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Licensing

LIC1 Agency License Application
Use this form to apply for the following licenses: Concrete Testing Laboratory, Elevator Inspection Agency, Testing Laboratory.
 Download Form - Rev. 12/09
 Download Instructions

LIC2 License Application
Use this form to apply for the following licenses: Elevator Inspector, Engineer, Hoisting Machine Operator, Master Plumber, Oil Burning Equipment Installer, Rigger, Sign Hanger, Site Safety Manager/ Coordinator, Welder, Master Fire Suppression Piping Contractor.
 Download Form - Rev. 11/08
 Download Instructions


Instructions for Master Plumber & Master Fire Suppression Piping Contractor
 Download Instructions

Instructions for Master / Special Rigger & Master / Special Sign Hanger
 Download Instructions

Instructions for Oil Burner Equipment Installer
 Download Instructions

Instructions for Stationary/Portable Engineer
 Download Instructions

LIC3 License Application
Use this form to apply for a Construction Superintendent or a Concrete Safety Manager regustration.
 Download Form - Rev. 3/13
 Download Instructions


LIC4 License Application
Use this form to provide all necessary information regarding work history in a standardized format.
 Download Form - Rev. 9/11
 Download Instructions


LIC5 Work History for Civil Service Electrician
Use this form to provide relevant information about your work history as a Civil Service Electrician.
 Download Form - Rev. 7/08
 Download Instructions


LIC6 General Contractor Registration Form
Use this form to apply for a General Contractor registration.
 Download Form - Rev. 12/08
 Download Instructions


LIC7 Safety Registration Form
Use this form to apply for a Safety Registration number.
 Download Form - Rev. 9/09
 Download Instructions


LIC8 Filing Representative Application
Use this form to apply, renew, or change information on your Filing Representative Registration.
 Download Form - Rev. 4/14
 Download Instructions


Filing Representative Experience Verification Form – Class 2
Use this form in addition to the LIC8 application to apply for Filing Representative/Class 2 Code and Zoning Representative. This form must be given to each supervising registered design professional (PE/RA) verifying your job filing requirement noted on your LIC8 application.
 Download Form - Rev. 4/13

Filing Representative Renewal Affidavit
Use this form if you have not completed your Filing Representative training for Class 1 (16 hours) or Class 2 (36 hours) by June 30, 2014 but expect to complete all required courses by December 31, 2014.
 Download Form - Rev. 4/14

LIC9 Professional/Agency Identification Card Application
This form is for Professional/Inter-Agency Personnel requiring Identification card in order to do business with the Department.
 Download Form - Rev. 8/13


LIC33 Business Address Verification
Use this form to verify your business address.
 Download Form - Rev. 7/14

LIC34 Licensing Supplemental Affidavit
Use this form to indicate any convictions or fines.
 Download Form - Rev. 7/08

LIC35 Sustainable Contractor Application
Use this form to apply for a Sustainable Contractor Designation.
 Download Form - Rev. 1/12
 Download Instructions


LIC38 Electrical License Renewal Application
Use this form to renew Master and Special Electrician licenses.
 Download Form - Rev. 10/13
 Download Instructions
 

LIC41 Written Exam Application
Use this form to apply for the written exam for the following license types: Master and Special Electrician, Master Plumber, Master Fire Suppression Piping Contractor, Master Rigger, Master Sign Hanger, High Pressure Boiler Operating Engineer, Oil Burner Equipment Installer, Tower/Climber Crane Rigger, Site Safety Manager and Private Agency Elevator Director and Inspector.
 Download Form - Rev. 04/14

LIC42 Practical Exam Application
Use this form to apply for the practical exam for the following license types: Master and Special Electrician, Master Plumber, Special Rigger, Master Rigger, Special Sign Hanger, Master Sign Hanger, High Pressure Boiler Operating Engineer, Oil Burner Equipment Installer, Tower/Climber Crane Rigger.
 Download Form - Rev. 04/14

