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Department of state division of licensing services 2026

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The document is a request form from the NYS Department of State for flood disaster victims seeking a waiver of fees for replacement copies of licenses lost or damaged due to Hurricane Irene. It includes sections for personal information and details about the specific licenses being requested, along with a certification statement referencing Executive Order 21 which allows for these replacements at no charge.

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Click ‘Get Form’ to open the Request for Waiver of Fees for Flood Disaster Victims in the editor.
Begin by entering your Last Name and First Name in the designated fields. Ensure that the spelling is accurate for proper identification.
Fill in your Address, City/Town, State, and Zip Code. This information is crucial for correspondence regarding your request.
Provide your Telephone Number so that the department can reach you if there are any questions about your application.
In the section requesting replacement copies, specify the Name on License, Type of License, and Unique ID Number for each document you need replaced. You can list up to five documents.
Review your entries carefully to ensure all information is complete and accurate before signing at the bottom of the form.

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