Applicant Information is auto-populated from your DOB NOW profile. To update the name, address or phone number, select the person icon at the top right corner of the screen and select Manage/Associate Licenses. If changes are required, do not save this application until the Applicant Information is updated.
*
Please enter valid format of EIN Tax Number.
Home address is within one of the five (5) boroughs of New York City*
Yes
No
Business/Agency Information
Conviction and Fines
Have you ever been convicted or pled guilty to an offense anywhere (an offense is defined as a violation, misdemeanor or felony)?*
Yes
No
Do you owe any penalties or fines to the City of New York?*
Yes
No
Does any company or business you have been associated with under your Department-issued license owe any fines, penalties or fees to the City of New York that were incurred during your association with that company or business?*
Yes
No
City Employee
Are you a New York City employee?*
Yes
No
Are you a Department of Buildings employee?
Yes
No
Business/Agency Information
Has the business associated to this license qualification application already been approved by the DOB?*
Yes
No
This license type requires submission of a business approval request. Are you prepared to submit that information now?*