Free Lic 38 Form in PDF

Free Lic 38 Form in PDF

The LIC38 form is a crucial document for individuals seeking to obtain or renew an electrical license in certain jurisdictions, requiring typewritten completion. It encompasses a variety of sections including Application Type, License Type, Applicant Information, and details pertaining to the Responsible Representative, Business Information, and more, mandating thorough and accurate provision of personal and professional details. To streamline your application or renewal process, ensure you fill out the LIC38 form accurately by clicking the button below.

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The journey to obtaining or renewing an electrical license in New York involves the careful completion of the LIC38 form, a document setting forth the requirements and guidelines for applicants. Predominantly typewritten, this form serves as a bridge between aspiring or currently licensed electricians and the Department of Buildings, ensuring all participants adhere to regulated standards. It encapsulates various aspects crucial to the application process, including the differentiation between original applications and requests for renewal, reissue, or change in license type. The form demands detailed applicant information, emphasizing the need for accuracy in providing personal details, such as contact information and social security numbers. It introduces the concept of a Responsible Representative, a pivotal role defined within the regulatory framework, which must be acknowledged or appointed by the applicant if they are not acting in this capacity themselves. Further, it delves into business information, requiring the disclosure of names and particulars of any additional licensees operating within the said business framework. This form also explores the applicant's legal standing, probing into past convictions and any outstanding violations or fines that might affect their eligibility. Compliance with administrative and departmental regulations is a prerequisite clearly outlined, with the form concluding on solemn affirmations and the necessity of a notarial seal. This comprehensive approach underscores the city's commitment to upholding high standards within the electrical trade, safeguarding public safety and integrity in business operations.

Preview - Lic 38 Form

LIC38: ELECTRICAL LICENSE APPLICATION

Application must be typewritten.

1

Application Type

2 License Type

3

License Number

Original

Renewal

Reissue

Change

Master

Special

4Applicant Information Required for all applications. (*Indicates optional.)

First Name

 

Middle Initial

Last Name

Home Address

 

 

Home Telephone

 

 

 

 

City

State

Zip

*Mobile Telephone

 

 

 

 

Date of Birth (m/d/y)

 

Social Security No.

E-Mail

5Responsible Representative (Note: There can be ONLY ONE Responsible Representative)

 

Are you the Responsible Representative for the business?

YES

NO

 

 

 

 

 

 

 

Responsible Representative Only: Are there additional licensees in the business?

YES

NO

 

 

 

 

 

If so, please print their names: (for additional space, attach a second sheet)

Do you authorize this person(s) to file electrical applications

 

First Name

Last Name

License Number

under the business name?

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

Initial here

 

 

 

 

 

 

 

 

 

 

 

YES

NO

Initial here

 

 

 

 

 

 

 

6

Business Information

 

Business Name

 

 

 

Firm No.

 

 

 

 

 

 

 

 

 

Office Address

 

 

Office Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

Zip

Office Fax

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

7

License Use Choose One:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Individual/Sole-Proprietor

 

On Behalf of a Corporation

On Behalf of a Partnership

On Behalf of a Trade

 

 

 

 

 

 

 

MASTER

8

Partner or Officer Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip

City

State

Zip

 

 

Name

 

 

Name

 

 

 

 

Address

 

Title(s)

Address

 

Title(s)

 

 

 

 

 

 

 

 

 

 

Name

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

Title(s)

Address

 

Title(s)

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip

City

State

Zip

9

Convictions and Fines If you answer “Yes” to either of these questions, you must complete and attach form LIC34.

 

 

 

 

 

 

 

 

Yes

No

Have you ever been convicted of a crime (for renewals, convicted since your last renewal) ?

 

 

 

Yes

No

Do you as licensee or the master electrician business have outstanding notices of violation owed to the Department?

 

Yes

No

Does any company associated with your Department-issued Electrician’s license currently have any unpaid firm account (permit and/

 

 

 

or application) fees?

