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Welcome to Notarize's Public Document Index! You can find public documents pertinent to Rochester, NY for e-sign or notarization purposes. You can preview the document before deciding to notarize it. We are not lawyers, so always check with your own attorneys, advisors, or document recipients if you have unanswered questions about notarization or digitally notarized documents. It is also your responsibility to confirm the document is the most recently updated version before notarization.

How to Use This Page

Welcome to Notarize's Public Document Index! You can find public documents pertinent to Rochester, NY for e-sign or notarization purposes. You can preview the document before deciding to notarize it. We are not lawyers, so always check with your own attorneys, advisors, or document recipients if you have unanswered questions about notarization or digitally notarized documents. It is also your responsibility to confirm the document is the most recently updated version before notarization.

Document Category: Regulation and Ethics Last Modified: April 10, 2021

Answer Verification

Supreme Court of the State of New York application where the defendant admits the truth of the allegations, denies knowledge, or denies the allegations of the named paragraphs of the complaint.
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Document Category: Personal Finance Last Modified: April 10, 2021

Written Answer Consumer Credit Transaction

State of New York form for the applicant to depose and say that they have read the Answer in Writing and know the contents to be true from their own knowledge, except as to those matters stated on information and belief, and as to those matters they believe them to be true.
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Document Category: Personal Finance Last Modified: June 1, 2016

Statement Form of Net Worth

Supreme Court of the State of New York for the application to depose and say that the following is an accurate statement of their net worth, statement of income from all sources and statement of assets transferred of whatsoever kind and nature and wherever situated and statement of expenses.
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Document Category: Regulation and Ethics Last Modified: July 21, 2008

Notice of Appearance

Form for the applicant to enter their pro se appearance in the matter and demand receipt of all documents filed in the case, as well as notice of all further proceedings.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Stipulation Discontinuing Action

Supreme Court of the State of New York form to stipulate and agree by the parties herein that the entitled action, together with all cross-claims and counter-claims, be and the same is, hereby discontinued, with prejudice and without costs to any party.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Verified Petition

Supreme Court of the State of New York form for a verified petition in the matter of the application of the petitioner vs the respondent.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Acknowledgement Form

Department of Environmental Conservation generic form for the undersigned notary public to sign and acknowledge on the applicant's behalf.
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Document Category: Compliance Last Modified: November 1, 2011

Coordinator-Independent Accountant's Report

New York State Department of Health form for each hospital to submit an agreed-upon procedures by its independent certified public accountant or independent licensed public accountant regarding BDCC collection efforts.
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Document Category: Regulation and Ethics Last Modified: May 1, 2015

Public Emissions Inspection Station Buy/Sell Agreement

New York Department of Motor Vehicles form for the DMV to accept for review a buy/sell agreement for an official public emissions group 1a inspection station.
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Document Category: License and Identity Last Modified: May 1, 2018

Lost License Affidavit

New York State Department of Financial Services form for the applicant's lost license.
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Document Category: Regulation and Ethics Last Modified: May 1, 2018

Prime Contractor's Labor Certification

New York State Department of Transportation form containing verified statement(s) by the contractor from the subcontractor(s).
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Document Category: Taxation Last Modified: October 1, 2011

Bond of Distributor of Motor Fuel and/or Diesel Motor Fuel

New York State Department of Taxation and Finance form between principal and surety in which principal, having a place of business at the named location, has applied for registration as a distributor of motor fuel and/or diesel motor fuel, pursuant to Article 12-A of the Tax Law, or has been registered as such distributor.
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Document Category: Business Last Modified: December 1, 2015

Games of Chance Surety Bond

New York State Division of Corporations State Records and Uniform Commercial Code form for principal and surety where the principal has filed with the Secretary of State of the State of New York to engage in a game, contest, promotion, advertising scheme or plan pursuant to Section 369-e of the General Business Law.
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Document Category: Taxation Last Modified: August 1, 2015

PrompTax- Withholding Tax Statement of Exemption from Mandatory Participation

New York State Department of Taxation and Finance form for organizations that are exempt from the requirement to participate in the PrompTax withholding tax program.
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Document Category: Regulation and Ethics Last Modified: April 5, 2019

