C105 2 form 2026

1. Click ‘Get Form’ to open the c105 2 form in the editor.
2. Begin by entering your license/registration number at the top of the form. Ensure this matches Department records for accuracy.
3. Fill in your business name and address, making sure they align with what is on file with the Department.
4. In the Certificate Holder box, input 'New York City Department of Buildings, Attn: Licensing Unit, 280 Broadway, 6th Floor, New York, NY 10007'.
5. Provide your insurance producer's business name, location, and office phone number as required.
6. Ensure all information is typed; handwritten corrections are not accepted. Review for completeness before submission.

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