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Content Overview

The DOS 1246 form plays a crucial role in the renewal process for security guard registrations in New York State. This form not only ensures that security personnel maintain their credentials but also helps to keep the public safe by verifying the qualifications of those in this vital role. When filling out the form, applicants must provide updated personal information, including any changes to their name or address, and confirm their compliance with mandatory training requirements. A fee of $25 is required for processing, and applicants must be aware of their obligations regarding child support, as this is a critical component of the application. Additionally, the form prompts applicants to disclose any criminal convictions or pending charges, ensuring transparency and accountability within the security industry. It is essential for applicants to follow the instructions carefully, as any missing information or failure to meet training requirements could delay the renewal process or result in the need to reapply entirely. Understanding the significance of the DOS 1246 form is vital for security guards looking to continue their careers and uphold the standards expected in their profession.

Key takeaways

  • Complete All Sections: Fill out every section of the DOS 1246 form. Your renewal will not be processed if any information is missing.
  • Update Your Information: Check the preprinted information and make any necessary changes. This includes your address and name, especially if it has changed due to marriage or other reasons.
  • Mandatory Child Support Statement: You must complete the child support section. This is required by law, regardless of whether you have children or support obligations.
  • Training Compliance: Ensure you meet all training requirements. You cannot submit the renewal form unless your training is up to date and on file.
  • Submit Required Documentation: If you have had any changes in your legal status, such as a name change, provide proof, like a marriage certificate or court order.
  • Pay Attention to Fees: Include the $25 nonrefundable fee with your application. You can pay by check, money order, or credit card.
  • Timely Submission: Submit your renewal application before the expiration date. If you miss the deadline by more than six months, you will need to reapply and requalify.

Guide to Writing Dos 1246

Completing the DOS 1246 form is an essential step for renewing your security guard registration. It is important to provide accurate and complete information to ensure a smooth renewal process. Follow these steps carefully to fill out the form correctly.

  1. Begin by locating the preprinted information at the top left of the form. Review this information to confirm it is accurate.
  2. If there are any changes to your last name, first name, middle initial, or suffix, write the new information in the designated area. Make sure to provide proof of any name change, such as a marriage certificate or court order.
  3. Next, fill in your new home street address, including the city, state, and ZIP code. Ensure that all information is current and accurate.
  4. Indicate whether your current term has expired by checking the appropriate box (Yes or No).
  5. Answer the questions regarding any criminal convictions, license revocations, or pending charges. If you answer "Yes" to any of these questions, include the necessary documentation as instructed.
  6. Complete the Child Support Statement section, certifying your status regarding child support obligations. This is mandatory, even if you do not have children.
  7. Sign and date the Applicant Affirmation, confirming that all statements made in the application are true and correct.
  8. If you are paying by credit card, fill out the credit card payment section with your card details. Ensure that you include the total amount due.
  9. Finally, mail the completed and signed form along with the $25 nonrefundable fee to the address provided on the form. Use a check or money order made payable to the NYS Department of State, or charge the fee to your credit card.

Make sure to double-check your form for any errors or omissions before mailing it. Following these steps will help ensure that your renewal application is processed promptly and without issues.

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Form Preview Example

SECURITY GUARD RENEWAL

SEE INSTRUCTIONS ON BACK

 

 

 

 

 

PRINT ANY CHANGES IN INK IN THIS AREA

 

Unique ID Number

YOUR NEW LAST NAME

FIRST NAME

Ml

SUFFIX

$25.00

 

 

 

 

 

 

 

Fee Due

NEW HOME STREET ADDRESS (NUMBER STREET)

NEW HOME STREET CONTINUED

Current Term Expires:

1)Yes 0 No [i

2)i-7 No f

Yes LJ

3)Yes [1 No [i

NEW HOME CITY

STATE ZIP CODE+ 4 CNTY

Since your last application, have you been convicted of a crime or offense (not minor traffic violation), in this state or elsewhere? (If Yes, please enclose court disposition.)

Since your last application has any license, permit, commission, registration or application for a license, permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked. suspended, or denied by any state, territory or governmentaljurisdiction or foreign country for any reason? (If Yes, enclose details).

