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The DOS 1246 form is a crucial document for security guards in New York State, specifically designed for the renewal of their registration. This form requires applicants to provide updated personal information, including any changes to their name or address, and to affirm their compliance with mandatory training requirements. A fee of $25 is due upon submission, and the form must be completed accurately to avoid delays. Significant attention is given to the applicant's legal history; questions regarding criminal convictions, pending charges, and any previous license issues must be answered truthfully. Additionally, a Child Support Statement is mandatory, ensuring that applicants are not in arrears on child support obligations, as non-compliance can lead to license suspension. The form emphasizes the importance of timely renewal; failure to submit it before the expiration date could result in the inability to work as a security guard and may necessitate reapplication and requalification. Proper completion of the DOS 1246 form is essential not only for maintaining employment but also for adhering to the legal standards set forth by the New York State Department of State.

Common mistakes

  1. Omitting Required Information: Failing to answer all application questions can lead to delays. Each question must be addressed to ensure proper processing.

  2. Incorrectly Filling Out Personal Information: Providing inaccurate details, such as your name or address, can result in complications. Always check for accuracy before submitting.

  3. Neglecting to Sign the Application: An unsigned application is incomplete. Remember to sign the affirmation at the end of the form.

  4. Ignoring Training Requirements: Not completing mandatory training courses can prevent renewal. Ensure all training is current and documented.

  5. Failure to Include Child Support Statement: This statement is mandatory, regardless of whether you have children. Omitting it may result in rejection of the application.

  6. Not Providing Proof of Name Changes: If your name has changed, you must include documentation, such as a marriage certificate or court order. This is essential for accurate records.

  7. Submitting Altered Documents: Any alterations or erasures on the form will lead to rejection. Always submit original documents without changes.

Preview - Dos 1246 Form

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

Documents used along the form

When renewing your security guard registration using the DOS 1246 form, there are several other documents and forms that may be required or helpful in the process. Understanding these documents can ensure a smoother renewal experience and help you maintain compliance with state regulations.

  • Child Support Statement: This document is mandatory in New York State. It certifies your compliance with child support obligations. Failure to provide accurate information may lead to the suspension of your licenses.
  • Proof of Name Change: If your name has changed since your last application, you must provide documentation such as a marriage certificate, court order, or valid passport to verify the change.
  • Training Certificates: Certificates for required training courses must be submitted. This includes proof of completion for the 16-hour On-the-Job training and the 8-hour Annual In-Service training.
  • Motorcycle Bill of Sale: For those involved in the sale of motorcycles, it's important to have a legal record of the transaction. A New York Motorcycle Bill of Sale form can be utilized, which provides essential details about the sale, and can be accessed at autobillofsaleform.com/motorcycle-bill-of-sale-form/new-york-motorcycle-bill-of-sale-form/.
  • Criminal History Documentation: If you have been convicted of a crime since your last application, you will need to provide court disposition documents. This ensures transparency in your application.
  • Accusatory Instrument: If there are any pending criminal charges against you, you must submit a copy of the accusatory instrument, such as an indictment or complaint.
  • Payment Method Documentation: If you choose to pay by credit card, you will need to complete the credit card payment section of the form, providing your credit card details and signature.
  • Affidavit of Accuracy: This is a statement affirming that all information provided in your application is true and correct. It is a crucial part of the application process.
  • Renewal Notice: The original renewal notice should be mailed along with your completed application and payment. This ensures that your application is processed efficiently.

By gathering these documents and forms, you can facilitate a more efficient renewal process for your security guard registration. Being prepared not only helps you stay compliant but also ensures that you can continue your important work without interruption.

Similar forms

The DOS 1246 form shares similarities with the Application for Employment Authorization (Form I-765), which is used by individuals seeking permission to work in the United States. Both documents require applicants to provide personal information, including name, address, and unique identification numbers. Additionally, each form necessitates the disclosure of any criminal history that could impact the applicant’s eligibility. Just as the DOS 1246 emphasizes the importance of training and compliance for security guards, the I-765 also mandates that applicants meet specific requirements, such as maintaining lawful status and completing necessary documentation before submission.

Another document comparable to the DOS 1246 is the Child Support Enforcement (CSE) application. This form is essential for individuals seeking assistance in establishing or enforcing child support orders. Similar to the DOS 1246, the CSE application requires applicants to affirm their financial obligations and disclose any changes in personal circumstances. Both documents also highlight the significance of compliance with legal obligations; for instance, the DOS 1246 includes a Child Support Statement that must be completed, while the CSE application ensures that child support responsibilities are clearly articulated and enforced.

