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Ensuring the safety and security of public spaces and private entities, security guards play a crucial role in today's society. As part of maintaining this high level of responsibility and trust, security guards in New York State must periodically renew their registration to remain in compliance with state regulations. The DOS 1246 form is central to this process, serving as the official Security Guard Renewal application. This form requires current security personnel to affirm their personal information, report any changes in residential address or name due to marital status or other reasons, and disclose any criminal convictions or pending charges. Additionally, it mandates a confirmation of compliance with mandatory training requirements—a critical component for the renewal of registration. The form also addresses the necessity of submitting a Child Support Statement, adhering to New York State's General Obligations Law, and outlines the financial obligations tied to the renewal process. The nuanced details captured in the DOS 1246 form ensure that only those security guards who meet the state's stringent standards will continue to serve, sustaining the integrity and professionalism of the field.

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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permit, commission or registration held by or submitted by you or a company in which you are or were a principal been revoked.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

File Characteristics

Fact Name Detail
Form Purpose Security Guard Renewal
Required Information Change Notification Applicants must print any changes in ink in a specified area of the form
Renewal Fee $25.00
Child Support Statement Requirement Mandatory under New York State's General Obligations Law
Training Requirements for Renewal 16-Hour On-The-Job (OJT) for guards employed over 90 days and 8-Hour Annual In-Service
Photo ID Card Production Produced by the NYS Department of Motor Vehicles using the image on file

Steps to Writing Dos 1246

Filling out the DOS 1246 Security Guard Renewal form is a critical step towards maintaining your status as a licensed security guard. This process ensures that your credentials are up to date, allowing you to continue your duties without interruption. Whether there have been changes in your personal information or you've completed additional training courses since your last application, it's important to provide accurate and current details. The instructions below guide you through each section of the form to help streamline your renewal application. By submitting this form along with the required fee, you're taking the necessary steps to secure your livelihood and affirm your commitment to the profession.

  1. Review the preprinted information at the top left of the form. In the space provided on the right, print any changes in ink, such as new home address, contact information, or name changes. If your name has changed, be prepared to submit documentation, such as a marriage certificate or court order, to prove this change.
  2. Enter your Unique ID Number in the designated area.
  3. Answer the questions regarding criminal history and any pending charges accurately. If you answer "Yes" to any of these questions, you must enclose the appropriate documentation or court dispositions.
  4. Check the record of your training certifications listed under the mandatory training section and ensure they reflect your latest completions. If any training required for renewal is missing, complete it before submitting your form.
  5. Fill out the Child Support Statement. This is a mandatory section regardless of whether you have children or any child support obligations. Falsifying information in this section can lead to severe penalties.
  6. Read the Applicant Affirmation section carefully, then sign and date this area to affirm that all information you've provided is correct and to authorize the production of your ID card with your DMV photo.
  7. If paying the renewal fee with a credit card, complete the credit card payment section with your card details, including the card number, expiration date, cardholder's name, and signature.
  8. Check for any additional instructions on the form, especially regarding the submission of supporting documents for any changes in your personal information or new training certificates.
  9. Finally, mail the completed form, along with the $25.00 nonrefundable fee, to the NYS Department of State, Division of Licensing Services, at the provided address. Remember, checks or money orders should be payable to the NYS Department of State. For credit card payments, ensure you've filled out the payment section correctly.

Upon submitting your complete renewal application and the associated fee, the Department of State will process your application. Keep in mind, working as a security guard with an expired license is prohibited. Therefore, timely renewal is crucial to maintain your employment status and compliance with state regulations. If you have any questions or require assistance during the application process, it's recommended you contact the Division of Licensing Services directly.

Important Details about Dos 1246

What is the DOS 1246 form used for?

The DOS 1246 form is specifically designed for the renewal of a security guard’s registration. It is necessary for all security guards seeking to continue their work without interruption to complete and submit this form according to the renewal guidelines provided by the New York State Department of State.

How much is the fee for renewing my security guard registration on the DOS 1246 form?

The renewal fee for submitting the DOS 1246 form is $25.00. This fee is nonrefundable and is required to process the renewal of a security guard's registration.

What should I do if my personal information has changed since my last application?