Are there any criminal charges (misdemeanor or felony) pending against you in any court in this state or elsewhere? (If Yes, you must submit a copy of the accusatory instrument e.g. indictment, criminal information or complaint).

Notice:

Prier to renewal you must complete mandatory training (see instructions on reverse side ofform.) Our records show the following training is currently on flJe:

OJT:

Annual Training:

Annual Training:

OJTtraining is required of any guard employed for more than 90 days. If any of the above dates for annual training are missing, you must complete that training prior to submission ofyour renewal form.

Child Support Statement:

By signing this application. I certify that as of the d ate of this application. I am not under an obligation to pay child support OR if I am under an obligation to pay child support, I am not four or more months in arrears in the payment of child support, or I am making payments by income execution or by court agreed payment or repayment plan or by plan agreed to by the parties or my child support obligation is the subject of a pending court proceeding, or I am receiving public assistance or I am receiving public assistance or supplemental security income.

Applicant Affirmation:

I affirm. under the penalities of perjury. that the statements made in this application are true and correct.

In addition. I hereby autl1orize the t�YS Department of State and NYS Departmentof Motor Vehicles to produce an 1D card bearing my OMV photo. understand that DOS and DMV will use my DMV phto to produce all subsequent ID Cards for as long as I maintain my license with the Department of

State.

Applicant Signature

 

 

Date

 

 

 

 

 

 

Complete For Credit Card Payment

 

 

 

Applicant's Unique ID Number:

..-�

Total amount due: $ ________

□ Master Card

 

Applicant's Name:

 

 

 

Please charge to the following credit card:

□ Visa

I

 

I

 

Credit Card NO:

_I�1_1 �II� I___ I I

I

I I I I

I

I I I

Exp. Mo

Yr.

 

 

 

 

 

 

 

Print cardholder's name:

Cardholder's signature:

Date:

DOS -1246 Security Guard (Rev.5/14)

NYS DEPARTMENT OF STATE

DIVISION OF LICENSING SERVICES

PO BOX 5004, G.P.O.

NEW YORK, NY 10087-5004

Instructions:

1Answer all application questions and sign the Affirmation. Your renewal will not be processed without all of this information.

2Check the preprinted information (top left) and enter any changes in the space at right. It is important that you notify this Division of any changes to your residential address so you continue to receive renewal notices and any other notifications pertinent to your registration.

NOTE: If your name has changed (including changes due to marital status), please indicate the changes in the spaces to the right of the preprinted information. You must provide proof of such change of name, e.g., a copy of one of the following:

Court order changing your name Marriage certificate

Driver's license, or a non-driver's ID card Valid passport

Immigration documents

Child Support Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A Child Support

 

Statement

 

is

mandatory

in

New

York

State

(General

Obligations

Law).

The law requires you

to

complete

this

 

section

-

regardless

of

whether

or

 

not

you

have

children

or

any

support

obligation.

Any

person

who

Is four months

or

more

in

arrears

in

child

support may

be

subject

to

having his

or

 

her

 

business,

professional and driver's licenses suspended. The

 

intentional

submission

of

a false written statement for the purpose of frustrating or

defeating

the

lawful

enforcement

of

support

obligations

is

punishable

under

Section

175.35 of the

Penal Law. It

is

a

class E

felony

 

to

offer

a

false

instrument

 

for

filing

with

a

state or

local government

with the

intent to defraud.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Training Requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

It you are not In compliance with these training requirements, you

 

 

 

may not submit this renewal form.

 

 

 

 

 

 

 

 

 

 

 

 

In order to renew your registration, the required training courses must

 

 

be completed and on file with our office. The reverse side of this

 

 

 

 

application displays your training currently on file wtth our office. The

 

 

 

following courses are required:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16-Hour On-The Job(OJT) - renewal form must display date if

 

 

 

 

 

employed for over 90 days.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8-Hour Annual In-Service - must be completed within each

 

 

 

 

 

year of your license term; renewal form must display two

 

 

 

 

 

 

completiondates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If registered with our office to carry a firearm, you mustalso complete:

 

 

 

8-Hour Annual Firearms Course - must be completed each

 

 

 

 

 

calendar year; renewal form must display two completion dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Photo ID Card

 

 

 

 

Warning:

The

Department

of

State will not accept documents with

 

 

 

 

 

alterations

or

 

erasures. Presentation

of

 

fraudulent

documents

may

also

Your photo ID card

will be produced by the

NYS Department of

Motor

 

result

in criminal prosecution.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicles using the image on file in their office.

