Above space for office use only - New York State Department of Labor - labor state ny 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Type of License' section, selecting either 'Original' or 'Renewal'. Ensure you understand the associated fees: $500 for an original license and $300 for a renewal.
3. Provide your company name and federal employment identification number in the designated fields. If applicable, include your NYS Unemployment Insurance Employer Registration Number.
4. Complete the address sections accurately, including street address, city, state, and zip code. If your mailing address differs from your physical address, fill that in as well.
5. Designate a duly authorized representative by providing their name and contact information. Include necessary training details if applicable.
6. Indicate the type of asbestos work performed by checking all relevant boxes. This includes options like Abatement, Management Planning, Project Design, etc.
7. Review all sections carefully before submitting. Ensure that all required documents are attached and that you have signed where indicated.

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