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Dos 1246 Template

The DOS 1246 form is a crucial document for security guards in the process of renewing their registration with the NYS Department of State Division of Licensing Services. It collects updated personal information, ensures compliance with training requirements, and verifies the applicant's status regarding criminal convictions and child support obligations. To ensure uninterrupted employment as a security guard, completing and submitting this form before the expiration of your current registration is essential. For a seamless renewal process, click the button below to fill out the form.

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Table of Contents

In an industry where security and compliance are paramount, the DOS 1246 Security Guard Renewal form serves as a crucial document for professionals aiming to continue their practice without interruption. This form, revised in May 2014 by the New York State Department of State Division of Licensing Services, encompasses a comprehensive procedure for renewing a security guard license. It prompts the applicant to verify and update personal information, including any changes in name, address, or criminal status since their last application. A nonrefundable fee of $25 accompanies this renewal process, signaling the financial commitment required. The form also probes into the applicant's compliance with child support obligations, adhering to New York State's stringent policies on supporting one's dependents. Additionally, it emphasizes the importance of ongoing education and training, mandating proof of completion for specific courses aimed at keeping security guards well-versed in current protocols and practices. Failure to comply with these requirements can lead to the suspension or denial of the renewal, underscoring the critical nature of this document. Notably, the DOS 1246 form incorporates an applicant affirmation section, ensuring that all provided information is accurate and truthful, under the penalty of perjury. Furthermore, it facilitates the payment process by including space for credit card transaction details, streamlining the renewal application. The form concludes with a stern reminder: security guards must renew their registration by the expiration date to avoid disruptions in their licensure status and potential reapplication. This directive highlights the urgency and significance of timely submission, underscoring the form's role in maintaining the standards and security of the profession.

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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

Form Breakdown

Fact Name Description
Form Purpose The DOS 1246 form is used for the renewal of a security guard registration in New York State.
Fee Information A $25.00 nonrefundable fee is required for the renewal process, payable to the NYS Department of State.
Training Requirements Security guards must complete specific training courses, including a 16-Hour On-The-Job Training (if employed for over 90 days) and an 8-Hour Annual In-Service, to be eligible for renewal.
Child Support Statement In accordance with the General Obligations Law, all applicants must complete a Child Support Statement, affirming they are not four or more months in arrears in child support payments or are complying with arranged payment plans.

Guidelines on Filling in Dos 1246

Filling out the DOS 1246 form is an essential step for security guards seeking to renew their registration. The process is straightforward but requires attention to detail to ensure that all the provided information is accurate and complete. This form is not only a renewal application but also serves as a compliance check to ensure that all training requirements and obligations, such as child support, are met. Providing false information can have serious legal consequences, so it's important to take the time to review each section carefully. Below are the steps to correctly fill out your DOS 1246 form.

  1. Begin by locating your Unique ID Number in the preprinted information section and verify that it is correct. If there are any changes to your personal information, including your name due to marriage or other reasons, write these changes in the provided space next to the preprinted information.
  2. For any changes in your personal information such as new home address or name, fill in the fields provided with the updated information. Remember, if your name has changed, proof of this change (e.g., marriage certificate, court order) must be included with your renewal form.
  3. Answer the questions regarding criminal convictions, pending criminal charges, and any revocations or suspensions of permits or licenses you hold. If you answer "Yes" to any of these, you must provide the additional required documentation, such as court dispositions or detailed explanations of the incidents.
  4. Review the Child Support Statement section. You must declare your child support status accurately. This is mandatory in New York State and failing to complete this section or providing false information can have severe consequences.
  5. Confirm your training compliance as indicated on the form. The form lists the training you have on file. If any annual training or On-The-Job (OJT) training dates are missing, you must complete this training before your renewal can be processed. Note that specific dates need to be displayed for the 16-Hour OJT and the 8-Hour Annual In-Service training courses. Additionally, if applicable, the 8-Hour Annual Firearms Course completion dates must also be provided.
  6. Sign and date the Applicant Affirmation section to affirm that all the information provided is true to the best of your knowledge and that you authorize the use of your DMV photo for ID card production.
  7. If you are paying the $25.00 renewal fee by credit card, complete the payment information section with your credit card details, including the cardholder's name, credit card number, expiration date, and the cardholder's signature.
  8. Before mailing the form, ensure that the application is complete and all necessary documents are attached. Make the $25.00 fee payable to the NYS Department of State and note that a $20 fee will be charged for any returned checks.

