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- Click ‘Get Form’ to open the c105 2 form in the editor.
- Begin by entering your license/registration number at the top of the form. Ensure this matches Department records for accuracy.
- Fill in your business name and address, making sure they align with what is on file with the Department.
- In the Certificate Holder box, input 'New York City Department of Buildings, Attn: Licensing Unit, 280 Broadway, 6th Floor, New York, NY 10007'.
- Provide your insurance producer's business name, location, and office phone number as required.
- Ensure all information is typed; handwritten corrections are not accepted. Review for completeness before submission.
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May 5, 2010 Form C-105.2 can be used for multiple permits, licenses or contracts that a business has with a specific government agency. 7. Unless theRead more
Insurers Obtaining a Certificate of NYS Workers Compensation Insurance (Form C-105.2) Overview How to obtain Form C-105.2 Related pages.Read more