When complete, select the "Submit" button, on the bottom right corner 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Applicant's Information section. Enter your Last Name, First Name, MI, Date of Birth, and Social Security number (last 4 digits). Ensure you also provide your NY Driver’s License number or Non-Driver’s ID.
3. Complete your Mailing Address details including City, State, Zip code, Email Address, and Phone Number. If applicable, include your Business Phone Number.
4. In the Organization Information section, input the Organization Name and DOS ID number. Fill in the Physical Address and Organization Phone Number along with a 24 Hour Emergency contact.
5. Answer the questions regarding felony convictions and mental health commitments truthfully. This is crucial for compliance.
6. Finally, review all information for accuracy. Sign and date the Owner’s Verification section to affirm that all provided information is correct.
7. When complete, select the 'Submit' button located at the bottom right corner. An email will open with your completed form attached for submission.

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