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Free Dos 1246 Template

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The DOS 1246 form is an essential document for security guards seeking to renew their registration in New York State. This form not only requires personal information, such as your name and address, but also includes important questions regarding any changes in your legal status since your last application. Applicants must disclose any criminal convictions or pending charges, as these can impact their eligibility. A crucial part of the renewal process involves confirming completion of mandatory training, which is necessary to maintain your registration. Additionally, the form includes a Child Support Statement, ensuring that applicants are compliant with state obligations. It is vital to submit the form accurately and on time, as failure to do so can result in the inability to work as a security guard. The $25 renewal fee must be included, and applicants should be mindful of the expiration date of their current registration to avoid complications. Completing the DOS 1246 form correctly and promptly is essential for a seamless renewal process.

Document Specifics

Fact Name Details
Purpose The DOS 1246 form is used for the renewal of security guard registrations in New York State.
Fee A non-refundable fee of $25.00 is required for processing the renewal.
Training Requirement Mandatory training must be completed before renewal. This includes both OJT and annual training.
Child Support Statement Applicants must certify their child support status, as required by New York State law.
Criminal History Disclosure Applicants must disclose any criminal convictions or pending charges since their last application.
Address Changes Any changes to the residential address must be reported to ensure receipt of important notifications.
Submission Deadline Renewal must be completed before the expiration date to avoid reapplication and requalification.
Unique ID Number Each applicant has a Unique ID Number that must be referenced in all communications.
Fraud Penalties Submitting false information can lead to criminal prosecution under New York State Penal Law.
Contact Information For questions, contact the Division of Licensing Services at (518) 474-7569.

Similar forms

The DOS 1246 form is essential for renewing a security guard license in New York State. Several other documents share similarities with the DOS 1246 form in terms of purpose, structure, or required information. Below is a list of eight such documents, each accompanied by an explanation of how they relate to the DOS 1246 form.

  • Security Guard Application (DOS 1245): This initial application form is used when someone is applying for a new security guard license. Like the DOS 1246, it requires personal information, background checks, and affirmation of truthfulness.
  • Driver License Renewal Application: Similar to the DOS 1246, this document is used to renew a driver's license. It also requires personal information, confirmation of any legal issues, and payment of a fee.
  • Professional License Renewal Application: Many professions require periodic renewal of licenses, similar to the security guard license. This document often includes sections for personal details, training verification, and any legal issues since the last renewal.
  • Form Texas Partnership Certificate: This document is crucial for any partnerships operating in the state. It requires detailed information on each partner and their contributions. For assistance, a blank form is here to help you fill out the necessary details accurately.
  • Child Support Certification Form: This form is mandatory in various applications, including the DOS 1246. It requires individuals to confirm their child support status, mirroring the child support statement included in the DOS 1246.
  • Background Check Authorization Form: Just as the DOS 1246 requires information about criminal history, this form authorizes a background check. It collects similar details regarding any past convictions or pending charges.
  • Continuing Education Verification Form: Many licenses require proof of ongoing education or training. Like the DOS 1246, this document ensures that applicants have met necessary training requirements before renewal.
  • Employment Verification Form: This form is often required for various licenses and certifications. It confirms employment status and may ask for details about the applicant's job, similar to the employment details requested in the DOS 1246.
  • Change of Address Form: When a license holder changes their address, this form must be submitted. It parallels the address update section of the DOS 1246, ensuring that all records are current and accurate.
Free Dos 1246 File

Dos 1246 Example

SECURITY GUARD RENEWAL

SEE INSTRUCTIONS ON BACK

 

 

 

 

 

PRINT ANY CHANGES IN INK IN THIS AREA

 

Unique ID Number

YOUR NEW LAST NAME

FIRST NAME

Ml

SUFFIX

$25.00

 

 

 

 

 

 

 

Fee Due

NEW HOME STREET ADDRESS (NUMBER STREET)

NEW HOME STREET CONTINUED

Current Term Expires:

1)Yes 0 No [i

2)i-7 No f

Yes LJ

3)Yes [1 No [i

NEW HOME CITY

STATE ZIP CODE+ 4 CNTY

Since your last application, have you been convicted of a crime or offense (not minor traffic violation), in this state or elsewhere? (If Yes, please enclose court disposition.)