 

 

 

 

 

10 Applicant Statements and Signatures

As a condition of being granted a license from the Department of Buildings, I hereby agree to comply with all Administrative Code Provisions and Department Rules, Regulations and Directives regarding how licensees conduct their specific trades. I affirm compliance with Section 27-3013(a) and the definition of responsible representative found in Section 27-3004, when the designated responsible representative of the business is submitting this renewal application. Falsification of any statement is a misdemeanor under section 28-211.1, 28-201.2.1.2, and 28-203.1.1 of the Administrative Code and is punishable by a fine or imprisonment, or both. Bribery is a crime: A person who gives or offers a bribe to any employee of the City of New York or an employee who takes or solicits a bride, is guilty of a felony punishable by imprisonment, a fine, or both.

 

Name (print)

Signature

 

Date

 

 

 

 

 

 

 

 

 

Electrician’s Seal

Notarization

 

Notary Seal

 

 

 

 

State of New York, County of:

 

 

 

 

 

 

 

 

 

 

 

 

Sworn to or affirmed under penalty of perjury

 

 

 

 

 

 

 

 

 

 

 

 

Day of

20

 

 

 

 

 

 

 

 

 

 

Internal Use Only

 

Notary Signature

 

 

 

 

 

 

 

 

 

 

 

Clerk’s Signature

Date

Fee Paid

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08/14

Document Specs

Fact Name Detail
Form Name LIC38: ELECTRICAL LICENSE APPLICATION
Application Method Application must be typewritten.
Content Requirements Includes sections on Application Type, License Type, Applicant Information, Responsible Representative, Business Information, License Use, Partner or Officer Information, Convictions and Fines, and Applicant Statements and Signatures.
Application Types Available Original, Renewal, Reissue, Change.
License Types Master, Special.
Signatures Required The application must be signed by the applicant and notarized.
Governing Laws for Misrepresentation Falsification of any statement is a misdemeanor under sections 28-211.1, 28-201.2.1.2, and 28-203.1.1 of the Administrative Code, punishable by fine or imprisonment, or both.
Bribery Law Offering or taking bribes related to the application is a felony, punishable by imprisonment, a fine, or both.
Notarization Requirement The form must be notarized in the State of New York, County of the applicant.

Instructions on Writing Lic 38

Filling out the LIC38 form is a vital step in managing your electrical license, whether you're applying for the first time, renewing, reissuing, or making changes to your current license. This document is essential for ensuring that all your professional information is up to date with the relevant department. Completing this form accurately is crucial for compliance and for facilitating smooth professional operations. Here are the steps you should follow to correctly fill out the LIC38 form:

  1. Application must be typewritten.
  2. Identify the Application Type: choose between Original, Renewal, Reissue, or Change.
  3. Select the License Type: Master or Special.
  4. Enter your License Number if this is not your first application.
  5. Provide Applicant Information:
    • First Name, Middle Initial, Last Name
    • Home Address including City, State, Zip
    • Home Telephone
    • Mobile Telephone (optional)
    • Date of Birth using the format (m/d/y)
    • Social Security No.
    • E-Mail
  6. For the Responsible Representative section, answer if you are the sole Responsible Representative for the business. If "Yes", and there are additional licensees, print their names and indicate if you authorize them to file electrical applications under the business name. Initial where appropriate.
  7. Under Business Information, include:
    • Business Name and Firm No.
    • Office Address along with Office Telephone, City, State, Zip
    • Office Fax
    • Business E-Mail
  8. Choose the License Use that applies to your situation: Individual/Sole-Proprietor, On Behalf of a Corporation, On Behalf of a Partnership, or On Behalf of a Trade.
  9. Fill in Partner or Officer Information, including Names, Addresses, Title(s), and corresponding City, State, and Zip for each.
  10. In the Convictions and Fines section, answer the relevant questions. If any answer is "Yes", you must complete and attach form LIC34.
  11. In the Applicant Statements and Signatures section, read the statement carefully, then print your Name, sign, and date the form where indicated. Attach the Electrician’s Seal and have the form notarized, including Notary Seal, Notary Signature, and provide the state and county information. Note the date sworn or affirmed.
  12. Finally, the Internal Use Only section is for departmental use, including the Clerk’s Signature and Date Fee Paid.

