Lic2 License PDF Details

In an era where regulatory compliance forms an integral part of professional conduct, understanding the intricacies of mandatory licensing procedures is paramount. The LIC2 License Application form serves as a critical tool in navigating these waters, tailored specifically for individuals and entities operating within a broad spectrum of specialized trades. Be it for those assuming roles as Elevator Directors, Master Plumbers, or any of the array of positions listed, the form signifies the first step towards lawful practice. Divided into clear segments, the application prompts the applicant to specify the type of application—ranging from new applications, renewals, to changes in crucial details like address or business affiliations, and even more serious matters like reinstatement following loss or deactivation. Crucial personal and business information must be detailed meticulously, mirroring the form’s demand for typewritten precision to ensure legibility and accuracy. Moreover, it probes into the applicant’s historical licensing backdrop, foregrounding any past convictions, fines, or disciplinary actions which might impact their eligibility. Additionally, the LIC2 form underscores the legal and ethical commitments expected of licensees, including adherence to the New York City Administrative Code and the ramifications of falsifying information. Comprehensively, this document not merely facilitates a procedural necessity but also establishes a framework of accountability and integrity within the city's regulatory landscape.

QuestionAnswer
Form NameLic2 License
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslic 2 sample, nyc lic2 license application, lic2 license application form, lic2 form

Form Preview Example

LIC2: License Application

Application must be typewritten.

1 APPLICATION TYPE

New

Renewal

Reissue (Lost/Stolen)

Change (i.e. Address/Business/Deactivation)

Reinstatement

2

LICENSE NUMBER

 

 

 

 

 

 

 

 

3

LICENSE TYPE

 

 

 

 

 

 

 

 

 

 

Elevator

Director

Co-Director

Inspector

 

Rigger

Master

Special

Tower

 

Engineer

Stationary

Portable

 

 

 

Sign Hanger

Master

Special

 

 

Hoisting Machine Operator

A

B

C

 

Site Safety

Manager

Coordinator

 

Master Plumber

 

 

 

 

 

Concrete Safety Manager

 

 

 

Master Fire Suppression Piping Contractor

 

A

B

Construction Superintendent

 

 

 

Oil Burning Equipment Installer

 

A

B

C

 

 

 

 

4APPLICANT INFORMATION (required for all applications)

First Name:

 

Middle Initial:

Last Name:

 

 

 

 

Home Address:

 

 

Home Telephone:

 

 

 

 

City:

State:

Zip:

Mobile Telephone:

 

 

 

 

Date of Birth (m/d/yy)

 

*Social Security No.:

Email:

5A PRIMARY BUSINESS INFORMATION (required for all applications)

Bus. Name:

 

Bus. Email

 

 

 

Bus. Address:

 

Bus. Phone

 

 

 

City:

State

Zip

 

 

 

5B SECONDARY BUSINESS INFORMATION

Bus. Name:

 

Bus. Email

 

 

 

Bus. Address:

 

Bus. Phone

 

 

 

City:

State

Zip

 

 

 

6 LICENSE USE (choose one)

Individual/Sole-Proprietor

On Behalf of a Corporation

On Behalf of a Partnership

On Behalf of a City Agency

7 CITY EMPLOYEE?

Yes

No

8PARTNER OR OFFICER INFORMATION (must list all partners or officers)

Name:

 

 

 

Name:

 

 

 

 

 

 

 

 

 

Address:

 

Phone:

 

Address:

 

Phone:

 

 

 

 

 

 

 

City:

State:

Zip:

 

City:

State:

Zip:

 

 

 

 

 

 

 

Lic. No.:

% Control:

 

 

Lic. No.:

% Control:

 

 

 

 

 

 

 

 

Title(s):

 

 

 

Title(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

Name:

 

 

 

 

 

 

 

 

 

Address:

 

Phone:

 

Address:

 

Phone:

 

 

 

 

 

 

 

City:

State:

Zip:

 

City:

State:

Zip:

 

 

 

 

 

 

 

Lic. No.:

% Control:

 

 

Lic. No.:

% Control:

 

 

 

 

 

 

 

 

Title(s):

 

 

 

Title(s):

 

 

 

 

 

 

 

 

 

9

LICENSING HISTORY

List all licenses, certifications, or registrations issued to you, by any City or State.

NAME

TYPE

LIC./CERT./REGISTRATION NO. CURRENT STATUS

EXPIRATION DATE

Yes

Yes

No

Do you currently have a valid driver’s license? State where issued: ________ Driver’s License No.: __________________

No

Have any licenses or privileges granted to you or your associated business(es) by the Department of Buildings or any other

 

government entity ever been rescinded, revoked, surrendered, suspended or have you or your related business(es) ever

 

been disqualified from performing inspections? If Yes please indicate the type of license/certification/registration with the

reason for the suspension, restriction, surrender, revocation, or disciplinary action in Section 10.

*Social Security Number is required for NEW applicants only.

Rev. 08/21

 

LIC2: License Application

page 2

10 COMMENTS

11

CONVICTIONS & FINES

If you answer Yes to either of these questions, you must complete and attach form LIC34.

Yes

Yes

Yes

No

Have you ever been convicted or pled guilty to an offense anywhere (an offense is defined as a violation, misdemeanor or felony)?

No

Do you owe any penalties to the City of New York?

No

Does any company or business you have been associated with under your Department-issued license owe any fines, penalties

 

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

12

STATEMENTS & SIGNATURES

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 of

20

Notary Signature

Notary Seal

INTERNAL USE ONLY

Fee Paid:

Transaction Type:

 

 

 

 

Expiration Date:

Clerk’s Signature:

Date:

Rev. 08/21

How to Edit Lic2 License Online for Free

This PDF editor was designed with the purpose of making it as simple and user-friendly as possible. The following steps will make managing the lic2 form dob quick and simple.

Step 1: In order to start, hit the orange button "Get Form Now".

Step 2: Now you can alter the lic2 form dob. The multifunctional toolbar enables you to insert, remove, modify, and highlight content or perhaps carry out other sorts of commands.

The following parts will create the PDF file that you'll be completing:

entering details in lic2 license application form step 1

In the Bus Name, Bus Address, Bus Email, Bus Phone, City, State, Zip, PARTNER OR OFFICER INFORMATION, Name, Address, City, Lic No, Titles, Name, and Address area, jot down your information.

Filling in lic2 license application form part 2

You'll be instructed to type in the data to help the application prepare the box COMMENTS, CONVICTIONS FINES, If you answer Yes to either of, and Yes No Have you ever been.

lic2 license application form COMMENTS, CONVICTIONS  FINES, If you answer Yes to either of, and Yes No Have you ever been fields to insert

The area Yes No Have you ever been, Yes No Do you owe any penalties to, Yes No Does any company or, STATEMENTS SIGNATURES, As a condition of being granted a, Name print, Signature, Notarization State of New York, Notary Seal, Sworn to or affirmed under penalty, day of, Date, Notary Signature, and INTERNAL USE ONLY should be where to indicate all sides' rights and obligations.

part 4 to entering details in lic2 license application form

Step 3: Press the Done button to save the form. So now it is at your disposal for transfer to your electronic device.

Step 4: It is better to keep duplicates of the document. You can be sure that we are not going to disclose or view your data.

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