Dot permittee registration form 2025

1. Click ‘Get Form’ to open the dot permittee registration form in the editor.
2. Begin with SECTION A: Applicant Information. Fill in your name, any aliases, Tax I.D. Number or Social Security Number, and your complete address (note that a Post Office Box is not accepted).
3. Continue by providing your city, state, zip code, telephone number, fax number, and a 24-hour emergency contact number. Ensure all information is accurate for prompt communication.
4. In SECTION B: Applicable License Number(s), enter the name of the company on the license and provide details for Consumer Affairs, Sign Hanger, Master Rigger, and Plumber licenses as applicable. Remember to attach a copy of the plumber's license if required.
5. Move to SECTION C: Category of Work Performed. Check all relevant categories that apply to your work.
6. In SECTION D: Work in Borough, check all boroughs where you will be working.
7. Complete SECTION E and F by listing authorized representatives and company officers/directors respectively. Use additional entries if necessary.
8. Finally, in SECTION H: Signature of Company Officer, ensure that a company official signs and dates the form. Remember that this form must be notarized.

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