Are you an NYC business owner who is looking to obtain the required license for your enterprise? If so, then you likely are aware of Form LIC 60 – NYC’s Business Tax Registration Certificate. This form must be completed and sent in order to become a legal business entity in New York City. Completing this form requires thorough understanding of its contents and any instructions that accompany it. In this guide we will discuss everything related to Form LIC 60, from what businesses require it, how to fill out the application correctly and steps needed when filing a renewal or amendment. So if you're getting ready to submit your application - read on!
Question | Answer |
---|---|
Form Name | Nyc Form Lic 60 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | lic60 visual acuity jaeger j2 pdf form |
VISUAL ACUITY EXAMINATION FORM
Instructions
Applicants: This form must be submitted for all welder original and renewal applications.
Be sure to keep a copy of this form for your records. Your application for an original or renewal license will not be accepted unless a completed Visual Acuity Examination Form is submitted.
The examination must occur and this form must be completed 1 year (12 months) prior to the date of application for an original or renewal welder license. One of the following is required to administer the eye examination: Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physician’s Assistant.
All applicants must pass an eye examination, with or without corrective lenses, to prove near vision acuity on Jaeger J2 at 12 inches or greater (≥30.5 cm). Examination results must be documented on this form and submitted with your appli- cation.
The Department of Buildings will not accept forms that are incomplete or test results that do not comply with fitness requirements.
1
Applicant/ Licensee Information
|
Application Type: |
Original Welder License |
Renewal Welder License |
|
|
|
|
|
First Name |
|
Last Name |
|
|
|
|
|
License # |
|
|
|
|
|
|
THE FOLLOWING TWO SECTIONS ARE TO BE COMPLETED BY THE EYE EXAMINER
2
Vision Acuity
|
|
Please verify the applicant’s near vision acuity to Jaeger J2 specifications at a distance of |
|
|
12 inches or greater (≥30.5 cm): (please check one of the following) |
|
|
|
|
___ |
Both eyes require corrected vision to J2 |
|
|
|
|
___ |
Only one eye needs corrected vision to J2 |
|
|
|
|
___ |
No correction is required. |
|
|
|
3
Examiner
|
Applicants Name |
|
|
|
Date of Eye Examination |
||
|
|
|
|
|
|
|
|
|
Examiner Name |
|
|
|
Telephone Number |
||
|
|
|
|
|
|
|
|
|
Examiner Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City |
|
State |
|
|
|
Zip |
|
|
|
|
|
|
|
|
|
Examiner Professional Status (please select only one) : |
|
|
|
|
||
|
|
|
|
|
|
|
|
|
Ophthalmologist |
Optometrist |
Medical Doctor |
Registered Nurse |
|
Certified Physician’s Assistant |
|
|
|
|
|
|
|
|
|
|
Examiner Signature |
|
|
|
|
|
|
|
and Stamp (If |
|
|
|
State/Prov. |
|
|
|
Stamp is Available) |
______________________________ Date |
_________ |
License # |
___________________ |
||
|
|
|
|
|
|
|
|
LIC 60 12/11