If you have a valid NYS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Mail

this

completed,

signed.

original

renewal

notice

wrth

your

$25

Driver License or

Non-Driver ID with photo,

please read the

section

"InformedConsent" on the reverse side of this notice, sign and date tt.

 

nonrefundable

fee.

You may pay by check or money order made

 

 

 

 

 

 

 

payable

to

the

NYS

Department

of

 

State

or

charge any fee

to

Failure to adhere to these instructions will delay

 

 

MasterCard

or

Visa.

A

$20 fee

will

be

charged

for

any

check

 

 

issuance of your new registration.

 

 

-·----------------------

returned by your bank.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-----------------

 

 

 

--------------------

 

 

Please fold here to ensure the address below * * * DO NOT CUT - PLEASE RETURN

Security Guard Renewal Application

DO NOT DELAY: You cannot work as a security guard if you do not renew your registration by the expiration date of your current registration. Additionally if you do not renew your registration within 6 months after the expiration of your current registration, you will have to reapply and requalify.

appears in the window of the return envelope.

 

ENTIRE FORM FOR PROCESSING * * *

 

 

Questions?

Contact

the Division

of

Licensing

Services

at

(518)

474-7569. Please

reference

your Unique ID Number in all communications.

NYS DEPARTMENT OF STATE

DIVISION OF LICENSING SERVICES

PO BOX 5004, G.P.O. NEWYORK, NY 10087-5004

Documents used along the form

When renewing your security guard registration using the DOS 1246 form, you may encounter several other forms and documents that are essential for a smooth application process. Each of these documents serves a specific purpose and helps ensure that your application is complete and compliant with state regulations. Below is a list of commonly used forms and documents.

  • Child Support Statement: This document is mandatory in New York State. It confirms whether you are under an obligation to pay child support and if you are up to date with your payments. Failing to provide accurate information may result in penalties.
  • Proof of Name Change: If your name has changed since your last application, you must provide documentation such as a marriage certificate, court order, or valid passport. This ensures that your records are accurate and up to date.
  • Training Certificates: Certificates proving completion of required training courses must be submitted. This includes the 16-hour On-The-Job training and the 8-hour Annual In-Service training. These courses are essential for maintaining your registration.
  • Criminal Record Documentation: If you have been convicted of a crime or have pending charges, you must include relevant court documents. This helps the reviewing authority assess your eligibility based on your criminal history.
  • Credit Card Payment Authorization: If you choose to pay the renewal fee via credit card, you will need to complete this authorization form. It includes your credit card details and must be signed by the cardholder.
  • Renewal Notice: This notice is sent to you by the Department of State and outlines your current registration status. It is important to review this notice for accuracy before submitting your renewal application.
  • Affidavit of Truth: This is a statement affirming that the information you provided in your application is true. It is a legal declaration that holds you accountable for any false statements.
  • Application for Reinstatement: If your registration has expired for more than six months, you will need to submit this application to requalify. It requires additional documentation and may involve retaking certain training courses.
  • Dog Bill of Sale: For those involved in the transfer of dog ownership, having a Dog Bill of Sale is crucial. This document provides formal proof of the transaction and can be found at toptemplates.info/bill-of-sale/dog-bill-of-sale/california-dog-bill-of-sale, ensuring both parties' rights are safeguarded during the process.
  • Informed Consent Form: If you are using a photo ID from the NYS Department of Motor Vehicles, this form grants permission for your photo to be used on your security guard ID card. It is important for ensuring that your identification is properly processed.

Gathering these documents and forms can seem overwhelming, but each one plays a vital role in the renewal of your security guard registration. Ensure that you review each requirement carefully and submit all necessary paperwork to avoid delays in processing your application. Your diligence will help maintain your ability to work in this important field.