Once you've completed all these steps, review the form to ensure all provided information is accurate and complete. Accurate completion of the LIC38 form facilitates timely processing of your application and helps avoid any unnecessary delays.

Understanding Lic 38

What is the LIC38 form used for?

The LIC38 form is an application used for various actions related to an electrical license in New York. This includes applying for an original license, renewing an existing license, reissuing a license, and making changes to a license, such as updates to business or personal information.

How must the LIC38 form be submitted?

Applications on the LIC38 form must be typewritten, ensuring clarity and legibility. Handwritten submissions are not acceptable for this form.

Can multiple Responsible Representatives be listed on the LIC38 form?

No, there can only be one Responsible Representative listed for the business in the LIC38 form. This individual is authorized to act on behalf of the business in matters related to the electrical license.

What types of license actions can be selected on the LIC38 form?

Applicants can select among several actions: applying for an original license, renewing an existing license, reissuing a license, or making changes to an existing license. Specific license types, such as Master or Special, can also be chosen on this form.

Is personal information required on the LIC38 form?

Yes, applicants must provide personal information, including name, home address, telephone numbers, date of birth, Social Security Number, and email address. Some information, like mobile telephone number, is optional.

What information is needed for the Responsible Representative?

The Responsible Representative must provide their name and indicate whether they are the sole representative of the business. If there are additional licensees within the business, their names must be included. The Responsible Representative also indicates whether they authorize these individuals to file electrical applications under the business name.

What business information is required on the form?

The form requires detailed business information, including the business name, Firm Number, office address, contact information, and email address. This section helps identify the business entity involved and how it can be contacted.

How does the LIC38 form address convictions and fines?

Applicants must disclose if they have been convicted of a crime or if their business has outstanding violations or unpaid fees with the Department. Answering "Yes" to any of these questions requires completing and attaching form LIC34 for further details.

What declarations must applicants agree to on the LIC38 form?

Applicants must agree to comply with all Administrative Code Provisions, Department Rules, Regulations, and Directives related to conducting their specific trades. They must affirm compliance with Section 27-3013(a) and the definition of a responsible representative. There is a statement regarding the penalties for falsification and bribery as part of this agreement.

Is notarization required for the LIC38 form?

Yes, the LIC38 form must be notarized. This involves signing the form in front of a notary public, who will then apply their seal, confirming the identity of the signer and the authenticity of the signature.

Common mistakes

Filling out the LIC38 form for an electrical license application can be a complex task, and errors in the process can lead to delays or even rejection. One common mistake is not ensuring the application is typewritten, as explicitly requested in the form's instructions. Handwritten forms not only look unprofessional but also can be hard for reviewers to read, leading to potential misinterpretation of critical information.

Another error involves inadequate attention to the applicant information section. Specifically, negligence in precisely filling out the "First Name," "Middle Initial," "Last Name," and especially the "Social Security No." can be critical. Incorrectly entered personal details may result in processing delays or identity verification issues. Applicants often overlook the importance of these fields, assuming minor mistakes won't have substantial consequences.

A significant oversight is found in the designation of the responsible representative. The form clearly states, "There can be ONLY ONE Responsible Representative," yet applicants sometimes erroneously list more than one person in this role. This misunderstanding about the form's requirements can cause confusion and delay in the application's approval process. It's crucial to carefully read and comply with this directive to avoid unnecessary complications.

Incorrect business information, particularly within section 6, is another common pitfall. Misrepresentation or inaccuracies in detailing the "Business Name," "Firm No.," "Office Address," and other business-related fields can lead to serious legal and operational ramifications. It's essential for applicants to verify and double-check every piece of information related to their business to ensure compliance and validity.

