Get a Waiver

If you are a full-time City employee and want to work at a private company or not-for-profit organization that does business with any City agency, you need a moonlighting waiver from the Conflicts of Interest Board. If you are a part-time City employee, you need a waiver only if you want to work for a private company or not-for-profit organization that does business with your own City agency.

This Moonlighting Waiver Request Form allows you to begin the waiver process by submitting a request to your City agency. To use the form:

Complete the questions below.
Click 'Submit.'
Print the confirmation for your records.
If you experience technical difficulties, please e-mail kendall@coib.nyc.gov.
If, after 30 days, you haven't received a response, you may send a follow-up email to hammer@coib.nyc.gov.

Your waiver request will be forwarded to your agency. Your request must be approved by your agency before COIB can consider the request.

Please provide the following information:

* Indicates required fields

Name*

Gender/Preferred Pronouns (optional)

Phone*

Email*

City Agency*
Note: DOHMH employees cannot use this online form, and must instead submit requests through DOHMH's intranet

City Job Title*

Describe your City duties*

City work location*

City work schedule (days of the week and exact hours)*

Outside employer*

Outside job location*

Outside job title*

Outside job schedule (days of the week and exact hours)*

Describe your outside job duties*

Are you involved in any business dealings between your outside employer and the City?*

Yes No

Will you communicate with any City agency in your outside job?*

Yes No

Additional Questions for Specialized Employment

M/WBE Business

Are you an owner of an M/WBE or a business seeking M/WBE status?*

Yes No

DOB Licenses and Permits

Will you be owning or working for a company involved in construction or skilled trades within the City?*

Yes No

Teaching

Will you be teaching at a college or university?*

Yes No

Driving a For-Hire Vehicle

Will you be driving a for-hire vehicle, such as a taxi, livery car, or for Uber or Lyft, in New York City?*

Yes No

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