staff


LOCAL GOVERNMENT, COASTAL AND COMMUNITY SUSTAINABILITY, DIVISION OF

LOCAL GOVERNMENT, OFFICE OF

NYS DOS Local Government Efficiency Grant Program 2011-2012 Applications


COASTAL RESOURCES, DIVISION OF

DOS-0 408 Federal Consistency Assessment
DOS-0409 Coastal Assessment
DOS-1838 Environmental Protection Fund Application for State Assistance Payments
DOS 1839 NYS DOS and DEC Brownfield Opportunity Areas Program Application
DOS-1876 Environmental Protection Fund Application for State Assistance Payments Local Waterfront Revitalization Program