If there have been any changes to your personal information, such as your name or address, since your last application, you must print these changes in the designated area on the DOS 1246 form. It is vital to notify the Division of Licensing Services of any changes to ensure you continue to receive renewal notices and other important information.

What happens if I have been convicted of a crime or offense since my last application?

If you have been convicted of a crime or offense (excluding minor traffic violations) since your last application, whether in New York State or elsewhere, you must disclose this information on the renewal form and enclose the court disposition with your submission.

Are there specific training requirements I must meet before I can submit the DOS 1246 form for renewal?

Yes, there are specific training requirements that must be completed and on file with the office before you can submit your DOS 1246 form for renewal. These requirements include a 16-hour On-The-Job Training if employed for over 90 days, and an 8-hour Annual In-Service Training that must be completed within each year of your license term. If registered to carry a firearm, an 8-hour Annual Firearms Course must also be completed each calendar year.

What if I am under an obligation to pay child support?

New York State law mandates completing a Child Support Statement section on the DOS 1246 form. If you are more than four months in arrears in child support payments, your professional, business, and driver's licenses may be suspended. The submission of a false written statement regarding child support can result in felony charges.

Can I pay the renewal fee with a credit card?

Yes, you can pay the $25.00 renewal fee with a credit card. The DOS 1246 form accepts Visa and MasterCard. Be sure to complete the credit card payment section with your card details, including the cardholder's name and signature.

How will my photo ID card be produced?

Your photo ID card will be produced by the New York State Department of Motor Vehicles using the image on file in their office. If you have a valid NYS Driver License or Non-Driver ID with a photo, it will be used by the NYS Department of State to produce your security guard ID card.

What happens if I do not renew my registration before the expiration date?

If you do not renew your registration on the DOS 1246 form by the expiration date of your current registration, you cannot work as a security guard. Additionally, if you do not renew within six months after the expiration, you will have to reapply and requalify for security guard registration.

Common mistakes

When filling out the DOS 1246 Security Guard Renewal form, individuals often overlook key details that can lead to delays in the renewal process or even inaccuracies in their registration. One common mistake is failing to check and update the preprinted information at the top left of the form. This section is crucial for ensuring that all personal details are current and correct. Changes in one's residential address or name due to marital status changes, for instance, must be indicated and accompanied by the required proof, such as a marriage certificate or court order.

Another frequent error involves the section on the conviction of crimes or offenses. Applicants sometimes inaccurately report their criminal history. It is mandatory to disclose any convictions, not limited to minor traffic violations, since the last application. If the answer is yes, court disposition documents must be enclosed. Similarly, incomplete information or failure to enclose details about any license, permit, or registration being revoked, suspended, or denied constitutes another error, potentially impeding the renewal process.

Regarding the question on pending criminal charges, it is not uncommon for individuals to fail to submit the required copy of the accusatory instrument. This omission can delay the processing of the renewal application. Furthermore, the necessity for current mandatory training often goes unnoticed. The form necessitates that all required training courses have been completed and are on file, including the 16-Hour On-The-Job (OJT) training and the 8-Hour Annual In-Service training. Those with a firearm registration must also complete the 8-Hour Annual Firearms Course annually. Applicants must ensure that all requisite training dates are current before submission.

The Child Support Statement is another area where mistakes are made. This section is mandatory, regardless of whether the applicant has children or any support obligations. The law requires truthful completion of this section, and failure to do so or providing false information is a severe offense. Payment method details, including the applicant’s Unique ID Number and the total amount due, are sometimes incorrectly filled out or left blank. For credit card payments, ensuring the correct card type, number, expiration date, and cardholder’s signature is vital.

Lastly, the "Applicant Affirmation" section is often signed without the due diligence of ensuring all information provided on the form is true and accurate under penalty of perjury. Submitting the form without an honest review and validation of all entries can lead to significant legal issues. Each of these common mistakes can be easily avoided by carefully reading the instructions, accurately entering all required information, and verifying that all documentation is complete and correct before submission.

Documents used along the form

When completing the DOS 1246 Security Guard Renewal application, applicants frequently need to include additional forms and documents to support their submission. These documents ensure the application is thorough and complies with New York State regulations. Understanding each document's purpose can simplify the renewal process for security guards.