Applicants often err in the section regarding convictions and fines. Questions related to past convictions or outstanding notices of violation are sometimes answered inaccurately, either by oversight or intentionally. Transparency is paramount in this section; failing to disclose required information or providing false statements can lead to misdemeanor charges or even the denial of the license application.

Another area prone to mistakes is the selection of the license use, particularly in section 7. Applicants occasionally select the wrong category that does not accurately reflect their business structure or intentions. This misstep can lead to legal complexities and hinder the application's approval process. It's critical to understand the distinctions between the categories and choose accordingly.

Failure to adequately complete the partner or officer information section is yet another error. This oversight can be particularly problematic if the business structure involves multiple partners or officers. Each individual's information needs to be detailed meticulously to avoid any ambiguity regarding the business's leadership and operational oversight.

Applicants also commonly neglect to properly authorize individuals for filing electrical applications under the "Responsible Representative" section. Skipping the authorization initials can create procedural complications, particularly when attempting to delegate application responsibilities within a business. This oversight can significantly slow down project timelines.

The applicant statements and signatures section is another critical area where errors occur. Sometimes applicants hastily review and sign off on this section without fully comprehending the legal implications of their agreement. It's not just about compliance; it's a binding affirmation of understanding and adhering to all relevant laws and regulations.

Lastly, the notarization requirement is frequently mishandled. Applicants often underestimate the importance of this step or submit forms without the proper notarization, rendering the application incomplete or invalid. Ensuring that the notarization is correctly completed and included with the application is essential for its validity and eventual approval.

Overall, vigilance, attention to detail, and a thorough understanding of the LIC38 form's requirements are crucial in avoiding these common mistakes. Applicants who carefully review and accurately complete every section of the form improve their chances of a smooth and successful licensing process.

Documents used along the form

Completing the LIC38 form, which is essential for those applying for an electrical license, is just the starting point in a comprehensive documentation process. This form requires detailed information about the applicant, including personal information and business details. It's crucial for applicants to understand that this form does not stand alone. Several other forms and documents often accompany the LIC38 form during the submission process, ensuring that the application is thorough and meets all regulatory requirements.

  • LIC34: Conviction and Violation History Form – As referenced in the LIC38 form, anytime an applicant answers "Yes" to having convictions or outstanding notices of violation owed to the Department, the LIC34 form becomes necessary. This form provides a structured way for the applicant to disclose details about past convictions or fines, ensuring transparency and allowing the Department to assess the applicant's eligibility based on their history.
  • Notarized Statement of Compliance – Alongside the LIC38 form, a notarized statement affirming the applicant's compliance with local laws, codes, and regulations is often required. This sworn statement serves as a legal attestation of the applicant's intention to adhere to the professional standards and legal requirements governing their trade.
  • Proof of Experience and Training – Applicants usually need to provide documentation evidencing their qualifications, including any relevant certificates of completion, apprenticeship documentation, or proof of previous experience in the field. These documents support the applicant's claim of competence and readiness to operate within the industry safely and effectively.
  • Insurance Certificates – For many licensing applications, including the electrical license application encapsulated by the LIC38 form, providing proof of adequate insurance is crucial. These documents demonstrate that the applicant has the necessary coverage for liability and worker's compensation, protecting both the licensee and the public.

The journey to obtaining an electrical license is multi-faceted, requiring applicants to navigate through various forms and meet stringent criteria. The additional documents listed serve to complement the LIC38 form, offering a holistic view of the applicant's qualifications, history, and preparedness for licensing. It's important for applicants to carefully prepare and review all accompanying documents to ensure a smooth application process. Being meticulous and transparent in providing all required information will facilitate a more favorable review by the licensing department.

Similar forms

The Form W-9, Request for Taxpayer Identification Number and Certification, holds similarities to the LIC38, especially in its requirement for personal information and the need for typewritten responses. Both forms serve as foundational documents for regulatory compliance; the W-9 for tax identification purposes and the LIC38 for professional licensing. Ensuring the accuracy and authenticity of the information provided is necessary on both forms, with each including declarations or certifications to be signed by the applicant, affirming the truthfulness of the information submitted.