Once you have carefully completed all the above steps, mail your form to the NYS Department of State, Division of Licensing Services. It's crucial not to delay this process, as working as a security guard without a valid registration or failing to renew your registration within six months after its expiration will require you to reapply and requalify. If you have any questions or need further clarification, you should contact the Division of Licensing Services directly, referring to your Unique ID Number in all communications.

Learn More on Dos 1246

What is the DOS 1246 form used for?

The DOS 1246 form is utilized for the renewal of a security guard registration in the state of New York. It requires current security guards to confirm their personal information, complete mandatory training, and, if applicable, update any changes to their personal details or discuss any legal matters that may affect their eligibility to continue work as a security guard.

How often do I need to renew my security guard registration?

Your security guard registration must be renewed by the expiration date of your current registration to continue working legally as a security guard. The state of New York mandates that you cannot work as a security guard without a valid, up-to-date registration.

What happens if I don't renew my registration on time?

If you do not renew your registration by the expiration date, you are not legally eligible to work as a security guard. If you fail to renew within six months after your registration expires, you will be required to reapply and requalify for your security guard registration.

What trainings are required for renewal?

To renew your security guard registration, certain training courses must be completed:

  1. 16-Hour On-The-Job (OJT) Training, if you have been employed for over 90 days.
  2. 8-Hour Annual In-Service Training, to be completed each year of your license term.
  3. If registered to carry a firearm, an 8-Hour Annual Firearms Training course must also be completed each calendar year.

All training courses must be on file with the office before you submit your renewal application.

What is the fee for renewing the registration?

The renewal fee for the security guard registration is $25.00, which is non-refundable. This fee is payable to the NYS Department of State and can be paid via check, money order, MasterCard, or Visa. A $20 fee will be charged for any check that is returned by your bank.

What should I do if my name or address changes?

If your name or address has changed, you are required to notify the Division of Licensing Services of these changes. For a name change, including changes due to marital status, indicate the changes in the space provided on the form and include proof of the name change, such as a marriage certificate or court order. For an address change, write the new address in the space provided to ensure that you continue to receive renewal notices and other important information.

The Child Support Statement is a mandatory requirement in New York State for the renewal of a security guard registration. You must complete this section regardless of whether you have children or any support obligations. Anyone who is four or more months in arrears in child support payments may have their license suspended. Submitting a false statement regarding this matter is a punishable offense.

What should I do if I have a criminal conviction or pending charges?

If you have been convicted of a crime or offense (not including minor traffic violations) or if there are any criminal charges pending against you, you must disclose this information on your renewal form. For convictions, please enclose the court disposition. For pending charges, submit a copy of the indictment, criminal information, or complaint. Failure to disclose this information may affect your eligibility for renewal.

Common mistakes

Filling out the DOS 1246 Security Guard Renewal Form correctly is crucial to ensure the seamless processing of your application. However, certain mistakes can creep in during completion. Below are six common errors applicants make:

  1. Not updating personal information: Applicants often overlook or forget to check and update their personal details, such as a new home address or a change in name due to marriage or other reasons. It's essential to print any changes in ink in the areas provided.
  2. Failing to disclose criminal convictions or pending charges: Some applicants choose not to disclose if they have been convicted of a crime or have pending criminal charges. Complete honesty in these sections is crucial. Remember, minor traffic violations are excluded from this requirement.
  3. Omitting child support statement details: Regardless of whether or not you have children or any support obligations, completing the child support statement is mandatory. Neglecting this section can result in processing delays or even suspension of your license.
  4. Not providing proof of name change: Applicants who have had a change in their legal name (for any reason) need to provide proof of such change, like a marriage certificate or court order. Failing to do so can lead to processing issues.
  5. Incorrectly completed training details: The form requires you to have completed certain training requirements before renewal. If your form is missing these dates or they are inaccurate, your renewal cannot be processed.
  6. Incomplete signature sections: Every section that requires an applicant's affirmation or consent needs to be signed. Missing signatures will delay the processing of your application.