  • Court Disposition Records: If you have been convicted of a crime or offense since your last application, including these records provides details about the conviction and its current status.
  • License Revocation Details: For applicants who have had any license, permit, or registration revoked, suspended, or denied, detailed information about the incident and current status is necessary.
  • Accusatory Instrument: In cases where there are pending criminal charges against the applicant, a copy of the indictment, criminal information, or complaint must be submitted.
  • Child Support Statement: This document verifies your child support status, which must be in good standing according to New York State law for your renewal to be processed.
  • Proof of Name Change: If your name has changed due to marriage, divorce, or another reason since your last application, you must submit a copy of a marriage certificate, court order, or other official documentation as proof.
  • Proof of Completed Mandatory Training: Evidence of completing the required security guard training courses, such as the 16-Hour On-The-Job Training and the 8-Hour Annual In-Service Training, must be included if not already on file.
  • Photo Identification Card: A copy of a valid NYS Driver License or Non-Driver ID, if you're using your DMV photo for the renewal process. This ensures the Department of State can produce an accurate ID card.

By gathering and preparing these additional documents in advance, applicants can ensure a smoother renewal process for their security guard registration. It's important to review the specific requirements listed on the DOS 1246 form and the Division of Licensing Services website to ensure all criteria are met before submission.

Similar forms

The DOS 1246 Security Guard Renewal form shares similarities with the Application for a Driver's License or ID Card, as both require personal identification details and an address. In both forms, applicants must present their full name, current address, and potentially, a change of name due to marriage or other reasons. Applicants must prove their identity and residency, ensuring their ability to legally operate within a structured system—be it for security work or driving. The verification of personal information ensures the credibility and reliability of the holder across both contexts.

Similarly, the Professional License Renewal forms found in various fields like medical, legal, or educational professions echo elements of the DOS 1246 form. These too ask for updated personal information, disclosure of any criminal convictions, and compliance with ongoing professional education or training. This process ensures that professionals remain up-to-date with the latest standards and regulations needed to maintain the integrity and safety of their profession, mirroring the renewal requirements for security guards to keep their credentials current.

The Child Support Statement section has its counterpart in many other legal documents, such as divorce agreements or child custody forms, where individuals must disclose their child support obligations. This disclosure ensures compliance with family law obligations, reflecting a governmental interest in the welfare of children that spans multiple legal areas. Such measures ensure that individuals are meeting their personal and financial responsibilities across different aspects of their lives.

The form's section requiring information about any pending criminal charges or past convictions is paralleled in forms like background check consent forms or firearm purchase applications. These documents similarly necessitate the disclosure of one's criminal history to assess eligibility and ensure public safety. By requiring such information, authorities can make informed decisions about an individual’s suitability for certain privileges or responsibilities, reflecting a universal precaution across various regulated activities.

Renewal forms or applications for permits and registrations in business, such as those for food establishments or general business licensing, also require affirmations similar to the Applicant Affirmation found in the DOS 1246. These affirmations serve as a legal attestation to the truthfulness and accuracy of the provided information, underlining the importance of integrity in both commercial operations and personal qualifications in regulated professions.

Credit card payment authorization forms, used in countless transactions beyond licensing and renewals, share a common structure with the payment section of the DOS 1246 form. Such sections collect payment information to process fees, demonstrating the ubiquity of electronic payments in bureaucratic processes. This method streamlines transactions, making it easier for both the payee and the recipient to handle financial exchanges promptly and securely.

Last but not least, the requirement for ongoing training and education found in the DOS 1246 form is akin to Continuing Professional Development (CPD) requirements prevalent in many professional fields. Just as security guards must undergo specific training before renewal, professionals in sectors like healthcare, law, and education must prove continuous learning to maintain their licenses. This parallel underscores a widespread acknowledgment of the importance of lifelong learning and adaptability to maintain high standards of practice in all professions.