Since your last application has any license, permit, commission, registration or application for a license, permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked. suspended, or denied by any state, territory or governmentaljurisdiction or foreign country for any reason? (If Yes, enclose details).

Are there any criminal charges (misdemeanor or felony) pending against you in any court in this state or elsewhere? (If Yes, you must submit a copy of the accusatory instrument e.g. indictment, criminal information or complaint).

Notice:

Prier to renewal you must complete mandatory training (see instructions on reverse side ofform.) Our records show the following training is currently on flJe:

OJT:

Annual Training:

Annual Training:

OJTtraining is required of any guard employed for more than 90 days. If any of the above dates for annual training are missing, you must complete that training prior to submission ofyour renewal form.

Child Support Statement:

By signing this application. I certify that as of the d ate of this application. I am not under an obligation to pay child support OR if I am under an obligation to pay child support, I am not four or more months in arrears in the payment of child support, or I am making payments by income execution or by court agreed payment or repayment plan or by plan agreed to by the parties or my child support obligation is the subject of a pending court proceeding, or I am receiving public assistance or I am receiving public assistance or supplemental security income.

Applicant Affirmation:

I affirm. under the penalities of perjury. that the statements made in this application are true and correct.

In addition. I hereby autl1orize the t�YS Department of State and NYS Departmentof Motor Vehicles to produce an 1D card bearing my OMV photo. understand that DOS and DMV will use my DMV phto to produce all subsequent ID Cards for as long as I maintain my license with the Department of

State.

Applicant Signature

 

 

Date

 

 

 

 

 

 

Complete For Credit Card Payment

 

 

 

Applicant's Unique ID Number:

..-�

Total amount due: $ ________

□ Master Card

 

Applicant's Name:

 

 

 

Please charge to the following credit card:

□ Visa

I

 

I

 

Credit Card NO:

_I�1_1 �II� I___ I I

I

I I I I

I

I I I

Exp. Mo

Yr.

 

 

 

 

 

 

 

Print cardholder's name:

Cardholder's signature:

Date:

DOS -1246 Security Guard (Rev.5/14)

NYS DEPARTMENT OF STATE

DIVISION OF LICENSING SERVICES

PO BOX 5004, G.P.O.

NEW YORK, NY 10087-5004

Instructions:

1Answer all application questions and sign the Affirmation. Your renewal will not be processed without all of this information.

2Check the preprinted information (top left) and enter any changes in the space at right. It is important that you notify this Division of any changes to your residential address so you continue to receive renewal notices and any other notifications pertinent to your registration.

NOTE: If your name has changed (including changes due to marital status), please indicate the changes in the spaces to the right of the preprinted information. You must provide proof of such change of name, e.g., a copy of one of the following:

Court order changing your name Marriage certificate

Driver's license, or a non-driver's ID card Valid passport

Immigration documents

Child Support Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A Child Support

 

Statement

 

is

mandatory

in

New

York

State

(General

Obligations

Law).

The law requires you

to

complete

this

 

section

-

regardless

of

whether

or

 

not

you

have

children

or

any

support

obligation.

Any

person

who

Is four months

or

more

in

arrears

in

child

support may

be

subject

to

having his

or

 

her

 

business,

professional and driver's licenses suspended. The

 

intentional

submission

of

a false written statement for the purpose of frustrating or

defeating

the

lawful

enforcement

of

support

obligations

is

punishable

under

Section

175.35 of the

Penal Law. It

is

a

class E

felony

 

to

offer

a

false

instrument

 

for

filing

with

a

state or

local government

with the

intent to defraud.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Training Requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

It you are not In compliance with these training requirements, you

 

 

 

may not submit this renewal form.

 

 

 

 

 

 

 

 

 

 

 

 

In order to renew your registration, the required training courses must

 

 

be completed and on file with our office. The reverse side of this

 

 

 

 

application displays your training currently on file wtth our office. The

 

 

 

following courses are required:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16-Hour On-The Job(OJT) - renewal form must display date if

 

 

 

 

 

employed for over 90 days.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8-Hour Annual In-Service - must be completed within each

 

 

 

 

 

year of your license term; renewal form must display two

 

 

 

 

 

 

completiondates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If registered with our office to carry a firearm, you mustalso complete:

 

 

 

8-Hour Annual Firearms Course - must be completed each

 

 

 

 

 

calendar year; renewal form must display two completion dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Photo ID Card

 

 

 

 

Warning:

The

Department

of

State will not accept documents with

 

 

 

 

 

alterations

or

 

erasures. Presentation

of

 

fraudulent

documents

may

also

Your photo ID card

will be produced by the

NYS Department of

Motor

 

result

in criminal prosecution.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicles using the image on file in their office.

