Dos 1246 Template

Dos 1246 Template

The DOS 1246 form is an application used by security guards in New York State for the renewal of their registration. This form requires personal information, payment details, and a confirmation of compliance with training and child support obligations. To ensure uninterrupted service, individuals must complete and submit the form by the specified deadline.

Take action now to fill out the DOS 1246 form by clicking the button below.

Content Overview

The DOS 1246 form is essential for security guards looking to renew their registration in New York State. This form streamlines the renewal process while ensuring applicants meet all necessary requirements. Key sections include personal identification details, such as name and address changes, as well as a $25 renewal fee. Criminal history questions are significant, as candidates must disclose any convictions or pending charges since their last application. Additionally, proof of completed training courses is a vital part of the renewal process. Such training includes an annual in-service course and, for those carrying firearms, a firearms training course. Applicants must also affirm their child support status, which affects their eligibility to renew. Completing this form accurately is crucial, as failure to do so may delay registration. Overall, adherence to these requirements helps maintain professional standards within the security industry.

Dos 1246 Sample

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permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked.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

Document Attributes

Fact Name Description
Form Purpose The DOS 1246 form is used for renewing a security guard registration in New York State.
Fee Requirement A non-refundable fee of $25 is required for processing the renewal application.
Criminal History Disclosure Applicants must disclose any convictions, license suspensions, or pending criminal charges.
Child Support Statement New York law mandates that applicants certify their status regarding child support obligations.
Training Compliance Applicants must complete mandatory training requirements before submitting the renewal form.
Unique ID Number Each application is associated with a Unique ID Number, which should be referenced in all communications.
Document Authenticity Submission of altered or fraudulent documents may lead to criminal prosecution.
Application Signature The applicant must sign the form, affirming that all provided information is true and correct.
Mailing Instructions Completed forms should be mailed to the New York State Department of State Division of Licensing Services.
Renewal Deadline Failure to renew within six months of expiration requires a full reapplication and requalification.

Dos 1246: Usage Instruction

The following steps provide a clear guide for completing the Dos 1246 form for security guard renewal. It is crucial to ensure all information is accurate and complete to facilitate a smooth renewal process.

  1. Locate the Unique ID Number section at the top of the form. Fill in your current Unique ID Number.
  2. In the area provided, print any changes to your name in ink. Include your new last name, first name, middle initial, and any suffix.
  3. Enter your new home street address, including the number and street name, continuing in the designated area if needed.
  4. Provide your new home city, state, and ZIP code.
  5. Respond to the following questions truthfully:
    • Have you been convicted of a crime or offense since your last application?
    • Has any license, permit, or registration held by you been revoked, suspended, or denied?
    • Are there any criminal charges pending against you?
    Enclose any required documents if you respond "Yes" to any of these questions.
  6. Verify that you have completed the necessary mandatory training and ensure that dates for any missing training are known.
  7. Complete the Child Support Statement. Check the appropriate box and ensure accurate information regarding child support obligations is provided.
  8. Sign the Applicant Affirmation to certify that the statements made are true and correct.
  9. Provide payment information if opting for credit card payment. Fill in your card details, cardholder's name, and signature.
  10. Mail the completed and signed form along with the $25.00 fee. Use the provided address to ensure timely processing.

Once the form is submitted, it will begin the processing phase. It is important to monitor your mail for any communication from the Department of State regarding the status of your renewal application. Ensuring that all documentation is accurate will help expedite this process.

Frequently Asked Questions

  1. What is the DOS 1246 form?

    The DOS 1246 form is the application used for renewing a security guard registration in New York State. It collects important personal information and requires applicants to report any legal issues as well as training completion.

  2. How much does it cost to renew my security guard registration?

    The renewal fee for the DOS 1246 form is $25.00. You can pay this fee via check, money order, or credit card (Visa or MasterCard).

  3. What training requirements must I meet to renew my registration?

    Before submitting the DOS 1246 form, you must complete mandatory training. This includes:

    • 16-Hour On-The-Job Training (OJT) if employed for more than 90 days
    • 8-Hour Annual In-Service Training
    • If applicable, an 8-Hour Annual Firearms Course if you are registered to carry a firearm

    These training completions must be documented on the form.

