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www.dos.ny.gov Duplicate License/Registration Request

New York State Department of State Division of licensing Services Box 22001 Albany, NY 12201-2001 Customer Service: (518) 474-4429 Duplicate License/Registration Request INSTRUCTIONS: This form may not be used to change any information on your current license. To change information , you must submit a Change Notice, form DOS-1473. Print the required information as requested. NOTE: If you do not know your UID # or business address, visit and search our index of licensees and registrants for your current License/Registration information . Submit a separate form for each Duplicate License/Registration Request .

Division of Licensing Services . P.O. Box 22001 . Albany, NY 12201-2001 . Customer Service: (518) 474-4429 . www.dos.ny.gov Duplicate License/Registration Request. INSTRUCTIONS: This form may not be used to change any information on your current license. To change information, you must submit . a Change Notice, form DOS-1473.

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Transcription of www.dos.ny.gov Duplicate License/Registration Request

1 New York State Department of State Division of licensing Services Box 22001 Albany, NY 12201-2001 Customer Service: (518) 474-4429 Duplicate License/Registration Request INSTRUCTIONS: This form may not be used to change any information on your current license. To change information , you must submit a Change Notice, form DOS-1473. Print the required information as requested. NOTE: If you do not know your UID # or business address, visit and search our index of licensees and registrants for your current License/Registration information . Submit a separate form for each Duplicate License/Registration Request .

2 Mail this form with a check or money order made payable to the NYS Department of State or charge the fee to MasterCard or Visa, using a Credit Card Authorization, form DOS-1450. A $20 fee will be charged for any check returned by your bank. DO NOT SEND CASH. License/Registration Type: ( X only one) Apartment information Vendor/Sharing Agent FEE DUE: NONE Appearance Enhancement Operator Notary Public FEE DUE: $ Bail Enforcement Agent Private Investigator Barber Operator Real Estate Appraiser Document Destruction Contractor Shop/Renter (Appearance Enhancement and Barber) Hearing Aid Business Watch, Guard or Patrol Agency Hearing Aid Dispenser Armored Car Carrier Home Inspector FEE DUE.

3 $ Armored Car Guard Pet Cemetery Athlete Agent Security or Fire Alarm Installer Bedding Security Guard Central Dispatch Facility Telemarketer Coin Processor Ticket Reseller Durable Juvenile Product Manufacturer UID NUMBER NAME ON LICENSE (Last, First, ) RESIDENCE ADDRESS (No. and Street) CITY/STATE/ZIP COUNTY BUSINESS ADDRESS (No. and Street) CITY/STATE/ZIP COUNTY Print Name: Signature X Date: DOS-1508-f (Rev. 03/15) Page 1 of 1

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