If you have a valid NYS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Mail

this

completed,

signed.

original

renewal

notice

wrth

your

$25

Driver License or

Non-Driver ID with photo,

please read the

section

"InformedConsent" on the reverse side of this notice, sign and date tt.

 

nonrefundable

fee.

You may pay by check or money order made

 

 

 

 

 

 

 

payable

to

the

NYS

Department

of

 

State

or

charge any fee

to

Failure to adhere to these instructions will delay

 

 

MasterCard

or

Visa.

A

$20 fee

will

be

charged

for

any

check

 

 

issuance of your new registration.

 

 

-·----------------------

returned by your bank.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-----------------

 

 

 

--------------------

 

 

Please fold here to ensure the address below * * * DO NOT CUT - PLEASE RETURN

Security Guard Renewal Application

DO NOT DELAY: You cannot work as a security guard if you do not renew your registration by the expiration date of your current registration. Additionally if you do not renew your registration within 6 months after the expiration of your current registration, you will have to reapply and requalify.

appears in the window of the return envelope.

 

ENTIRE FORM FOR PROCESSING * * *

 

 

Questions?

Contact

the Division

of

Licensing

Services

at

(518)

474-7569. Please

reference

your Unique ID Number in all communications.

NYS DEPARTMENT OF STATE

DIVISION OF LICENSING SERVICES

PO BOX 5004, G.P.O. NEWYORK, NY 10087-5004

Understanding Dos 1246

What is the purpose of the DOS 1246 form?

The DOS 1246 form is used for the renewal of a security guard registration in New York State. It allows individuals currently registered as security guards to update their information, confirm compliance with training requirements, and affirm their eligibility to continue working in this role.

What information do I need to provide on the form?

You will need to provide your unique ID number, new personal details such as your name and address, and answers to questions regarding any criminal convictions or pending charges. Additionally, you must certify your compliance with child support obligations and confirm that your training requirements are met.

What are the training requirements for renewal?

To renew your registration, you must have completed specific training courses. These include a 16-hour On-The-Job (OJT) training if employed for more than 90 days, and an 8-hour Annual In-Service training each year. If you carry a firearm, an 8-hour Annual Firearms Course is also required. Your renewal form must display completion dates for these trainings.

What happens if I do not renew my registration on time?

If you fail to renew your registration by the expiration date, you cannot work as a security guard. Additionally, if you do not renew within six months after your registration expires, you will be required to reapply and requalify, which can involve additional time and effort.

Is there a fee associated with the renewal?

Yes, there is a non-refundable fee of $25. You can pay this fee by check, money order, or credit card. Ensure that your payment method is valid to avoid delays in processing your renewal.

What should I do if my name has changed since my last application?

If your name has changed, you must indicate this on the form and provide proof of the name change. Acceptable documents include a marriage certificate, court order, or valid identification reflecting your new name. This ensures that your records are accurate and up to date.

Dos and Don'ts

When filling out the DOS 1246 form for security guard renewal, it’s important to follow certain guidelines to ensure your application is processed smoothly. Below is a list of things you should and shouldn’t do:

  • Do answer all questions completely and accurately.
  • Do sign the affirmation section at the end of the form.
  • Do check the preprinted information for accuracy and update any changes.
  • Do provide proof of any name changes, if applicable.
  • Do ensure all required training courses are completed and documented.
  • Don’t submit the form without including the $25 nonrefundable fee.
  • Don’t alter or erase any information on the form.
  • Don’t ignore the child support statement; complete it regardless of your situation.
  • Don’t wait until the last minute to submit your application.
  • Don’t forget to keep a copy of your completed form for your records.

By adhering to these guidelines, you can help ensure that your renewal process is efficient and successful. If you have any questions, don’t hesitate to reach out to the Division of Licensing Services for assistance.

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