New York Form 1481 PDF Details

In the heart of New York's commitment to public safety and service, the New York 1481 form stands as a crucial document for firefighting and code enforcement personnel. This application form is tailored for individuals aiming to be recognized as Code Compliance Technicians under the auspices of the State of New York Firefighting and Code Enforcement Personnel Standards and Education Commission. Applicants are required to provide comprehensive personal information, including contact details and educational background, specifically relating to fire safety and code enforcement training. This form also necessitates the listing of completed courses relevant to the position, such as "Code Compliance Technician (9G)", or a series of introductory and procedural courses on code enforcement and inspection. To support the application, aspiring technicians must attach copies of any certificates from courses completed in the past six months. Additionally, a vital part of this process involves an endorsement by a fire chief, fire commissioner, or a top-ranking municipal official, who will vouch for the applicant's assignment to the role. The form, behaving as a gateway for individuals dedicated to upholding safety standards through code compliance, emphasizes New York's rigorous approach to ensuring its firefighting and enforcement personnel are highly qualified and ready to serve.

QuestionAnswer
Form NameNew York Form 1481
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescode nys code compliance technician form

Form Preview Example

State of New York

Firefighting and Code Enforcement Personnel

Standards and Education Commission

Code Compliance Technician - Application

PLEASE PRINT OR TYPE

NAME (LAST, FIRST, MI)

STUDENT TRAINING ID NUMBER

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME ADDRESS (STREET, PO BOX)

DAYTIME PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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CITY

 

 

 

 

STATE

ZIP

NIGHTTIME PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

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DATE OF APPLICATION

 

DATE OF APPOINTMENT

FIRE DEPARTMENT NAME

 

 

 

 

FIRE DEPARTMENT CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Course Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Completion Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code Compliance Technician (9G), or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Introduction to Code Enforcement Practices I (9A) and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Introduction to Code Enforcement Practices II (9B) and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection Procedures for Existing Structures (9C)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To facilitate your application, please include copies of any certificates for courses taken within the last six months.

I affirm that I have completed the courses as shown.

SIGNATUREDATE

To be completed by fire chief, fire commissioner or top ranking municipal official.

I, __________________________________________________, do hereby assign this individual to perform the duties of

PRINT NAME

Code Compliance Technician for __________________________________________________.

JURISDICTION

RETURN TO:

SIGNATURE

DATE

STANDARDS UNIT

NYS DHSES

 

 

 

 

RANK OR TITLE

Ofice of Fire Prevention and Control

 

 

 

1220 Washington Avenue

 

 

 

NAME OF FIRE DEPARTMENT OR MUNICIPALITY

RETURN TO:

Building 7A, Floor 2

 

 

 

Standards Unit

 

 

 

Albany NY 12242

 

 

 

NYS Division of Homeland Security and Emergency Services

(518) 474-6746

 

 

 

Office of Fire Prevention and Control

 

 

 

99 Washington Ave, Suite 500

 

 

 

Albany, NY 12210-2833

 

 

 

(518) 474-6746

 

1481 (Rev. 1/04)

Additional copies of this application are available on the web at www.dhses.ny.gov/ofpc/training/fire-academy/certifications.cfm