Avoiding these mistakes will help ensure your DOS 1246 form is processed without unnecessary delays. Always double-check your information before submission for a smooth renewal experience.

Documents used along the form

When submitting the DOS-1246 form for security guard renewal, it's important to understand it's just one piece of the puzzle. Security guards must often provide a suite of documentation to complete their renewal application. Each document plays a critical role in ensuring that all legal and regulatory requirements are met, guaranteeing a smooth renewal process.

  • Court Disposition Records: If you've answered "Yes" to having been convicted of a crime since your last application, these official court documents provide the details and outcomes of your case(s).
  • Licensing History Documentation: For those who've had any license, permit, or registration denied, suspended, or revoked, detailed explanations and official notices or letters from the issuing agency are required.
  • Pending Charges Documentation: If facing misdemeanor or felony charges, submission of the formal charge documents from the court clarifies the nature and status of these charges.
  • Proof of Required Training: Certificates or letters proving completion of mandatory OJT and annual training are critical, showing compliance with New York State's security guard training requirements.
  • Firearms Training Certificate: Security guards registered to carry firearms must also provide evidence of completing the annual 8-hour firearms training course, if applicable.
  • Change of Name Documentation: Should your name have changed due to marriage, court order, or other reasons, official documentation of this change (marriage certificate, court order, etc.) must accompany your renewal application.
  • Proof of Address: A recent utility bill, lease agreement, or government-issued document may be required to establish proof of your current residential address.
  • Child Support Statement: This mandatory statement confirms your current status regarding child support obligations, crucial for compliance with General Obligations Law.
  • Photo Identification: A valid New York State Driver License or Non-Driver ID card with a photo is necessary for the issuing of your new security guard registration ID.
  • Payment Information: Alongside the application, you must include the correct fee via check, money order, or credit card information to cover the renewal cost.

Collectively, these documents ensure that your renewal application is not only complete but also compliant with state laws and regulations. Preparing these documents in advance can expedite the renewal process, helping maintain your status as a licensed security guard without interruption.

Similar forms

When looking at the DOS 1246 form, it's clear that it serves a vital purpose in the renewal process for security guards, ensuring that all regulatory and training requirements are up to date. This process mirrors several other documents across various fields, emphasizing the importance of maintaining professional standards and compliance with legal and regulatory frameworks. Here's a look at five documents similar to the DOS 1246 form and how they compare:

  • Professional License Renewal Forms: Similar to the DOS 1246 form, these documents are used by professionals such as doctors, nurses, and lawyers to renew their licenses. These forms typically require updating personal information, confirming no significant legal issues, and verifying continuing education credits, ensuring the professional is still eligible and qualified to practice.
  • Vehicle Registration Renewal Notices: These notices, like the DOS 1246, require individuals to update their personal and vehicle information periodically. The process ensures that all information is current and that any fees or taxes owed on the vehicle are paid, keeping the registration valid and the vehicle legally on the road.
  • Firearm Permit Renewal Applications: Similar in nature to the security guard renewal process, firearm permit renewals often require applicants to update personal information, undergo background checks, and sometimes complete additional training or certifications to maintain the permit, emphasizing public safety and personal responsibility.
  • Passport Renewal Applications: While focusing on international travel, passport renewals share similarities with the DOS 1246 form by requiring up-to-date personal information and ensuring the applicant has no outstanding legal issues that would prevent them from holding a passport. This process ensures that all travelers' documents meet current security standards.
  • Child Support Certification Forms: Many renewal processes, including the one outlined in the DOS 1246 form, require an affidavit or certification regarding child support status. These documents confirm the applicant's compliance with child support obligations, reflecting personal responsibility and adherence to legal duties.

Each of these documents, while serving distinct purposes, shares the common theme of requiring accurate and current information, compliance with legal and regulatory standards, and, in many cases, proof of ongoing education or qualification. This ensures that individuals engaged in these various capacities remain qualified and responsible in their respective roles.

Dos and Don'ts

Filling out the DOS 1246 form, a crucial step for security guards renewing their licenses, requires careful attention to detail. Adhering to the following guidelines will help ensure the process is smooth and successful.

