Understanding the LIC6 form is critical for individuals and entities aiming to engage in general contracting within New York City. This comprehensive document serves as the General Contractor Registration Form application and sets the foundation for legal and regulatory compliance in the construction industry of the city. It requires to be typed and submitted in person at the New York City Department of Buildings Licensing Unit. The form captures a wide array of information, beginning with basic application details, including whether it's an original application, a renewal, or a change/reissue request, and extends to more detailed inquiries about the applicant's business and personal background. Applicants must provide information about their primary principal, corporate officers, partners, stakeholders, business history, and any convictions, fines, or disciplinary actions related to their professional conduct. Importantly, the LIC6 also probes into the applicant's financial readiness, asking for a confirmation of at least twenty-five thousand dollars in operating capital. Furthermore, it seeks details about any prior associations with other general contracting companies and any familial or employment relations with Department of Buildings or other New York City agency employees. Completeness, accuracy, and honesty in fillining out the LIC6 are vital as it includes attestations regarding compliance with city codes, regulations, and an acknowledgment of the legal repercussions for providing false information or engaging in corrupt practices. This form underscores the city’s commitment to maintaining safety, integrity, and professionalism within the construction sector.
| Question | Answer |
|---|---|
| Form Name | Lic 6 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | pled registrations ny, lic6, therewith dob licensing, general contractor form |
LIC6: General Contractor Registration Form
Application must be typed.
Apply In Person At : New York City Department of Buildings Licensing Unit
280Broadway, 6th Floor New York, NY 10007
1a Application Type
Original |
Renewal |
Change/ Reissue |
1b Registration Number
2
Registration Use
Individual |
On Behalf of a Corporation |
On Behalf of a Partnership |
3Primary Principal Required for all applications. Business fax and mobile telephone are optional.
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Last Name |
First Name |
Middle Initial |
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Social Security No |
% Control |
Date of Birth (m/d/y) |
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Home Address |
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Home Telephone |
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City |
State New York |
Zip |
Mobile Telephone |
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Business Name |
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Business Telephone |
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Business Address |
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Business Fax |
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City |
State New York |
Zip |
EIN |
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No Is the operating capital for your business at least |
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4
Corporate Officers, Partners and Any Stakeholders (Include Stakeholders that own ten percent or more and primary applicant)
NAME
% Control
NAME
% Control
5Business History Provide work location where applicant has engaged in general contracting within the last five years if different from above
Business Name |
Business Telephone |
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Business Address |
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State New York |
Zip |
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Existing DOB tracking number (List All): |
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6Convictions and Fines If you answer “Yes” to any of these questions, you must complete and attach form LIC34.
Yes |
No |
Have you ever been convicted or pled guilty to an offense anywhere (an offense is defined as a violation, misdemeanor or felony)? |
Yes |
No |
Do you owe any penalties or fines to the City of New York? DO NOT INCLUDE PARKING FINES. |
Yes |
No |
Does any company or business you have been associated with under your |
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any fines, penalties or fees to the City of New York that were incurred during your association with that company or business? |
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LIC6 |
PAGE 2 |
7
Licensing History
List licenses, certifications, or registrations issued to any person named on this application, by City or State. Include applicants Driver License
NAMETYPELIC./CERT. /REG. NUMBERSTATUSEXPIRATION DATE (active / not active)
Yes |
No Have any licenses/ certifications/ registrations issued to any person named on this application ever been suspended, restricted, or |
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revoked; or has any person named on this application ever been censured or disciplined in connection therewith? |
If Yes, please indicate in Section 7 the type of license / certification / registration along with the reason for suspension, restriction, or revocation.
Yes |
No |
Has any person named on this application ever been employed by DOB or any other NYC agency? |
Yes |
No |
Is any individual named on this application related by blood or marriage to any DOB employee(s)? |
Yes |
No |
Any former association with another General Contracting company? |
If Yes to any of the above, please provide the details in Section 7.
8
Comments
9
Applicant Statements and Signatures
I have read and I understand all the items contained in this document. I hereby state that the above information is correct and complete to the best of my knowledge. As a condition of being granted a license, I attest that I comply with all New York City Administrative Code and Department rules, regulations, and directives governing how licensees conduct their specific trade. 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 license. In the event of an accident that involves my actions undertaken in connection with my license, I understand that the Administrative Code requires that I cooperate with any investigation and that failure to do so may result in immediate suspension, revocation or other disciplinary action.
Name (print)
Signature
Date
Notarization
State of New York, County of:
Sworn to or affirmed under penalty of perjury
Day of20
Notary Signature
Notary Seal
Internal Use Only
Date received: |
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Fee Paid: |
$ |
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Reviewed by: |
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Comments: |
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Status: |
¨ Satisfactory |
¨ Unsatisfactory |
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