  4. What should I do if I have a name change?

    If your name has changed, you must indicate the new name in the designated area on the form. You will also need to provide proof of your name change. Acceptable documents include a marriage certificate, a court order, or a valid passport.

  5. What are the child support obligations I need to disclose?

    The form requires you to certify your child support status. You must disclose if you are under an obligation to pay child support and ensure that you are not four or more months in arrears. If you are involved in any court proceedings regarding child support, or if you are receiving public assistance, this information must also be noted.

  6. What consequences do I face for not renewing 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 of the expiration, you will have to reapply and qualify again, which involves a more extensive process.

  7. How do I submit my completed form?

    Once you have completed, signed, and dated the DOS 1246 form, mail it to the New York State Department of State, Division of Licensing Services. Include your payment method, whether a check, money order, or credit card information.

  8. Can I work as a security guard while my renewal is being processed?

    No, you cannot work as a security guard unless your registration is current. Ensure that you submit your renewal application timely to avoid any interruption in your ability to work.

  9. Who do I contact if I have questions about the renewal process?

    If you have questions regarding the renewal of your security guard registration, you can contact the Division of Licensing Services at (518) 474-7569. Remember to reference your Unique ID Number in all communications.

Common mistakes

When filling out the Dos 1246 form for security guard renewal, mistakes can lead to significant delays or denials. One common error is failing to provide all required personal information. The form requires both your current information and any changes, such as a new name or address. Carefully review all sections to ensure everything is complete.

Another mistake involves overlooking the child support statement. This section is mandatory in New York State. Many applicants mistakenly believe they can skip it if they have no child support obligations. However, everyone must complete this part of the form, which confirms their standing regarding child support payments.

Thirdly, applicants often forget to disclose criminal history accurately. If you have had any convictions since your last application, this must be reported. Even if a minor offense seems insignificant, it is essential to be transparent. Failure to include this information can lead to serious complications.

Additionally, individuals might neglect training requirements. The form specifies that you must have completed the required training before submitting your renewal. If training completion dates are missing or incorrect, your application will not be processed. Ensure that your training requirements are met and documented properly.

Filling out the payment section incorrectly is also a frequent oversight. Applicants sometimes forget to include the payment method or specify an amount. Double-check this area to avoid processing delays once the form reaches the licensing office.

Moreover, many applicants forget to sign the affirmation. This statement verifies that all provided information is true and correct. Without a signature, the form cannot be processed, leading to a return request and potential lapses in licensing.

Finally, not following the submission instructions carefully can create significant issues. Ensure that all documents are included, such as proof of name change if applicable. Failure to adhere to the instructions could result in returning the application for corrections. Taking attention to detail during this process can save time and reduce frustration.

Documents used along the form

The DOS 1246 form is essential for renewing a security guard registration in New York. However, several other forms and documents are often required or useful during this process. Understanding these can streamline the renewal and ensure compliance with all necessary regulations.

  • Child Support Statement: This statement is mandatory in New York. It affirms whether you are current on child support payments, as failure to meet obligations can affect licensing.
  • Court Order Changing Name: If you have changed your name, include a copy of the official court order as proof. This document supports your application and avoids delays.
  • Marriage Certificate: Similar to a court order, this document can be used to prove a name change due to marriage and must accompany your renewal application if applicable.
  • Training Certification: Proof of completion for required training courses, such as the 16-Hour On-The-Job training and any annual in-service trainings, should be included. This ensures your qualifications are up-to-date.
  • Firearm Training Certificate: If you are registered to carry a firearm, documentation of completion for annual firearms training courses is necessary for your renewal.
  • Employment Verification: Sometimes, including a letter from your employer can clarify your work status as a security guard, particularly if you've changed jobs or are in transition.
  • Proof of Identity: A valid NYS Driver License or Non-Driver ID is often required. This helps in verifying your identity during the renewal process.
  • Credit Card Payment Authorization Form: If you choose to pay fees via credit card, filling out this form is necessary to ensure the payment is processed smoothly.

Gathering these forms ahead of time can simplify your renewal experience. Always double-check the latest requirements and instructions, as regulations can change. Proper preparation helps ensure that your security guard registration remains active without unnecessary interruptions.

