Homepage Blank New York 1481 PDF Form
Article Guide

The New York 1481 form serves as a crucial application for individuals seeking certification as Code Compliance Technicians within the state’s firefighting and code enforcement framework. This form requires applicants to provide essential personal information, including their name, training ID number, and contact details, ensuring that the application process is both organized and efficient. Furthermore, it necessitates the listing of relevant coursework, such as the Code Compliance Technician course and other foundational classes in code enforcement practices. To streamline the application, applicants are encouraged to submit copies of any certificates for courses completed in the past six months. The form also mandates the endorsement of a fire chief or a top-ranking municipal official, who must confirm the applicant's assignment to perform duties related to code compliance. This dual-layered verification not only enhances the integrity of the application but also underscores the collaborative nature of fire safety and code enforcement in New York. Upon completion, the form must be submitted to the appropriate standards unit within the New York State Division of Homeland Security and Emergency Services, ensuring that all documentation is processed in a timely manner.

Document Preview

State of New York

Firefighting and Code Enforcement Personnel

Standards and Education Commission

Code Compliance Technician - Application

PLEASE PRINT OR TYPE

NAME (LAST, FIRST, MI)

STUDENT TRAINING ID NUMBER

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME ADDRESS (STREET, PO BOX)

DAYTIME PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

STATE

ZIP

NIGHTTIME PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF APPLICATION

 

DATE OF APPOINTMENT

FIRE DEPARTMENT NAME

 

 

 

 

FIRE DEPARTMENT CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Course Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Completion Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code Compliance Technician (9G), or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Introduction to Code Enforcement Practices I (9A) and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Introduction to Code Enforcement Practices II (9B) and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection Procedures for Existing Structures (9C)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To facilitate your application, please include copies of any certificates for courses taken within the last six months.

I affirm that I have completed the courses as shown.

SIGNATUREDATE

To be completed by fire chief, fire commissioner or top ranking municipal official.

I, __________________________________________________, do hereby assign this individual to perform the duties of

PRINT NAME

Code Compliance Technician for __________________________________________________.

JURISDICTION

RETURN TO:

 

 

 

 

SIGNATURE

DATE

STANDARDS UNIT

 

 

 

 

NYS DHSES

 

 

 

 

RANK OR TITLE

 

 

Ofice of Fire Prevention and Control

 

 

 

 

1220 Washington Avenue

 

 

 

 

NAME OF FIRE DEPARTMENT OR MUNICIPALITY

 

 

RETURN TO:

 

 

Building 7A, Floor 2

 

 

 

 

Standards Unit

 

 

 

 

Albany NY 12242

 

 

 

 

NYS Division of Homeland Security and Emergency Services

 

 

(518) 474-6746

 

 

 

 

Office of Fire Prevention and Control

 

 

 

 

99 Washington Ave, Suite 500

 

 

 

 

Albany, NY 12210-2833

 

 

 

 

(518) 474-6746

 

 

1481 (Rev. 1/04)

Additional copies of this application are available on the web at www.dhses.ny.gov/ofpc/training/fire-academy/certifications.cfm

Form Specifications

Fact Name Description
Form Purpose This form is used to apply for the position of Code Compliance Technician in New York.
Governing Law The application is governed by New York State Firefighting and Code Enforcement Personnel Standards and Education Commission regulations.
Required Information Applicants must provide personal details such as name, training ID number, date of birth, and contact information.
Course Requirements Completion of specific courses is required, including Code Compliance Technician (9G) and others related to code enforcement practices.
Signature Requirement Applicants must sign and date the form to affirm completion of the required courses.
Official Endorsement The form must be endorsed by a fire chief, fire commissioner, or a top-ranking municipal official.
Submission Details Completed applications should be returned to the Standards Unit of the NYS Division of Homeland Security and Emergency Services.

New York 1481: Usage Guidelines

Completing the New York 1481 form requires careful attention to detail. This form is essential for individuals applying for the position of Code Compliance Technician. After filling out the form, it must be submitted to the appropriate authority for processing. Ensure that all required information is accurate and complete to avoid delays.

