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The DOS 1246 form is essential for security guards in New York State seeking to renew their registration. This form requires applicants to provide updated personal information, including any changes to their name or address. A fee of $25 is due upon submission, and it is crucial to complete mandatory training before renewal. The form also addresses important legal considerations, such as any criminal convictions or pending charges. Applicants must affirm their compliance with child support obligations, as failure to do so can lead to license suspension. Additionally, the form outlines specific training requirements, including the completion of on-the-job training and annual in-service courses. It is vital to ensure all information is accurate and that the form is signed, as incomplete submissions will delay processing. Understanding these components is key to maintaining valid registration and continuing employment as a security guard in New York.

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permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked.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

➤ PDF File

Form Specifications

Fact Name Details
Form Purpose The DOS 1246 form is used for the renewal of security guard registrations in New York State.
Fee Amount A non-refundable fee of $25.00 is required for processing the renewal.
Criminal History Disclosure Applicants must disclose any convictions or pending criminal charges since their last application.
Training Requirements Mandatory training must be completed prior to renewal. Specific courses are required based on employment duration.
Child Support Statement Applicants must certify their child support status, as required by New York State law.
Signature Requirement Applicants must sign the affirmation to confirm that all statements made in the application are true and correct.
Address Changes Any changes to residential address must be reported to ensure receipt of renewal notices.
Submission Instructions The completed form must be mailed to the NYS Department of State, along with the required fee.
Governing Law This form is governed by the New York State General Obligations Law and the Penal Law.

Dos 1246: Usage Guidelines

Filling out the DOS 1246 form is a straightforward process. Follow these steps carefully to ensure your application is complete and accurate. This will help you avoid delays in processing your renewal.

  1. Locate your Unique ID Number at the top left corner of the form.
  2. Print any changes to your personal information in the designated area. Include your new last name, first name, middle initial, and suffix if applicable.
  3. Enter your new home street address, including the street number and name. If necessary, continue on the next line.
  4. Fill in your new home city, state, and ZIP code.
  5. Indicate whether your current term expires by checking “Yes” or “No.”
  6. Answer the questions regarding any criminal convictions, license revocations, or pending charges. If you answer “Yes” to any question, be sure to include the necessary documentation.
  7. Complete the Child Support Statement by checking the appropriate box that applies to your situation.
  8. Sign and date the Applicant Affirmation to certify that your statements are true and correct.
  9. If paying by credit card, fill in your credit card details, including the card number, expiration date, and cardholder's name and signature.
  10. Review the form to ensure all information is accurate and complete.
  11. Mail the completed form along with the $25 nonrefundable fee to the address provided on the form.

Your Questions, Answered

What is the purpose of the DOS 1246 form?

The DOS 1246 form is used for renewing the registration of security guards in New York State. It ensures that individuals in this profession maintain compliance with necessary training and legal requirements. By completing this form, security guards can confirm their eligibility to continue working in their roles without interruption.

What information do I need to provide on the form?

When filling out the DOS 1246 form, you will need to provide your unique ID number, personal details such as your name and address, and information regarding any criminal convictions or pending charges. Additionally, you must certify your compliance with child support obligations and affirm that all statements made in the application are true. It’s crucial to review the preprinted information and make any necessary changes in ink.

Are there any training requirements I need to meet before submitting the form?

Yes, before submitting the DOS 1246 form, you must complete mandatory training. This includes a 16-hour On-The-Job training if you have been employed for more than 90 days, and an 8-hour Annual In-Service training each year. If you carry a firearm, an additional 8-hour Annual Firearms Course is required. Ensure that all training dates are recorded on the form, as missing training can delay your renewal.

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

If you fail to renew your registration by the expiration date, you will not be able to work as a security guard. Additionally, if you do not renew within six months after your registration expires, you will need to reapply and requalify, which can be a lengthy process. Timely submission of the renewal form is essential to maintain your employment status.

How can I pay the renewal fee?

The renewal fee for the DOS 1246 form is $25. You can pay this fee by check or money order made out to the NYS Department of State. Alternatively, you can charge the fee to a MasterCard or Visa credit card. Be aware that a $20 fee will be charged for any checks that are returned by your bank, so ensure your payment method is valid to avoid delays.

Common mistakes

  1. Incomplete Information: Failing to answer all questions can lead to delays. Ensure every section is filled out completely.

  2. Missing Signature: Forgetting to sign the application is a common mistake. Always check that your signature is present.

  3. Incorrect Payment: Submitting the wrong fee amount can cause processing issues. Verify that you include the correct $25.00 fee.

  4. Outdated Training Records: Not updating your training information can result in rejection. Ensure all required training is current and documented.

  5. Failure to Notify Address Changes: Not updating your address means you may miss important notifications. Always report any changes promptly.

  6. Ignoring Child Support Statement: Neglecting to complete this section can lead to complications. This statement is mandatory regardless of your child support status.

  7. Providing Incomplete Criminal History: Omitting any relevant criminal history can lead to serious consequences. Be thorough when disclosing past convictions or pending charges.

  8. Using Altered Documents: Submitting altered or erased documents can result in denial or legal issues. Always provide original, unaltered documents.

  9. Missing Required Attachments: Not including necessary documents, such as proof of name changes or training completion, can delay processing.

  10. Failure to Follow Instructions: Ignoring the instructions provided can lead to mistakes. Always read and follow the guidelines carefully.

Documents used along the form

When renewing your security guard registration with the DOS 1246 form, there are several other forms and documents that may be necessary to ensure a smooth process. Each of these documents serves a specific purpose and helps to fulfill legal requirements. Below is a list of commonly used forms that accompany the DOS 1246 form.

