Lic 6 Form PDF Details

Are you an individual or business looking for the most efficient way of filling out the Lic 6 form? The process can be confusing and time-consuming, but it doesn't have to be. In this blog post, we'll demystify the whole process for you by giving a detailed overview on how to do everything from downloading the form to completing and submitting it correctly. We'll get into all the necessary details such as who must fill out a Lic 6 form, what information is needed in order to complete it, any special instructions that may apply, along with questions you could potentially face. By taking a few moments now to understand all aspects of how best use this form, you'll save yourself precious time in submitting your paperwork later!

QuestionAnswer
Form NameLic 6 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespled registrations ny, lic6, therewith dob licensing, general contractor form

Form Preview Example

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.

 

 

 

 

Last Name

First Name

Middle Initial

 

 

 

 

 

 

 

 

 

 

Social Security No

% Control

Date of Birth (m/d/y)

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

 

 

Home Telephone

 

 

 

 

 

 

 

 

 

 

 

 

City

State New York

Zip

Mobile Telephone

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

 

 

 

 

 

 

 

Business Address

 

 

Business Fax

 

 

 

 

 

 

 

 

 

 

 

 

City

State New York

Zip

EIN

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No Is the operating capital for your business at least twenty-five thousand dollars?

 

 

 

 

 

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

 

 

 

 

Business Address

 

 

 

 

 

City

State New York

Zip

 

 

 

Existing DOB tracking number (List All):

 

 

 

 

 

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 Department-issued registration or tracking number owe

 

 

any fines, penalties or fees to the City of New York that were incurred during your association with that company or business?

12/08

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

 

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:

 

Fee Paid:

$

 

Reviewed by:

 

 

 

 

 

 

 

 

Comments:

 

 

 

 

Status:

¨ Satisfactory

¨ Unsatisfactory

 

 

 

 

 

 

12/08