  1. Begin by printing or typing your name in the designated area. Include your last name, first name, and middle initial.
  2. Enter your Student Training ID number.
  3. Provide your date of birth in the specified format.
  4. Fill in your home address, including street address or P.O. Box, city, state, and ZIP code.
  5. List your daytime phone number, ensuring the area code is included.
  6. Provide your nighttime phone number, also including the area code.
  7. Indicate the date of your application.
  8. Enter the date of your appointment.
  9. Write the name of your fire department.
  10. Include the fire department code.
  11. In the course name section, check the appropriate box for the courses you have completed: Code Compliance Technician (9G), Introduction to Code Enforcement Practices I (9A), Introduction to Code Enforcement Practices II (9B), and Inspection Procedures for Existing Structures (9C).
  12. List the completion date for each course you have taken.
  13. Attach copies of any certificates for courses completed within the last six months.
  14. Affirm your completion of the courses by signing and dating the form in the designated area.
  15. Have the fire chief, fire commissioner, or top-ranking municipal official complete their section. They must print their name, sign, and date the form, along with indicating their rank or title.
  16. Specify the jurisdiction for which the individual is assigned to perform duties as a Code Compliance Technician.
  17. Submit the completed form to the Standards Unit at the address provided.

Your Questions, Answered

What is the New York 1481 form used for?

The New York 1481 form is an application specifically designed for individuals seeking to become certified as Code Compliance Technicians. This certification is overseen by the New York Firefighting and Code Enforcement Personnel Standards and Education Commission. By completing this form, applicants can demonstrate their qualifications and readiness to perform essential duties related to code compliance within their fire departments or municipalities.

What information do I need to provide on the form?

When filling out the New York 1481 form, you will need to provide several key pieces of information. This includes your name, date of birth, and contact details such as your home address and phone numbers. Additionally, you must indicate your training ID number and the date of your application. It's also essential to specify the fire department you are associated with and the relevant courses you have completed, such as the Code Compliance Technician course and other related training. Don't forget to sign the form to affirm that the information you provided is accurate.

Are there any additional documents required with the application?

Yes, to facilitate your application process, it's recommended that you include copies of any certificates for courses you have completed within the last six months. These certificates serve as proof of your training and qualifications, helping to streamline the review process by the Standards Unit of the New York State Division of Homeland Security and Emergency Services.

Who needs to sign the form before submission?

The form must be signed by a fire chief, fire commissioner, or another top-ranking municipal official. This signature is crucial as it verifies that the individual applying for the Code Compliance Technician position has been officially assigned to perform these duties. The signature not only adds credibility to your application but also ensures that your department supports your pursuit of this certification.

Common mistakes

  1. Neglecting to Print or Type Clearly: Many applicants fail to print or type their information legibly. This can lead to misinterpretation of critical details such as names, addresses, and phone numbers. Always ensure that your handwriting is clear, or use a typewriter or computer to fill out the form.

  2. Omitting Required Information: Some individuals overlook sections that must be filled out completely. For instance, not providing a daytime or nighttime phone number can delay the processing of the application. Review the form carefully to ensure every required field is completed.

  3. Failing to Include Course Certificates: The application specifically requests copies of certificates for courses completed in the last six months. Failing to attach these documents can result in the application being rejected. Always double-check that you have included all necessary documentation.

  4. Incorrect Signatures: The form requires a signature from the applicant as well as from a fire chief or top-ranking official. Some applicants forget to obtain the necessary signatures or fail to sign the form themselves. Ensure that both signatures are present before submission.

  5. Not Following Submission Instructions: Applicants sometimes ignore the specified return address or submission method. It is crucial to send the application to the correct location, as indicated on the form. Verify the address and follow any additional instructions provided to avoid delays.

Documents used along the form

The New York 1481 form is essential for individuals applying to become Code Compliance Technicians. Several other forms and documents are often required or recommended to accompany this application. Below is a list of these forms, each serving a specific purpose in the application process.

  • Application Checklist: This document outlines all necessary items and forms required for the application, ensuring that nothing is overlooked.
  • Course Completion Certificates: Applicants must provide certificates for any relevant courses completed within the last six months, demonstrating their training and qualifications.
  • Fire Department Assignment Letter: This letter, signed by the fire chief or a top-ranking official, confirms the applicant's assignment to the Code Compliance Technician role within the department.
  • Background Check Authorization Form: This form grants permission for a background check, which is often a prerequisite for certification and employment in public safety roles.
  • Emergency Contact Information Form: This document collects essential contact information for emergencies, ensuring that the department can reach the applicant if necessary.
  • Medical Clearance Form: A signed document from a medical professional certifying that the applicant is fit for duty may be required, particularly for physically demanding roles.
  • Code of Ethics Acknowledgment: This form indicates the applicant's understanding and commitment to adhering to the ethical standards expected in the Code Compliance Technician position.
  • Training Program Evaluation Form: After completing training, this form allows participants to provide feedback on the program, which can be used for future improvements.
  • Continuing Education Units (CEUs) Documentation: If applicable, this documentation verifies any additional training or courses taken beyond the required ones, showcasing the applicant's commitment to professional development.
  • Affidavit of Experience: This sworn statement details the applicant's relevant work experience, providing further evidence of their qualifications for the role.