Application for Sparkling Devices Certification

New York State Homeland Security and Emergency Services form to be used by any person or entity wishing to obtain a Certificate to; Manufacture, Distribute, Wholesale or Sell at Retail, sparkling devices in New York State, pursuant to penal Law 270.00 and Title 9 of the Official Compilation of New York codes, Rules and Regulation Part 225.
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Document Category: License and Identity Last Modified: July 1, 2020

Affidavit to Correct Name or Gender of Parent for a Person 17 Years of Age or Older

New York State Department of Health Vital Records form to request the correction of the parent's name as it currently appears on the child's birth certificate.
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Document Category: Regulation and Ethics Last Modified: November 1, 2011

Responsible Person-Independent Accountant's Reportm

New York State Department of Health form for the applicant to be named the Responsible Person, authorizing the Office of Pool Administration to assign a secure electronic filing User ID and password to the applicant in regards to Sections 2807-k (9) and (12) of the Public Health Law in which each hospital must submit an agreed-upon procedures report by its independent certified public accountant or independent public accountant regarding BDCC collection efforts.
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Document Category: Taxation Last Modified: April 1, 2014

Agricultural Assessment Written Lease Affidavit for Rented Land

New York State Department of Taxation and Finance form for an agricultural assessment for agricultural land whose production does not independently satisfy the average gross sales requirement of Agriculture and Markets Law Article 25AA but which has been used as a single operation for the production of crops, livestock, or livestock products during the preceding two years and is rented to another party of a minimum of five years for use in conjunction with other land which qualifies for an agricultural assessment..
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Document Category: License and Identity Last Modified: May 1, 2010

Affidavit to Request Certified Copy of Death Certificate

New York State Department of Health Vital Records Section form to request a certified copy of the death record of the named deceased.
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Document Category: Taxation Last Modified: April 26, 2006

Contractor Certification to Covered Agency

Form to certify that the contractor has filed Form ST-220-TD with the New York State Department of Taxation and Finance in connection with this contract.
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Document Category: Business Last Modified: July 1, 2011

Administer Construction Contract

New York State Department of Transportation form that is a cumulative to-date report of the total payments due a Vendor, total retainage or other withholdings, and total payments made to the Vendor.
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Document Category: Business Last Modified: December 12, 2019

Application for a Grant of Land Underwater

New York State Office of General Services application for a grant of land underwater, pursuant to Article 6 Section 75, Subdivision 7(a) of the Public Lands Law.
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Document Category: License and Identity Last Modified: April 10, 2021

Petition for Individual Minor's Change of Name

Court of the State of New York form for the petitioner to request that an Order be granted permitting the change of name of a Minor.
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Document Category: Regulation and Ethics Last Modified: November 1, 2015

Affidavit in Support of Order to Show Cause

State of New York form in support of order to show cause to vacate a default judgment for failure to appear and answer and to file an answer or dismiss the case.
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Document Category: License and Identity Last Modified: April 10, 2021

Criminal Certificate of Disposition Request Form for CPL 160.59 Sealing Application

State of New York form to request a criminal Certificate of Disposition for the applicant's CPL 160.59 sealing application.
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Document Category: Child Services Last Modified: June 1, 2013

Parenting Plan

Supreme Court of the State of New York form for the petitioner and respondent or co-petitioner to outline how they will continue to care and provide for their children after their separation.
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Document Category: Regulation and Ethics Last Modified: January 1, 2020

Affidavit in Support of Issuance of Family Court Temporary Order of Protection (By Individual Complainant/Petitioner)

Form for the individual complainant/petitioner to request that their application for a Family Court temporary order of protection be granted and that the matter be transferred to the Family Court of the named county.
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Document Category: Regulation and Ethics Last Modified: January 1, 2020

Affidavit in Support of Issuance of Family Court Temporary Order of Protection (By Peace or Police Officer, Agency or Designated Person)

Form for the petitioner (peace or police officer, agency or designated person) to request that their application for a Family Court temporary order of protection be granted and that the matter be transferred to the Family Court of the named county.
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Document Category: Regulation and Ethics Last Modified: September 1, 2009