The Virginia Homeschool Letter of Intent serves as a vital document for parents intending to educate their children at home, similar to how various forms, like a job application or license renewal application, demand transparency and accurate information. Just as applicants must declare their intentions and past information, submitting the Homeschool Letter of Intent is essential for notifying local authorities of one’s educational plans, ensuring a smooth and compliant homeschooling experience.

The Professional License Renewal application is yet another document that mirrors the DOS 1246. This application is utilized by professionals in various fields, such as healthcare and engineering, who must renew their licenses periodically. Both forms require applicants to provide current personal information and confirm that they have completed any necessary continuing education or training. Additionally, just as the DOS 1246 asks about any criminal charges or license issues, the Professional License Renewal application often includes questions about disciplinary actions or legal matters that could affect the applicant’s ability to practice in their profession.

Lastly, the State Driver’s License Renewal application shares several characteristics with the DOS 1246 form. Both documents require applicants to verify their identity and provide up-to-date contact information. Additionally, each form includes a section for disclosing any legal issues, such as pending criminal charges or past violations that could impact the renewal process. Furthermore, both applications emphasize the importance of maintaining compliance with state regulations, as failure to adhere to the requirements can result in delays or denial of the renewal request.

Dos and Don'ts

Things You Should Do:

  • Carefully read all instructions on the form.
  • Print any changes clearly in ink.
  • Provide proof of any name changes, if applicable.
  • Complete all mandatory training before submission.
  • Check that your residential address is updated to receive notifications.
  • Sign the application to affirm that all information is true.
  • Include the $25.00 fee with your application.
  • Submit any required documents, such as court dispositions if necessary.
  • Use the correct credit card information if paying by card.
  • Mail the completed form promptly to avoid delays.

Things You Shouldn't Do:

  • Do not leave any application questions unanswered.
  • Do not alter or erase any part of the form.
  • Do not forget to include your Unique ID Number in communications.
  • Do not ignore the child support statement requirement.
  • Do not submit the form without your signature.
  • Do not submit false information, as it may lead to penalties.
  • Do not wait until the last minute to renew your registration.
  • Do not forget to check the training dates on file.
  • Do not send cash or any unapproved payment methods.
  • Do not send documents that are not required or requested.

Key takeaways

Here are key takeaways for filling out and using the DOS 1246 form for security guard renewal:

  • Complete All Sections: Answer every question on the application. Incomplete forms will not be processed.
  • Check Preprinted Information: Verify your Unique ID Number and personal details. Report any changes in ink.
  • Training Requirements: Ensure you have completed the necessary training courses. The form must reflect all required training dates.
  • Child Support Statement: This section is mandatory. You must confirm your status regarding child support obligations.
  • Signature and Affirmation: Sign and date the application to affirm that all statements are true and correct.
  • Payment Options: Include the $25 nonrefundable fee by check, money order, or credit card. Ensure all payment details are accurate.
  • Submit on Time: Renew your registration before the expiration date to avoid work interruptions. Late renewals may require reapplication.
  • Documentation for Name Changes: If your name has changed, provide legal proof such as a marriage certificate or court order.
  • Fraud Prevention: Do not alter or erase any documents. Submitting false information can lead to criminal charges.

For any questions, contact the Division of Licensing Services at (518) 474-7569 and reference your Unique ID Number.

How to Use Dos 1246

After gathering all necessary information, you are ready to fill out the DOS 1246 form. This form is essential for renewing your security guard registration. Follow these steps carefully to ensure that your application is complete and accurate.

  1. Locate the preprinted information at the top left of the form. Review it for accuracy.
  2. In the designated area, print any changes to your last name, first name, middle initial, or suffix in ink.
  3. Enter your new home street address, including any additional address details, city, state, and ZIP code.
  4. Indicate whether your current term has expired by checking "Yes" or "No."
  5. Answer the questions regarding any criminal convictions, license issues, or pending charges. If applicable, attach the necessary documentation.
  6. Confirm that you have completed the mandatory training by checking your training records on the form. If any training is missing, complete it before submission.
  7. Complete the Child Support Statement by certifying your current status regarding child support obligations.
  8. Sign and date the Applicant Affirmation, affirming that all statements made are true and correct.
  9. If paying by credit card, fill in the credit card information, including the cardholder's name, signature, and the total amount due.
  10. Mail the completed form along with the $25 nonrefundable fee to the address provided on the form.

By following these steps, you can ensure that your application is processed smoothly. Make sure to double-check all entries for accuracy before sending the form. If you have any questions, don't hesitate to reach out to the Division of Licensing Services for assistance.