Supplemental Exam Application
Use the below forms in addition to the LIC41 or LIC42 applications to apply for the license exams for the following license types: Master and Special Electrician, Master Plumber, Master Fire Suppression Piping Contractor, Master Rigger, Master Sign Hanger, High Pressure Boiler Operating Engineer, Oil Burner Equipment Installer, Tower/Climber Crane Rigger, Special Rigger, Special Sign Hanger, Site Safety Manager and Private Agency Elevator Director and Inspector.
Download Supplemental Exam Application:
 High Pressure Boiler Operating Engineer - Rev. 12/12
 Master Fire Suppression Piping Contractor - Rev. 12/12
 Master Plumber - Rev. 12/12
 Master Rigger - Rev. 12/12
 Master Sign Hanger - Rev. 12/12
 Master or Special Electrician - Rev. 12/12
 Oil Burner Equipment Installer - Rev. 12/12
 Private Agency Elevator Director - Rev. 12/12
 Private Agency Elevator Inspector - Rev. 12/12
 Site Safety Manger - Rev. 12/12
 Special Rigger - Rev. 12/12
 Special Sign Hanger - Rev. 12/12
 Tower/Climber Crane Rigger - Rev. 12/12


LIC60 Visual Acuity Examination Form for Welders
Examination must be completed by an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physician’s Assistant.
 Download Form - Rev. 12/11

LIC61 Physical Examination Form
Use this form for licenses that require a physical examination. It must be completed by a physician after a medical examination.
 Download Form - Rev. 12/09

SIA1 Special Inspection Agency Registration (Renewal & Change Applications Only)
Use this form to renew or make changes to your special inspection agency registration. Applicants applying for their initial registration must register with the Department online.
 Download Form - Rev. 10/12 or Register Online 
 Download Instructions
 SIA1 Registration Cover Sheet 

SIA Document Upload Form: Use this form to upload your supporting documents for your special inspection agency registration. Provide government issued photo identification (e.g. Driver’s License or Passport), Proof of NYC Address (utility bill – gas, electric, water) or NYS Secretary of State business filing, Proof of Professional Liability Insurance (PE/RA only), and Proof of Workers Compensation Insurance or Waiver (PE/RA only).


Background Investigation Questionnaire
All license applicants must pass a background investigation. Applicants must complete the following form and return it to the Department to begin their background investigation.
 Download Form - Rev. 4/14


Concrete Safety Manager Experience Verification Form
Use this Experience Verification form as part of the new Concrete Safety Manager application. This form must be given to each employer/supervisor noted on your application.
 Download Form - Rev. 3/14


Construction Superintendent Experience Verification Form
Use this Experience Verification form as part of the new Construction Superintendent application. This form must be given to each employer/supervisor noted on your application.
 Download Form - Rev. 3/14


Elevator Inspector or Elevator Director Experience Verification Form
Use this Experience Verification form as part of the background investigation questionnaire for new Elevator Inspector/Director applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire
 Download Form - Rev. 5/12

 

High Pressure Boiler Operating Engineer/Stationary Engineer
Experience Verification Form

Use this form as part of the background investigation questionnaire for new High Pressure Boiler Operating Engineer/Stationary Engineer applicants. This form must be given to each supervising licensee noted in your background investigation questionnaire
Download Form - Rev. 11/13

 

Hoisting Machine Operator Experience Verification Form
Use this Experience Verification form as part of the background investigation questionnaire for new Class A,B & C Hoisting Machine Operator applicants. This form must be given to each supervising licensee noted in your background investigation questionnaire.
 Download Form - Rev. 1/14

 

Master/Special Electrician Experience Verification Form
Use this Experience Verification form as part of the background investigation questionnaire for new Electrician applicants. This form must be given to each supervising licensee noted in your background investigation questionnaire.
 Download Form - Rev. 9/13


Master Plumber or Master Fire Suppression Piping Contractor
Experience Verification Form

Use this Experience Verification form as part of the background investigation for new Plumber/Fire Suppression applicants. You will be contacted via mail and informed when to submit this form in addition to other documents. This form must be given to each supervising licensee noted on your application.
 Download Form - Rev. 5/12


Site Safety Coordinator Experience Verification Form
Use this Experience Verification form as part of the background investigation questionnaire for new Site Safety Coordinator applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire
 Download Form - Rev. 5/12


Site Safety Manager Experience Verification Form
Use this Experience Verification form as part of the background investigation questionnaire for new Site Safety Manager applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire
 Download Form - Rev. 5/12


Special / Master Rigger Experience Verification Form
Use this Experience Verification form as part of the background investigation for new Special and Master Rigger applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire, and submitted along with your background investigation documents listed on the website under the Licensing - Rigger section of the website.
 Download Form - Rev. 6/13


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