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The DOS 1246 form is a crucial document for individuals seeking to renew their security guard registration in New York State. This form serves multiple purposes, including updating personal information, confirming compliance with training requirements, and ensuring that applicants are in good standing concerning child support obligations. A fee of $25 is required for processing, and applicants must provide a unique ID number for identification. The form requires individuals to disclose any criminal convictions or pending charges, as well as any issues related to licenses or permits that may have been revoked or suspended. Furthermore, applicants must affirm that they have completed mandatory training, including on-the-job and annual in-service courses, as part of the renewal process. Failure to adhere to these requirements can result in delays or even the need to reapply entirely. The form emphasizes the importance of accurate information, as any discrepancies or fraudulent submissions can lead to severe penalties. Overall, the DOS 1246 form is not merely a bureaucratic hurdle; it is a vital step in maintaining the integrity and professionalism of the security industry.

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permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked.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

Document Specifics

Fact Name Description
Form Purpose The DOS 1246 form is used for renewing security guard registrations in New York State.
Filing Fee A nonrefundable fee of $25.00 is required for processing the renewal application.
Criminal History Disclosure Applicants must disclose any criminal convictions or pending charges since their last application.
Training Requirements Mandatory training must be completed and on file to process the renewal. This includes specific hours of on-the-job and annual training.
Child Support Statement New York State law requires applicants to certify their child support status, ensuring no arrears of four months or more.
Signature Requirement Applicants must sign the affirmation section, certifying that all information provided is true and correct.
Governing Law This form is governed by New York State laws, specifically the General Obligations Law and Penal Law.

Dos 1246: Usage Instruction

After completing the DOS 1246 form, it will need to be submitted along with the required fee. Ensure all information is accurate to avoid delays in processing your renewal. Follow the steps below to fill out the form correctly.

  1. Locate the Unique ID Number at the top of the form and enter it in the designated area.
  2. Fill in your new last name, first name, middle initial, and suffix if applicable.
  3. Indicate your new home street address, including any necessary continuation details.
  4. Enter your new home city, state, and ZIP code.
  5. Mark "Yes" or "No" for the question regarding any criminal convictions since your last application. If "Yes," include the court disposition.
  6. Answer the question about any licenses or permits that have been revoked, suspended, or denied. Provide details if applicable.
  7. Respond to the question about any pending criminal charges. If "Yes," submit a copy of the accusatory instrument.
  8. Complete the Child Support Statement, certifying your status regarding child support obligations.
  9. Sign and date the application to affirm that all information is true and correct.
  10. If paying by credit card, fill in the required credit card information and cardholder's name and signature.
  11. Prepare the completed form for mailing. Include the $25.00 fee, which can be paid by check, money order, or credit card.
  12. Mail the signed form to the address provided on the form: NYS Department of State, Division of Licensing Services, PO Box 5004, G.P.O., New York, NY 10087-5004.

Learn More on Dos 1246

What is the purpose of the DOS 1246 form?

The DOS 1246 form is primarily used for the renewal of security guard registrations in New York State. It ensures that security guards maintain their qualifications and comply with state regulations. By completing this form, applicants confirm their identity, provide updated personal information, and affirm their compliance with training and legal obligations.

What information do I need to provide on the form?

When filling out the DOS 1246 form, you must provide several key pieces of information, including:

  1. Your Unique ID Number.
  2. Your new last name, first name, middle initial, and suffix, if applicable.
  3. Your new home address, including street, city, state, and zip code.
  4. Details regarding any criminal convictions or pending charges.
  5. Confirmation of your child support status.

Additionally, you must check for any changes in the preprinted information and sign the application to affirm the truthfulness of your statements.

Are there any training requirements associated with the renewal?

Yes, there are mandatory training requirements for security guards in New York. Specifically, you must complete:

  • A 16-hour On-The-Job (OJT) training if you have been employed for more than 90 days.
  • An 8-hour Annual In-Service training, which must be completed each year of your license term.
  • If applicable, an 8-hour Annual Firearms Course, which is required for those registered to carry a firearm.

All training must be documented and on file with the Department of State before you can submit your renewal form.

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

Failure to renew your registration by the expiration date means you cannot legally work as a security guard. If you miss the renewal deadline by more than six months, you will be required to reapply and requalify, which may involve additional fees and training.

What should I do if my name has changed?

If your name has changed, you must indicate this on the DOS 1246 form. You are required to provide proof of the name change, such as a court order, marriage certificate, or other official documents. This ensures that all records are accurate and up-to-date, which is essential for processing your renewal application.

How can I pay the renewal fee?

The renewal fee for the DOS 1246 form is $25. You can pay this fee in several ways:

  • By check or money order made payable to the NYS Department of State.
  • By credit card, either MasterCard or Visa, by providing your card details on the form.