Each of these documents plays a critical role in the application process for the New York 1481 form. Ensuring that all required forms are completed and submitted can significantly impact the success of the application.

Similar forms

The New York 1481 form serves as an important application for individuals seeking to become certified as Code Compliance Technicians. Several other documents share similarities with the New York 1481 form, particularly in terms of purpose, structure, and the information they collect. Here are four such documents:

  • Application for Certification: This document is used in various professional fields to verify that an applicant meets the necessary qualifications. Like the New York 1481 form, it requires personal information and proof of completed training or coursework.
  • Job Application Form: Commonly used across industries, this form gathers essential details about candidates, including their work history and education. Similar to the New York 1481, it often necessitates signatures affirming the accuracy of the provided information.
  • Training Completion Certificate: This document certifies that an individual has completed specific training programs. Much like the New York 1481 form, it may require submission of supporting documentation, such as transcripts or course completion records.
  • Professional License Application: Individuals seeking licensure in various professions must complete this form. It parallels the New York 1481 form in that it collects personal data and evidence of qualifications, ensuring that applicants meet regulatory standards.

Understanding these similarities can help applicants navigate their professional journeys more effectively. Each document plays a crucial role in verifying qualifications and ensuring compliance with industry standards.

Dos and Don'ts

When filling out the New York 1481 form, attention to detail is crucial. Here are five important do's and don'ts to consider:

  • Do print or type your information clearly. This ensures that all details are easily readable.
  • Do include your training ID number and date of birth. This information is essential for processing your application.
  • Do attach copies of any relevant certificates for courses completed within the last six months. This can expedite your application.
  • Don't leave any required fields blank. Incomplete forms can lead to delays in processing.
  • Don't forget to sign and date the application. Your signature confirms the accuracy of the information provided.

Misconceptions

Misconceptions about the New York 1481 form can lead to confusion and delays in the application process. Here are ten common misunderstandings, along with clarifications:

  1. Only firefighters can apply. Many believe that only active firefighters can fill out the New York 1481 form. In reality, it is open to any individual assigned to the role of Code Compliance Technician.
  2. All courses must be completed before applying. Some think they need to finish all required courses before submitting the application. However, you can apply as long as you are enrolled in the necessary courses.
  3. The form is only for new applicants. A misconception exists that this form is exclusively for first-time applicants. In fact, it can also be used for re-certification or when a new assignment occurs.
  4. Signature from the fire chief is optional. Some individuals believe that the fire chief’s signature is not necessary. This is incorrect; it is a crucial part of the application process.
  5. There is no deadline for submission. Many assume that they can submit the form at any time. However, there are specific deadlines that must be adhered to, depending on the department's requirements.
  6. Only physical copies are accepted. Some applicants think they must submit a paper form. In many cases, electronic submissions are also acceptable, but it's important to check specific guidelines.
  7. Supporting documents are not needed. A common belief is that only the form itself is required. In truth, you must include copies of any certificates for courses completed within the last six months.
  8. The application is only for Code Compliance Technicians. While the form is primarily for Code Compliance Technicians, it may also be relevant for other roles within fire departments, depending on local requirements.
  9. It is a complicated process. Some individuals feel overwhelmed by the application process. In reality, the form is straightforward, and assistance is available if needed.
  10. Once submitted, the application cannot be changed. Many believe that once they send in the application, they cannot make any changes. However, you can contact the appropriate office to request modifications if necessary.

Understanding these misconceptions can help streamline the application process and ensure that you meet all requirements effectively.

Key takeaways

When filling out and using the New York 1481 form, consider the following key takeaways:

  • Print or Type: Always print or type your information clearly to ensure legibility.
  • Personal Information: Fill in your full name, date of birth, and contact details accurately.
  • Training ID Number: Include your Student Training ID Number if you have one, as it helps in processing your application.
  • Fire Department Details: Clearly state the name and code of your fire department to avoid confusion.
  • Course Completion: List the courses you have completed, ensuring they match with the documentation you provide.
  • Certificates: Attach copies of any certificates for courses taken within the last six months to support your application.
  • Signature Requirement: Don’t forget to sign and date the application to validate your submission.
  • Official Endorsement: An official from your fire department must complete their section, confirming your assignment as a Code Compliance Technician.
  • Submission Location: Return the completed form to the Standards Unit at the specified address to ensure it is processed correctly.
  • Additional Copies: If you need more applications, you can find additional copies online at the provided web address.

By following these guidelines, you can navigate the application process more smoothly and increase the chances of a successful submission.