  • Child Support Statement: This document is mandatory in New York State. It certifies whether you are under an obligation to pay child support and if you are current on your payments. It is crucial for the renewal process, as failure to comply may lead to license suspension.
  • 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. This proof ensures that your records are accurate and up to date.
  • Training Completion Certificates: Certificates showing completion of required training courses must be submitted. This includes the 16-hour On-The-Job training and any annual in-service training. These documents confirm that you have met the training requirements necessary for renewal.
  • Criminal History Documentation: If you have been convicted of a crime or have pending charges, you must include relevant court documents. This could include a copy of the indictment or any court dispositions to provide a complete picture of your legal standing.
  • Payment Information Form: If you choose to pay by credit card, this form is essential. It includes details such as the credit card number, expiration date, and cardholder’s name, facilitating the processing of your payment.
  • Affirmation Statement: This is part of the DOS 1246 form but requires a separate acknowledgment. By signing, you affirm that all information provided is true and correct, which is crucial for the validity of your application.
  • Renewal Notice: This is typically sent to you before your registration expires. It contains important information regarding your renewal, including deadlines and any changes in requirements.

Gathering these documents can help streamline your renewal process and ensure that you remain compliant with state regulations. Always double-check to ensure that all necessary forms are included before submission to avoid delays in processing your renewal application.

Similar forms

  • Form I-9: This form is used by employers to verify the identity and employment authorization of individuals hired for employment in the United States. Similar to the DOS 1246, it requires personal information and confirmation of legal status, ensuring compliance with state and federal regulations.
  • Renewal Application for a Professional License: Like the DOS 1246, this document requires applicants to provide updated personal information and may ask about any legal issues that could affect their eligibility. Both forms aim to maintain professional standards and public safety.
  • Child Support Enforcement Form: This form is similar in that it collects information regarding an individual's financial obligations and legal status. Both documents emphasize the importance of compliance with legal requirements, ensuring that applicants are not in arrears with child support payments.
  • Driver's License Renewal Application: This application requires personal information and may ask for updates on legal matters, similar to the DOS 1246. Both forms serve to confirm that the applicant meets the necessary requirements to hold a valid license.

Dos and Don'ts

When filling out the DOS 1246 form for security guard renewal, it’s essential to approach the task with care. Here’s a helpful list of things to do and avoid to ensure your application is processed smoothly.

  • Do: Answer all questions completely and accurately. Incomplete forms will delay processing.
  • Do: Use black or blue ink when making any changes. This ensures clarity and legibility.
  • Do: Provide proof of any name changes if applicable. Acceptable documents include a marriage certificate or court order.
  • Do: Ensure all required training is completed and documented before submitting your form.
  • Do: Sign the affirmation section. Your application cannot be processed without your signature.
  • Don't: Leave any sections blank. Every question must be answered to avoid delays.
  • Don't: Submit altered or erased documents. This can lead to rejection of your application.
  • Don't: Forget to include your payment. The application will not be processed without the $25 fee.

By following these guidelines, you can ensure a smoother application process and avoid potential issues with your security guard renewal.

Misconceptions

Misconceptions about the DOS 1246 form can lead to confusion and potential issues for applicants. Here are seven common misconceptions along with clarifications:

  • Misconception 1: The DOS 1246 form is optional for security guards.

    • In reality, the renewal of the DOS 1246 form is mandatory for security guards to maintain their registration. Failing to submit the form by the expiration date can result in the inability to work legally as a security guard.

  • Misconception 2: Only new applicants need to provide proof of training.

    • This is incorrect. All applicants must show proof of required training, including completion of the 16-hour On-The-Job training and annual in-service courses, regardless of whether they are new or renewing their registration.

  • Misconception 3: The application can be submitted without a signature.

    • Signing the application is essential. The affirmation at the end of the form certifies that the information provided is true and correct. Without a signature, the application will not be processed.

  • Misconception 4: Changes in personal information do not need to be reported.

    • Changes, such as a new address or name, must be reported on the form. This ensures that the Division of Licensing Services can reach the applicant with important notifications regarding their registration.

  • Misconception 5: There are no consequences for failing to pay child support.

    • In New York State, individuals who are four months or more in arrears on child support may face suspension of their business, professional, and driver's licenses. This requirement must be acknowledged in the application.

  • Misconception 6: The $25 renewal fee is refundable.

    • The fee for renewing the registration is nonrefundable. Applicants should be aware that once submitted, the fee cannot be returned, regardless of the application outcome.

  • Misconception 7: The form can be submitted with alterations or erasures.

    • This is not allowed. The Department of State will reject any documents that have been altered or contain erasures. Such actions may also lead to criminal prosecution.

Key takeaways

When filling out the DOS 1246 form for security guard renewal, there are several important points to keep in mind:

  • Complete All Sections: Ensure every question on the application is answered. Missing information can delay your renewal.
  • Update Your Information: If there are any changes to your name or address, write them in the designated area. This helps the Department of State keep your records accurate.
  • Child Support Statement: You must complete this section, even if you do not have children. Being behind on child support can impact your license.
  • Training Compliance: Confirm that you have completed the required training courses. If any training is missing, complete it before submitting your form.
  • Signature Required: Don’t forget to sign the application. Your signature affirms that the information you provided is true.
  • Timely Submission: Submit your renewal before the expiration date to avoid any lapse in your registration. Renewals submitted more than six months late require a complete reapplication.

By keeping these key takeaways in mind, you can navigate the renewal process smoothly and maintain your security guard registration without any issues.