It is important to note that if a check is returned by your bank, a $20 fee will be charged. Ensure that your payment is completed correctly to avoid delays in processing your renewal.

Common mistakes

Filling out the DOS 1246 form can be a straightforward process, but many individuals make common mistakes that can lead to delays or complications. One frequent error is failing to answer all application questions. The form clearly states that every question must be addressed, and omitting even one can result in the application being returned. Applicants should take care to read each question carefully and provide complete responses.

Another common mistake involves neglecting to update preprinted information. The form includes a section for applicants to indicate any changes in their personal details, such as name or address. If a person has moved or changed their name due to marriage or other reasons, they must ensure these updates are reflected accurately on the form. Failure to do so can lead to missed notifications regarding the renewal process.

Many applicants also overlook the requirement to provide proof of name changes. If an individual indicates a new last name, they must include documentation such as a marriage certificate or court order. Without this proof, the application may be considered incomplete, leading to further delays.

In addition, individuals often forget to include the child support statement. New York law mandates that this section be completed, regardless of whether the applicant has children. Neglecting this requirement can result in significant consequences, including the potential suspension of various licenses.

Training requirements are another area where mistakes frequently occur. Applicants must ensure that they have completed all necessary training courses and that the dates are properly recorded on the form. If any training is missing, the renewal cannot be processed, and applicants may find themselves unable to work legally as security guards.

Furthermore, some individuals fail to sign the affirmation section of the form. This signature is crucial, as it certifies that the information provided is accurate. Without a signature, the application will not be processed, and the individual may face delays in their renewal.

Another mistake involves the payment section. Applicants must ensure that the correct fee is included and that they have chosen a valid payment method. If a check is returned due to insufficient funds, a fee will be incurred, and the renewal process may be halted.

Some people also make errors when filling out their credit card information. It is essential to double-check the card number and expiration date to avoid payment issues. A simple typo can result in a rejected payment, leading to delays in processing the renewal.

Lastly, applicants sometimes fail to mail the form to the correct address. The instructions specify where to send the completed application, and sending it to the wrong location can cause significant delays. Ensuring that the form is sent to the NYS Department of State Division of Licensing Services is critical for timely processing.

By being mindful of these common mistakes, individuals can navigate the renewal process more smoothly and avoid unnecessary complications. Attention to detail is key when completing the DOS 1246 form.

Documents used along the form

The DOS 1246 form is essential for renewing a security guard registration in New York. Along with this form, several other documents may be required or beneficial during the renewal process. Below is a list of these documents, each with a brief description.

  • Child Support Statement: This document certifies the applicant's status regarding child support obligations. It is mandatory for all applicants, regardless of whether they have children.
  • Proof of Name Change: If an applicant's name has changed since their last application, they must provide documentation such as a marriage certificate, court order, or valid passport to verify the change.
  • Training Certificates: Applicants must submit proof of completed training courses, including the required 16-hour On-The-Job training and annual in-service training, to confirm compliance with training requirements.
  • Criminal Record Documentation: If the applicant has been convicted of a crime since their last application, they must include court dispositions or other relevant documents to provide details about the conviction.
  • Payment Information: This includes details for processing the $25 renewal fee, such as credit card information or a check, to ensure the application is complete and can be processed without delay.

These documents help ensure that the renewal process is smooth and compliant with state regulations. It is important to gather all necessary paperwork before submitting the DOS 1246 form to avoid any delays in renewing the security guard registration.

Similar forms

The Form I-9, Employment Eligibility Verification, is similar to the DOS 1246 form in that both documents are essential for ensuring compliance with legal requirements related to employment. The I-9 form is used by employers to verify the identity and employment authorization of individuals hired for employment in the United States. Like the DOS 1246, it requires individuals to provide personal information and may involve the submission of supporting documents. Both forms aim to ensure that individuals meet specific eligibility criteria for their respective roles.

The Application for a Social Security Card (Form SS-5) shares similarities with the DOS 1246 in its purpose of verifying identity and eligibility for certain benefits. The SS-5 form is used to apply for a new or replacement Social Security card, which is often necessary for employment and tax purposes. Both forms require personal information and may necessitate documentation to confirm identity, thereby serving as a means of establishing a legal identity for various official processes.

The Driver's License Application is another document akin to the DOS 1246 form. This application is crucial for individuals seeking to obtain or renew their driver's licenses. Like the DOS 1246, it requires personal details, proof of identity, and may ask about any legal issues that could affect the application. Both forms ensure that applicants meet the necessary criteria to hold a valid license or registration.