Dos and Don'ts

When filling out the DOS 1246 Security Guard Renewal Form, it is essential to follow specific dos and don'ts for a smooth and compliant process. To help guide you, here is a compiled list of recommended practices:

Do:
  • Verify and update any changes: Ensure that your name, address, and other preprinted information are current. If there have been changes, print the new details in ink in the provided area.
  • Answer all questions truthfully: Complete all sections of the application accurately, especially regarding criminal convictions, pending charges, and child support obligations. False statements can lead to serious consequences.
  • Include necessary documentation: If your name has changed or if you answered "Yes" to any questions about criminal activities or licensing issues, attach the required legal documents, such as court dispositions or name change proof.
  • Meet training requirements: Confirm that all mandatory training is completed and on record. If any annual training dates are missing, complete those before submitting your renewal application.
Don't:
  • Use pencil or erasable ink: All changes or entries should be made in ink to ensure permanence and legibility.
  • Forget to sign the affirmation section: Your renewal application won't be processed without your signature, affirming the truthfulness and accuracy of the information provided.
  • Omit the Child Support Statement: This section is mandatory, regardless of your circumstances concerning child support. Failing to complete it can lead to the rejection of your application.
  • Submit without checking for completeness: Review the entire form to ensure you haven't missed any fields or required documentation. Incomplete applications can lead to delays or denial of the renewal.

Misconceptions

There are several misconceptions surrounding the DOS 1246 Security Guard Renewal Form, which can lead to confusion for those completing it. Below are seven common misunderstandings and clarifications to help ensure the process is well understood.

  1. It's only necessary to fill out the form if there are changes to personal information. This is incorrect. The renewal process requires all security guards to submit a completed DOS 1246 form, even if there are no changes to their personal information. The form serves as an affirmation of current information and a compliance check with training and support obligations.

  2. The renewal fee is optional. In fact, the $25.00 fee is mandatory for all renewing security guards. This fee supports the administrative costs of processing the renewal application and is nonrefundable, emphasizing the importance of timely and accurate submission.

  3. Completion of training requirements is not strictly enforced. On the contrary, adherence to the specified training courses is a strict prerequisite for renewal. Security guards must complete all required training sessions and have them on file with the licensing office before their renewal can be processed.

  4. If you have no children, you don't need to complete the Child Support Statement. This assumption is false. Every applicant must complete the Child Support Statement section, irrespective of their parental status or support obligations. This compliance ensures adherence to New York State legal standards.

  5. You can renew your registration after it expires without any penalties. This statement is misleading because while you can renew within six months after expiration, working as a security guard without a valid registration is against regulations. After six months, reapplication and requalification are necessary, signaling the importance of renewing before the expiration date.

  6. The form only accepts credit card payments for the renewal fee. This misconception overlooks the provision that payment can also be made by check or money order, in addition to credit card payments. This flexibility ensures that applicants can choose the most convenient payment method for their circumstances.

  7. Training dates and compliance are self-reported and not verified. This is incorrect. The form requests documentation for training completions, such as court dispositions for convictions and details of any suspended, revoked, or denied licenses. These measures are in place to maintain the integrity and professional standard of licensed security guards.

Understanding these key aspects of the DOS 1246 form can assist security guards in ensuring their renewal applications are completed accurately and submitted on time, helping avoid unnecessary complications or delays.

Key takeaways

Understanding how to correctly complete and submit the DOS 1246 form is crucial for security guards in New York State seeking to renew their registration. Here are four key takeaways to ensure the process is completed efficiently:

  • Ensure all sections of the application are fully completed, including the applicant affirmation and child support statement. Incomplete forms will not be processed, leading to a delay in the renewal of your security guard registration. This could potentially affect your ability to work legally in this role.
  • Update any changes to your personal information, such as a new address or a change in marital status that affects your last name. Providing up-to-date information helps maintain accurate records and ensures you receive all necessary correspondence regarding your registration status.
  • Compliance with the mandatory training requirements is non-negotiable. Before submitting the renewal form, verify that your training records are current and that all required courses are completed within the specified time frames. This includes the 16-Hour On-The-Job Training, 8-Hour Annual In-Service, and if applicable, the 8-Hour Annual Firearms Course.
  • Payment of the $25 renewal fee is required at the time of submission. The form provides options for payment by check, money order, MasterCard, or Visa. Remember, a bounced check will incur an additional $20 fee, adding to the total cost of renewal.

Remember: Renovation of your registration must happen before its expiration date. Failing to renew on time, or within six months after your current registration expires, will necessitate a complete reapplication and requalification process. Always use the correct renewal form and follow the detailed instructions provided to avoid unnecessary delays or complications.

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