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New York Security Guard Employment Status Notification 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with the Employer Information section. Enter your Employer UID# and Business Name clearly. Ensure all details are accurate, as this information is crucial for processing.
- Sign and date the Employer Information section to affirm that due diligence has been exercised in verifying application information.
- Proceed to the Guard Information section on page 2. Select the Type of Change by darkening the appropriate circle (Hiring or No Longer Employed).
- Fill in the Date of Change and Guard UID#. Then, enter the Guard's Name accurately.
- Calculate the Amount Due based on $25 per hire if applicable, and complete the Total Amount Due column.
- Review all entries for accuracy before submitting your form. Once satisfied, save your changes and follow instructions for submission.
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Related links
This course is required by New York State as the first step in obtaining a security guard registration card from the New York State Department of State.Read more
Reports shall be filed on this Security Guard Employment Status Notification form. Completely fill out, sign, and date the Employer Information section.Read more
authorized officers, agents and employees of the New York State Department of Health, requiring adequate security to guard against theft or diversion