The Professional License Application is comparable to the DOS 1246 form in that it is designed for individuals seeking to obtain or renew a professional license in fields such as nursing, teaching, or engineering. Both documents require applicants to provide personal information, disclose any legal issues, and may require proof of qualifications or training. This process ensures that individuals are qualified to practice in their respective professions.

The Child Support Statement, which is included in the DOS 1246 form, is similar to the Child Support Application used in family court proceedings. Both documents aim to establish an individual's obligations regarding child support payments. They require individuals to disclose their financial situation and any existing obligations, ensuring that child support arrangements are fair and legally compliant.

The Background Check Authorization Form is another document that parallels the DOS 1246. This form is often required by employers or licensing boards to conduct background checks on applicants. Similar to the DOS 1246, it requires individuals to provide personal information and may involve the disclosure of any criminal history. Both forms aim to ensure that individuals meet the necessary standards for employment or licensing.

The Occupational License Renewal Application is akin to the DOS 1246 form in that it is used by individuals to renew their licenses in specific occupations. This application requires the submission of personal information, proof of continued qualifications, and may involve disclosures about any legal issues. Both forms are essential for maintaining compliance with regulatory requirements in various fields.

The Health Care Provider Credentialing Application also shares similarities with the DOS 1246. This application is used by healthcare providers to obtain or renew their credentials to practice medicine or provide healthcare services. Like the DOS 1246, it requires personal information, proof of qualifications, and may ask about any legal issues. Both documents are critical in ensuring that individuals are qualified to provide care and services in their respective fields.

Lastly, the Firearm License Application is comparable to the DOS 1246 form, particularly for those in security roles who may need to carry firearms. This application requires individuals to provide personal information, disclose any criminal history, and demonstrate training or qualifications related to firearm use. Both forms are essential in regulating who is permitted to carry firearms in a professional capacity, ensuring public safety and compliance with legal standards.

Dos and Don'ts

When filling out the DOS 1246 form for your security guard renewal, it’s essential to pay attention to details. Here’s a list of things you should and shouldn’t do to ensure a smooth process.

  • Do read the instructions carefully before starting the form.
  • Do fill out the form in ink to avoid any confusion.
  • Do check all preprinted information for accuracy.
  • Do provide proof of any name changes if applicable.
  • Do complete all required training courses before submitting your form.
  • Don't leave any questions unanswered; your application may be delayed.
  • Don't submit altered or erased documents, as they will not be accepted.
  • Don't forget to sign the affirmation section of the application.
  • Don't ignore the child support statement; it is mandatory.
  • Don't wait until the last minute to submit your renewal to avoid lapses in your registration.

Following these guidelines will help ensure that your renewal process goes smoothly. Take your time, double-check your work, and don’t hesitate to reach out if you have questions.

Misconceptions

Here are six common misconceptions about the DOS 1246 form, which is essential for renewing your security guard registration:

  • Misconception 1: The DOS 1246 form is only for new applicants.
  • This form is specifically designed for those renewing their security guard registration. New applicants must use a different form.

  • Misconception 2: Completing the form incorrectly will not affect my application.
  • Any errors or omissions can delay the processing of your application. It’s crucial to answer all questions accurately.

  • Misconception 3: I don’t need to report a name change if it’s minor.
  • All name changes must be reported, regardless of how minor they seem. You’ll need to provide proof of the change.

  • Misconception 4: I can submit the form without proof of required training.
  • You must complete all necessary training and have it on file before submitting the renewal form. Otherwise, your application will be rejected.

  • Misconception 5: I can work as a security guard while my renewal is pending.
  • You cannot work as a security guard if your registration has expired. Renew your registration before the expiration date to avoid any interruptions.

  • Misconception 6: Child support obligations are optional to disclose.
  • Providing information about child support obligations is mandatory. Failure to disclose this information can lead to serious consequences.

Key takeaways

Filling out the DOS 1246 form for security guard renewal can seem daunting, but understanding the key points can simplify the process. Here are some essential takeaways:

  • Complete All Sections: Ensure that every question on the application is answered. Missing information can delay processing.
  • Update Your Information: If your address or name has changed, clearly indicate these changes in the designated areas. Proof of name change may be required.
  • Child Support Statement: This section is mandatory. You must declare your status regarding child support obligations, even if you have none.
  • Training Requirements: Confirm that all required training courses are completed and documented. Without this, your renewal will not be processed.
  • Signature Matters: Sign the application affirming that all information is true. This is a legal affirmation, and false statements can lead to serious consequences.
  • Payment Options: The renewal fee is $25. You can pay via check, money order, or credit card. Ensure that your payment method is valid to avoid delays.
  • Submit on Time: Don’t wait until the last minute. If your registration expires, you cannot work as a security guard until it is renewed.

By following these guidelines, you can navigate the renewal process with confidence. Remember, staying informed is key to maintaining your registration smoothly.