Do's:
  • Review the pre-printed information carefully. Any changes in your details, such as a new address or name, need to be correctly updated in the specified areas.
  • Include any required documents that verify changes in your personal information, for example, marriage certificates for a name change.
  • Answer all the questions honestly and to the best of your knowledge, especially those related to criminal convictions or pending charges.
  • Complete all mandatory training before submitting the form. This shows you meet the current qualifications for your role.
  • Sign the affirmation section to verify that all the information you have provided is accurate and true.
  • Include the correct fee with your renewal application. If paying by check or money order, ensure it is made payable to the NYS Department of State.
  • Double-check your application for completeness to avoid delays in processing.
Don'ts:
  • Overlook the child support statement. This is mandatory in New York State, and failing to complete it can affect your application.
  • Submit the form without ensuring all required training courses have been completed and are on file with the office.
  • Ignore the deadlines for renewal and mandatory training requirements. Late submissions can result in having to reapply and requalify.
  • Provide false information or attempt to hide any past convictions. Honesty is crucial, and discrepancies can lead to legal penalties.
  • Omit your signature on the informed consent section related to your DMV photo for the ID card. Without it, the ID cannot be produced.
  • Forget to contact the Division of Licensing Services if you have any questions or concerns. They are there to help ensure your renewal process is smooth.
  • Send in an incomplete form. This will delay the processing and potentially impact your employment as a security guard.

Misconceptions

Understanding the DOS 1246 Security Guard Renewal Form is essential for security guards in New York State who are looking to renew their registration. However, there are common misconceptions about the form that can lead to confusion. To help clarify, let's address four of these misconceptions.

  • The Child Support Statement is Optional: One widespread misunderstanding is that the Child Support Statement section of the form is optional, especially for individuals who do not have children or any support obligations. In reality, New York State law mandates every applicant to complete this section, regardless of their parental status or support obligations. This requirement aims to uphold child support enforcement.
  • Training Completion Automatically Updated: Another misconception is that once the required training courses are completed, the system automatically updates these details. Security guards must understand that it's their responsibility to ensure that the completion of these training courses is properly documented and submitted with their renewal application. The form necessitates the submission of dates for the 16-Hour On-The-Job (OJT) Training and the 8-Hour Annual In-Service Training to validate compliance.
  • Photo ID Card Processing: Some applicants believe they need to submit a new photo for their ID card with every renewal. However, the form clearly states that the Department of State (DOS) and the Department of Motor Vehicles (DMV) will use the photograph on file from the applicant's DMV records. This misconception can lead to unnecessary delays in processing the renewal application.
  • Renewal Processing Time is Immediate: Lastly, a common assumption is that the renewal process is immediate upon submission of the DOS 1246 form. It's important for applicants to understand that the renewal process takes time and that they should allow sufficient processing time before the expiration of their current registration to avoid any lapse in their status as registered security guards.

Addressing these misconceptions ensures that applicants can accurately complete and submit their DOS 1246 forms, helping them to continue their important roles as security guards without interruption.

Key takeaways

  • It is imperative for applicants to answer all questions and sign the affirmation section of the DOS 1246 Security Guard Renewal Application to ensure the processing of the renewal. Incomplete submissions may result in delays or non-renewal.

  • Applicants must carefully review and correct any preprinted information, especially changes in address or name due to marital status changes or other reasons, to keep the Division of Licensing Services updated; this ensures continuous receipt of renewal notices and other important communications.

  • The form requires disclosure of any criminal convictions or pending charges, as well as any revocations, suspensions, or denials of licenses, permits, or registrations. Failure to provide accurate and truthful information may impact the renewal process.

  • A Child Support Statement is mandatory for all applicants, reflecting compliance with New York State General Obligations Law. This law mandates the inclusion of the statement, aimed at ensuring applicants are not significantly delinquent on child support payments.

  • Training requirements specified on the form must be met for the renewal to be processed. This includes the 16-Hour On-the-Job Training for those employed over 90 days and the 8-Hour Annual In-Service, along with additional requirements for those licensed to carry firearms.

  • The application fee is $25, payable by check, money order, MasterCard, or Visa. A returned check will incur a $20 fee. Payment is non-refundable, underscoring the importance of ensuring all requirements are met before submission.

  • Applications must be mailed with care to ensure proper processing. Late renewal can affect the ability to legally work as a security guard, and delays beyond 6 months after the expiration require reapplication and requalification, underlining the importance of timely submission.

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