Certificate of Registration Application 6-10-10.doc - suffolkcountyny 2026

1. Click ‘Get Form’ to open the Certificate of Registration Application in the editor.
2. Begin by filling in the 'Applicant' and 'Contact Name' fields at the top of the form. Ensure that all information is accurate and clearly printed.
3. Select the type of application you are submitting (New, Renewal) by checking the appropriate box.
4. Complete the 'Physical Facility Location' section, including city, state, and zip code. Attach a copy of your Certificate of Occupancy if applicable.
5. In the 'Previous History' section, answer all questions truthfully. If any apply, provide additional details on a separate sheet as instructed.
6. Fill out the 'Identification Numbers' section with your NYS Sales Tax Registration # and Federal Employer’s Identification #.
7. List all employees engaged in sales or servicing portable fire extinguishers in the designated area. Include their Suffolk County License #s and dates of birth.
8. Finally, ensure that you sign and date the application where indicated, and have it notarized before submission.

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