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The DOS 1246 form is essential for security guards in New York State looking 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 must accompany the application. It also includes important questions regarding criminal history, such as any recent convictions or pending charges. Applicants must disclose whether any licenses or permits they hold have been revoked or suspended. Additionally, mandatory training requirements must be met prior to submission. The form checks for compliance with on-the-job training and annual in-service training, which are crucial for maintaining a valid security guard registration. Furthermore, applicants must complete a Child Support Statement, affirming their compliance with child support obligations. Failure to provide accurate information or complete required training may result in delays or denial of the renewal process. Completing this form accurately and submitting it on time ensures that security guards can continue their work without interruption.

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permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked.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

File Specs

Fact Name Description
Form Purpose The DOS 1246 form is used for the renewal of security guard licenses in New York State.
Fee Requirement A nonrefundable fee of $25.00 must accompany the renewal application.
Criminal History Disclosure Applicants must disclose any criminal convictions or pending charges since their last application.
Child Support Compliance New York State law requires a Child Support Statement, confirming no arrears or ongoing obligations.
Training Requirements Mandatory training must be completed prior to renewal. This includes specific hours for both OJT and annual training.
Address Changes Applicants should notify the Division of any changes to their residential address to ensure they receive important notices.
Photo ID Card The NYS Department of Motor Vehicles will produce a photo ID card using the applicant's DMV photo.
Submission Guidelines Documents with alterations or erasures will not be accepted, and may lead to criminal prosecution.
Renewal Deadline Renewal must be completed by the expiration date to avoid reapplication and requalification.
Contact Information For questions, applicants can contact the Division of Licensing Services at (518) 474-7569.

Dos 1246 - Usage Guidelines

Completing the DOS 1246 form is an essential step in renewing your security guard registration. This process requires careful attention to detail to ensure that all necessary information is accurately provided. After filling out the form, it will need to be submitted along with the appropriate fee to the New York State Department of State.

  1. Begin by reviewing the preprinted information at the top left of the form. Make any necessary changes in the space provided to the right.
  2. Fill in your Unique ID Number in the designated area.
  3. Enter your new last name, first name, middle initial, and suffix as applicable.
  4. Provide your new home street address, including the number and street name. If necessary, include any additional address information.
  5. Fill in your new home city, state, and ZIP code.
  6. Indicate whether your current term has expired by checking Yes or No.
  7. Answer the questions regarding any criminal convictions, license revocations, or pending charges. If applicable, enclose any required documentation.
  8. Complete the Child Support Statement section, certifying your current status regarding child support obligations.
  9. Sign and date the Applicant Affirmation section, confirming the truthfulness of the information provided.
  10. If paying by credit card, complete the credit card payment section, including the cardholder’s name, signature, and expiration date.
  11. Mail the completed form along with the $25.00 fee to the address provided at the bottom of the form. Ensure that you use a secure method of mailing to prevent any loss of your application.

Your Questions, Answered

What is the DOS 1246 form used for?

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. Completing this form is essential for continuing to work legally as a security guard.

How much is the fee for renewing my security guard registration?

The renewal fee for the security guard registration is $25. This fee must be submitted with your completed DOS 1246 form. Payment can be made via check, money order, or credit card.

What training is required before I can submit my renewal?

Before submitting your renewal, you must complete mandatory training. This includes a 16-hour On-The-Job (OJT) training if you have been employed for more than 90 days, and an 8-hour annual in-service training that must be completed each year of your license term. If you carry a firearm, you must also complete an 8-hour annual firearms course.

What should I do if my personal information has changed?

If there have been any changes to your personal information, such as your name or address, you should print those changes in ink on the DOS 1246 form. It is crucial to keep your information up to date so that you continue to receive important notifications regarding your registration.

What happens if I have a criminal conviction or pending charges?

If you have been convicted of a crime or offense since your last application, or if you have any pending charges, you must disclose this information on the form. You are required to provide additional documentation, such as court dispositions or copies of accusatory instruments, to support your application.

Is there a consequence for not renewing my registration on time?

Yes, failing to renew your registration by the expiration date means you cannot work as a security guard. If you do not renew within six months of your expiration, you will need to reapply and requalify for your registration.

What is the Child Support Statement, and why is it important?

The Child Support Statement is a mandatory section of the application that confirms whether you are under an obligation to pay child support. This statement is important because individuals who are four or more months in arrears may face suspension of their business or professional licenses.

What should I do if my payment is returned?

If your payment is returned by your bank, a $20 fee will be charged. It is essential to ensure that your payment method is valid to avoid delays in processing your renewal application.

How can I contact the Division of Licensing Services if I have questions?

If you have any questions regarding the DOS 1246 form or the renewal process, you can contact the Division of Licensing Services at (518) 474-7569. Be sure to reference your Unique ID Number in all communications for quicker assistance.

Common mistakes

  1. Neglecting to Sign the Application: One of the most common mistakes is forgetting to sign the application. Without a signature, the renewal cannot be processed.

  2. Failing to Check Preprinted Information: Applicants often overlook the preprinted information at the top of the form. It’s crucial to verify that all details are correct and to update any changes.

  3. Not Providing Proof of Name Change: If there has been a change in your name, such as through marriage or court order, you must provide documentation. Failing to do so can delay your application.

  4. Ignoring Training Requirements: Applicants sometimes forget to complete the mandatory training courses. Ensure that all required training is documented and up to date before submitting the form.

  5. Omitting Child Support Information: It is essential to complete the Child Support Statement section, regardless of whether you have children. Not addressing this can lead to complications.