Just like the LIC38, the Form I-9, Employment Eligibility Verification, demands detailed personal information and includes sections designated for identifying and verifying the applicant’s eligibility to work. Both documents are integral to compliance with governmental regulations—LIC38 with licensing requirements and I-9 with employment laws. These documents feature attestations where the individual must affirm the validity of the information provided, making the process more secure and accountable.

The Building Permit Application shares common ground with the LIC38 in terms of its structure and purpose. It often requires detailed applicant information, business details, and the specific type of application being requested, much like the LIC38’s sections on applicant information and license use. Both forms facilitate a regulatory review process, aiming to ensure that individuals or businesses meet certain criteria before being granted permission to proceed with their intended tasks.

The Business License Application found in many municipalities mirrors the LIC38’s format and utility by collecting detailed information on the business, its responsible representatives, and the specific license being applied for. This parallel process is designed to ensure that businesses operate legally within a given jurisdiction, similar to how the LIC38 regulates electricians. By providing comprehensive business details and adhering to local regulatory frameworks, applicants demonstrate their commitment to operating within the bounds of law.

The Contractor’s License Application closely resembles the LIC38, primarily in its requirement for detailed applicant and business information alongside specific licensure details. Just as the LIC38 governs electricians, the Contractor’s License Application regulates individuals and entities performing construction-related activities. Both necessitate the disclosure of past convictions and compliance with specific regulatory codes, reinforcing a standard of integrity within the profession.

Similar to the LIC38, the Professional Engineering License Application collects comprehensive personal and professional data from applicants. It requires not only basic personal information but also details pertaining to the applicant’s professional qualifications and experience in the field. Both forms serve as gateways to entering professional practices that are closely regulated, ensuring that only qualified individuals can offer their services to the public.

The DBPR (Department of Business and Professional Regulation) License Application has parallels with the LIC38 form in its structure and objectives. Both are designed to collect extensive information on the applicant and the business, ensuring compliance with specific industry standards. The DBPR application, similar to the LIC38, often requires information on any disciplinary actions or convictions to maintain high standards within the professional community.

The FAA Form 8500-8, Application for Airman Medical Certificate, though for an entirely different profession, shares commonalities with the LIC38 in terms of regulatory compliance and the need for detailed personal information. Applicants must provide comprehensive health and identification details, much like the personal and professional information required in the LIC38. Both forms serve as critical steps in ensuring the eligibility and capability of the applicant to perform their duties safely and effectively.

Lastly, the SEC Form D exhibits similarities to the LIC38 in its requirement for detailed information about entities and principals involved. This form is used for notifying the SEC about an exempt offering of securities, necessitating thorough disclosure of business information, similar to the LIC38’s detailing of business and responsible representative details. Both are essential for compliance within their respective regulatory frameworks, ensuring that entities operate transparently and within legal parameters.

Dos and Don'ts

When filling out the LIC38 form, an Electrical License Application, it's important to follow the guidelines set forth by the Department of Buildings precisely. Here's a compiled list of the dos and don'ts to aid in the process:

Do's:

  • Ensure the application is typewritten. This is a requirement and helps in avoiding misinterpretation or illegibility.
  • Complete all required fields. Pay special attention to the sections that are marked as required.
  • Check for accuracy in personal details. Double-check your name, address, telephone numbers, and especially your Social Security Number.
  • Answer conviction and fine questions truthfully. If you answer "Yes," remember to attach the necessary form LIC34.
  • Designate a single Responsible Representative if applicable. This is crucial for businesses to ensure there's a clear point of contact.
  • Include additional licensee information if needed. If there are other licensed individuals in the business, provide their information as required.
  • Sign and date the application. An unsigned or undated application can lead to processing delays or even rejection.
  • Attach the required Electrician’s Seal and notarization. Without proper sealing and notarization, the application may not be considered valid.
  • Acknowledge the compliance statement. By signing, you affirm compliance with all Administrative Code Provisions and departmental rules.
  • Pay attention to the application type. Whether it's an original, renewal, reissue or change, selecting the correct type is vital.