Similar forms

The DOS 1246 form, which pertains to the renewal of security guard registration, shares similarities with several other important documents. Each of these documents has unique characteristics, yet they often serve comparable purposes in maintaining compliance with regulatory standards. The following list outlines six documents that are similar to the DOS 1246 form, along with explanations of their similarities:

  • Business License Application: Like the DOS 1246, a business license application requires detailed personal information and background disclosures. Applicants often must affirm honesty under penalty of perjury and may need to confirm that their prior licenses have not been revoked or denied.
  • Professional License Renewal Form: This form has much in common with the DOS 1246 in that both require the applicant to disclose any criminal activity since the last renewal. Additionally, proof of ongoing training or continuing education may also be necessary for both processes.
  • Child Support Compliance Statement: Similar to the Child Support Statement section in the DOS 1246, other compliance statements often require individuals to certify their payment status. Failure to comply may have consequences for the issuance or renewal of professional licenses.
  • Department of Motor Vehicles (DMV) Application: The DMV application shares a focus on personal information, address changes, and identity verification. Just like the DOS 1246, any discrepancies can delay processing and may require additional documentation.
  • Employment Background Check Form: This document serves a purpose similar to the DOS 1246 by requiring applicants to provide information on any pending legal actions or past convictions. Both forms aim to ensure that applicants meet the legal standards for their respective roles.
  • Health and Safety Training Certification: Much like the training requirements stated in the DOS 1246, a health and safety certification requires evidence of completed courses. Compliance with training protocols reflects an individual’s readiness and fit for a professional role.

Dos and Don'ts

Things You Should Do:

  • Complete all required sections of the DOS 1246 form.
  • Print any changes clearly in ink in the designated area.
  • Include your Unique ID Number at the top of the form.
  • Submit proof of name change if applicable, such as a marriage certificate or court order.
  • Sign the Child Support Statement, regardless of your status regarding child support.

Things You Shouldn't Do:

  • Do not leave any questions unanswered; incomplete forms are not processed.
  • Do not alter or erase any information on the form.
  • Do not forget to provide proof of training compliance; missing training can delay your application.
  • Do not submit payment without confirming the total amount due.
  • Do not assume renewal is automatic; renew your registration before the expiration date.

Misconceptions

Misconceptions about the DOS 1246 form can lead to confusion for applicants renewing their security guard licenses. Below are five common misconceptions:

  • Changing your name is optional. Some people believe that they do not need to report name changes when renewing. However, if your name has changed, you must indicate this and provide proof, such as a marriage certificate.
  • Child support obligations do not affect license renewal. Many assume that their child support status is irrelevant to the renewal process. In fact, New York State law requires a child support statement to be completed, and being in arrears may lead to license suspension.
  • All training requirements are flexible. A misconception exists that applicants can submit the form without meeting training requirements. In reality, specific training courses must be completed and on file for the renewal to be processed.
  • Late submission of the renewal form incurs no consequences. Some applicants believe that submitting the DOS 1246 after the expiration date will not be an issue. However, if renewal is not completed within six months, the individual will have to reapply entirely.
  • Fees are refundable. It is commonly mistaken that the $25 renewal fee is refundable. This is not true; the fee is nonrefundable regardless of the status of the application.

Key takeaways

Filling out the Dos 1246 form for security guard renewal is a critical task. The following key takeaways will ensure a smoother process:

  • Complete All Sections: Answer every application question and sign the affirmation. Missing information can delay processing.
  • Update Personal Information: Check preprinted details and make any necessary changes, especially to your address for ongoing notifications.
  • Report Name Changes: If your name has changed, provide proof, such as a marriage certificate or court order.
  • Child Support Statement: This is mandatory, regardless of whether you have children. Failing to complete this can jeopardize your license.
  • Training Requirements: Ensure all required training is completed and up-to-date. Your renewal cannot proceed without it.
  • Beware of Fraud: Submission of false information can lead to severe penalties, including criminal charges.
  • Renewal Deadlines: Do not delay your application. You risk losing your ability to work if you miss the renewal date.
  • Payment Submission: Include a $25 nonrefundable fee, payable by check or credit card. Ensure funds are available to avoid delays.
  • Photo ID Card: The NYS Department of Motor Vehicles will create your photo ID using the DMV photo on file.
  • Contact Information: Should you have questions, reference your Unique ID Number when contacting the Division of Licensing Services.

Be proactive in completing your renewal to maintain your status as a licensed security guard. Act promptly and thoroughly to avoid complications.

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