  6. Providing Incomplete Payment Information: When paying by credit card, ensure that all details, including the card number and expiration date, are filled out correctly. Incomplete payment information can result in processing delays.

  7. Using Altered Documents: Submitting forms with any alterations or erasures can lead to rejection. Always present clean and original documents.

  8. Missing the Renewal Deadline: It’s crucial to submit the application before the expiration date. Failing to do so may require reapplication and requalification, which can be time-consuming.

Documents used along the form

The DOS 1246 form is essential for renewing a security guard registration in New York State. Along with this form, several other documents are often required to ensure compliance with state regulations. Below are four important documents that may accompany the DOS 1246 form during the renewal process.

  • Child Support Statement: This document confirms whether the applicant has any child support obligations. It is mandatory in New York State. Failure to provide accurate information can lead to license suspension.
  • Proof of Name Change: If an applicant's name has changed since their last application, they must provide documentation, such as a marriage certificate or court order, to verify the change.
  • Training Certificates: Applicants must submit proof of completion for required training courses. This includes the 16-hour On-The-Job training and any annual in-service training that may be applicable.
  • Criminal History Documentation: If there have been any criminal convictions or pending charges since the last application, the applicant must include court dispositions or copies of relevant legal documents.

Gathering these documents can help streamline the renewal process for security guard registration. Ensuring all required paperwork is submitted will prevent delays and complications in maintaining valid registration.

Similar forms

The DOS 1246 form shares similarities with the I-9 Employment Eligibility Verification form. Both documents require individuals to provide personal information, including name and address. The I-9 form verifies identity and employment eligibility in the U.S., while the DOS 1246 focuses on the renewal of a security guard license. Each form mandates the applicant to affirm the accuracy of their information, ensuring compliance with relevant laws and regulations.

Another comparable document is the Application for a Driver’s License or ID Card. Like the DOS 1246, this application requires personal details and may involve a fee. Both forms also necessitate proof of identity and residency. Additionally, both documents include sections that address any legal issues, such as convictions or pending charges, which could impact the applicant’s eligibility for the respective license or ID.

The Child Support Statement, also relevant in New York State, is similar in its requirement for applicants to disclose their financial obligations. Just as the DOS 1246 mandates a declaration regarding child support status, the Child Support Statement ensures that individuals are in compliance with their support obligations. Failure to meet these obligations can lead to the suspension of licenses, creating a direct link between the two documents.

Lastly, the Application for a Professional License, such as for nurses or real estate agents, bears resemblance to the DOS 1246 form. Both applications require detailed personal information and often include questions about criminal history. They also emphasize the importance of training and continuing education as prerequisites for renewal or initial licensing. This ensures that all professionals maintain the necessary qualifications to perform their duties safely and effectively.

Dos and Don'ts

When filling out the DOS 1246 form for security guard renewal, it's essential to follow specific guidelines to ensure a smooth process. Below is a list of things you should and shouldn't do.

  • Do answer all application questions completely and accurately.
  • Do check the preprinted information for accuracy and update any changes.
  • Do provide proof of any name changes, such as a marriage certificate or court order.
  • Do complete the mandatory training requirements before submitting the form.
  • Do sign the affirmation section to certify the truthfulness of your statements.
  • Do include the $25 nonrefundable fee with your application.
  • Don't submit the form with alterations or erasures.
  • Don't forget to include documentation for any criminal convictions or pending charges.
  • Don't ignore the child support statement; it is mandatory regardless of your situation.
  • Don't delay your submission; renew your registration before the expiration date.
  • Don't use a check that may bounce; ensure you have sufficient funds.
  • Don't forget to reference your Unique ID Number in any communications.

Misconceptions

The following are common misconceptions regarding the DOS 1246 form for security guard renewal:

  • Misconception 1: The DOS 1246 form is only for new applicants.
  • This form is specifically designed for individuals who are renewing their security guard registration, not for new applicants. New applicants must complete a different application process.

  • Misconception 2: You can submit the form without completing mandatory training.
  • Mandatory training must be completed and documented before submitting the renewal form. Failure to do so will result in the denial of the renewal application.

  • Misconception 3: Changes to personal information do not need to be reported.
  • It is crucial to report any changes to personal information, such as name or address. This ensures that renewal notices and important notifications are received without delay.

  • Misconception 4: The Child Support Statement is optional.
  • The Child Support Statement is mandatory in New York State. All applicants must complete this section regardless of their child support obligations.

  • Misconception 5: You can work as a security guard even if your registration has expired.
  • Working as a security guard without a valid registration is illegal. It is essential to renew your registration before the expiration date to maintain compliance.

Key takeaways

Filling out and using the DOS 1246 form for security guard renewal is a critical process that requires attention to detail. Here are some key takeaways to keep in mind:

  • Complete All Sections: Ensure that every question on the form is answered. Incomplete applications will not be processed.
  • Update Your Information: If there have been changes to your name or address, make sure to indicate these changes clearly. Providing proof of a name change is essential.
  • Child Support Statement: This section must be filled out, regardless of whether you have children. Failure to comply may result in license suspension.
  • Training Requirements: Confirm that you have completed the necessary training courses. Your renewal will be denied if you are not compliant with training requirements.
  • Payment Methods: The renewal fee of $25 can be paid via check, money order, or credit card. Be cautious of any returned checks, as they incur additional fees.
  • Timeliness is Crucial: Submit your renewal application before the expiration date. If you miss the deadline, you will have to reapply and meet all qualifications again.

By adhering to these guidelines, you can navigate the renewal process more smoothly and maintain your registration without unnecessary complications.