Don'ts:

  • Don't leave sections incomplete. Incomplete applications are subject to rejection or delay.
  • Don't provide false information. Falsification is a misdemeanor and can result in fines or imprisonment.
  • Don't forget to attach additional sheets if necessary. For sections requiring expansive information, attaching extra sheets ensures completeness.
  • Don't neglect the applicant statements and signatures section. This part of the form is essential for validating the application's truthfulness.
  • Don't ignore directives regarding convictions and fines. Transparency about past convictions and current violations is crucial.
  • Don't overlook the need for a responsible representative. If your business structure requires one, properly designate and acknowledge this individual.
  • Don't skip pertinent details in the business information section. Ensure accurate and complete information about your firm.
  • Don't underestimate the importance of the license type selection. Choosing the correct license type affects the processing and validity of your application.
  • Don't forget to check and update personal contact information. Accurate contact details facilitate timely communication.
  • Don't engage in bribery. It's a serious crime that carries severe penalties.

Misconceptions

  • Misconception: The LIC38 form is only for first-time applicants.
    This form is not exclusively for first-time license applicants. It serves various purposes, including original applications, renewals, reissuing, and changes to existing licenses. This demonstrates the form's versatility in addressing different needs within the licensing process for electricians.
  • Misconception: You can handwrite your application on the LIC38 form.
    All applications using the LIC38 must be typewritten. This requirement ensures clarity and uniformity in the submission process, which helps in the efficient handling and processing of applications by the Department of Buildings.
  • Misconception: Any number of responsible representatives can be listed on the application.
    Only one responsible representative is allowed per business as per the LIC38 form's instructions. This rule clarifies accountability and simplifies the communication process between the Department of Buildings and the licensed electrical business.
  • Misconception: Previous criminal convictions do not need to be disclosed if renewing a license.
    Applicants must disclose any criminal convictions, even during renewal, if they occurred since the last renewal. Failure to disclose such information can lead to legal consequences, emphasizing the importance of transparency in the licensure process.
  • Misconception: The LIC38 form does not require notarization.
    The completion and submission process of the LIC38 form includes a notarization section. This requirement underscores the seriousness of the information provided and helps to prevent fraudulent submissions, ensuring that applicants are legally bound to the truthfulness of their applications.

Key takeaways

When filling out and using the LIC38 form for an electrical license application, it is crucial to adhere to specific guidelines to ensure the process goes smoothly. Here are six key takeaways to keep in mind:

  • The application must be typewritten, ensuring clarity and legibility for all provided information.
  • Applicants must provide detailed applicant information, including contact details and Social Security Number, with certain fields marked as optional (*) such as Mobile Telephone.
  • There is a clear distinction between the roles within the form; notably, it specifies that there can be only one Responsible Representative for the business. This person has significant obligations and permissions, including authorizing others to file electrical applications under the business name.
  • Regarding license use, applicants must choose the appropriate option to describe their business type, whether it is an Individual/Sole Proprietor, Corporation, Partnership, or Trade. This choice impacts how the license is utilized and the permissions granted.
  • Applicants must disclose any convictions, fines, or outstanding notices of violation related to the Department. A separate form (LIC34) is required if there are any convictions or outstanding notices to report.
  • The application process involves a declaration of compliance with all relevant Administrative Code Provisions, Department Rules, Regulations, and Directives. Falsification of any statement on the application is considered a misdemeanor and is subject to fines or imprisonment, or both. Furthermore, bribery associated with the application process is a felony with severe penalties.

It is essential for applicants to carefully review and accurately complete the LIC38 form to avoid delays or legal consequences. By adhering to the outlined guidelines and providing accurate, typewritten information, applicants can navigate the licensing process more efficiently.

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