Fillable Online Retail Laundry Self-Certification - NYC.gov Fax ... Preview on Page 1

Fillable Online Retail Laundry Self-Certification - NYC.gov Fax ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part I by entering your business's legal name and DCA license number, if applicable. Provide the premises address where laundry services will be performed.
  3. Indicate the number of employees at your business and list all addresses where laundry services will be provided.
  4. In Part II, check all applicable boxes under compliance, confirming your understanding of relevant laws and regulations.
  5. Complete the sections regarding outstanding judgments or warrants by checking the appropriate boxes and providing details if necessary.
  6. Finally, in Part III, certify that you are authorized to submit this form. Type your name in the signature field for electronic submission.

Start using our platform today to easily complete your Self-Certification form online for free!

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