Fillable New York 1481 Form in PDF
The New York 1481 form is an essential application for individuals aspiring to become Code Compliance Technicians in the state of New York. This form plays a crucial role in the certification process, ensuring that candidates meet the necessary training and educational requirements. It requires applicants to provide personal information, such as their name, date of birth, and contact details, alongside their training history. Specifically, applicants must list completed courses related to code enforcement, including the Code Compliance Technician course and other relevant training modules. To streamline the application process, it’s important to attach any certificates from courses taken within the last six months. Additionally, the form must be endorsed by a fire chief or a top-ranking municipal official, confirming the applicant's assignment to the role of Code Compliance Technician. This collaborative approach not only verifies the qualifications of the candidate but also underscores the importance of teamwork in maintaining safety and compliance within communities.
Preview - New York 1481 Form
State of New York
Firefighting and Code Enforcement Personnel
Standards and Education Commission
Code Compliance Technician - Application
PLEASE PRINT OR TYPE
NAME (LAST, FIRST, MI) |
STUDENT TRAINING ID NUMBER |
DATE OF BIRTH |
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HOME ADDRESS (STREET, PO BOX) |
DAYTIME PHONE |
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CITY |
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NIGHTTIME PHONE |
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DATE OF APPLICATION |
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DATE OF APPOINTMENT |
FIRE DEPARTMENT NAME |
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FIRE DEPARTMENT CODE |
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Course Name |
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Completion Date |
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Code Compliance Technician (9G), or |
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Introduction to Code Enforcement Practices I (9A) and |
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Introduction to Code Enforcement Practices II (9B) and |
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Inspection Procedures for Existing Structures (9C) |
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To facilitate your application, please include copies of any certificates for courses taken within the last six months.
I affirm that I have completed the courses as shown.
SIGNATUREDATE
To be completed by fire chief, fire commissioner or top ranking municipal official.
I, __________________________________________________, do hereby assign this individual to perform the duties of
PRINT NAME
Code Compliance Technician for __________________________________________________.
JURISDICTION
RETURN TO: |
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SIGNATURE |
DATE |
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STANDARDS UNIT |
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NYS DHSES |
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RANK OR TITLE |
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Ofice of Fire Prevention and Control |
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1220 Washington Avenue |
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NAME OF FIRE DEPARTMENT OR MUNICIPALITY |
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RETURN TO: |
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Building 7A, Floor 2 |
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Standards Unit |
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Albany NY 12242 |
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NYS Division of Homeland Security and Emergency Services |
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(518) |
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Office of Fire Prevention and Control |
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99 Washington Ave, Suite 500 |
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Albany, NY |
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(518) |
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1481 (Rev. 1/04) |
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Additional copies of this application are available on the web at
Form Characteristics
| Fact Name | Description |
|---|---|
| Purpose | The New York 1481 form is used to apply for the position of Code Compliance Technician. |
| Governing Laws | This form is governed by the New York State Firefighting and Code Enforcement Personnel Standards and Education Commission regulations. |
| Required Information | Applicants must provide personal information, including their name, training ID number, and contact details. |
| Course Completion | Proof of course completion is necessary. Applicants should attach certificates for relevant courses taken within the last six months. |
| Submission Details | The completed form must be returned to the Standards Unit of the NYS Division of Homeland Security and Emergency Services. |
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