Affidavit in Support of Modification of Family Court

Form for the petitioner to request that their application for modification of the Family Court, temporary order of protection or order of protection, be granted and that the matter be transferred to the Family Court in the named county.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Affidavit in Support of Entry of Out-of-State Order of Protection or Temporary Order of Protection onto Statewide Registry of Orders of Protection

Form for the petitioner to request that the annexed order be entered without fee onto the New York State Registry of Orders of Protection.
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Document Category: Personal Finance Last Modified: April 10, 2021

Application for an Order to Terminate or Sever Lease or Rental Agreement

Form for the lessee/tenant to terminate their lease or rental agreement or sever them from the co-tenancy, terminating their obligation to pay any rent or other payments on the lease or rental agreement from the date specified by the Court in the order.
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Document Category: Safety Responsibility Act Last Modified: April 10, 2021

Application for a Temporary Extreme Risk Protection Order

Application for the petitioner to allege that the named respondent is likely to engage in conduct that would result in serious harm to self or others as defined in MHL 9.39(a) and petition the Court to issue a temporary extreme risk protection order against the respondent pursuant to CLPR 6342 based upon the facts and circumstances set forth in the following sworn application justifying the issuance of the order.
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Document Category: Safety Responsibility Act Last Modified: April 10, 2021

Application for Renewal of an Extreme Risk Protection Order

Application for the petition to claim, upon information and belief, that the respondent continues to be likely to engage in conduct that would result in serious harm to self or others as defined in MHL 9.39(a) and hereby petition the Court to renew the extreme risk protection order against the respondent based upon the facts and circumstances set forth in the following sworn application.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Application to Return Firearms, Rifles or Shotguns to Respondent

Application for the respondent to petition the Court to return the following surrendered or removed firearm(s), rifle(s) or shotgun(s).
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Document Category: License and Identity Last Modified: April 10, 2021

Petition for a Name Change

Court of the State of New York form for the petitioner to request an Order be granted permitting a change of name.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Supplemental Affidavit in Support of Order to Show Cause

State of New York form to supplement the applicant's affidavit in support of the Order to Show Cause with additional information concerning why the applicant believes service upon them was not good and why the case should be dismissed.
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Document Category: License and Identity Last Modified: April 10, 2021

C.P.L. 160.59 Pro Se Application

State of New York application to seal a criminal conviction after 10 years - CPL 160.59.
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Document Category: License and Identity Last Modified: April 10, 2021

Application to Destroy Expunged Marihuana Conviction Record

State of New York application to request that the arrest, prosecution and Division of Criminal Justice Services' records for their expunged marihuana conviction are destroyed according to the provisions of Criminal Procedure Law sections 1.20(45) and 160.50(5)(a).
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Document Category: Safety Responsibility Act Last Modified: April 10, 2021

Application to Amend or Vacate Extreme Risk Protection Order

Application for the respondent to request that the extreme risk protection order is vacated and recalled or amended.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Application to Return Firearms, Rifles or Shotguns to Lawful Owner

Application demonstrating that the applicant is the lawful owner of the listed firearm(s), rifle(s), or shotgun(s), which were surrendered or removed pursuant to an extreme risk protection order.
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Document Category: Personal Finance Last Modified: April 10, 2021

Verified Answer to Foreclosure Complaint

Form for the defendant to request that the Complaint be dismissed; that the relief requested by Defendant be granted in its entirety; that Defendant be granted costs and attorneys' fees if they retain counsel; and any other relief allowed by law deemed just and proper by the Court in the exercise of its equity jurisdiction in the foreclosure action.
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Document Category: Personal Finance Last Modified: April 10, 2021

Foreclosure Affirmation

Form for the affiant to request that the Court grant the proposed relief requested herein together with such other relief as the Court deems just and proper.
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Document Category: Business Last Modified: April 10, 2021

Application for Joint Certification of an Empire Zone Business Enterprise

Application for a certified business that wishes to move and/or expand into property that was located within the Empire Zone boundaries designated as of June 29, 2010.
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Document Category: License and Identity Last Modified: January 1, 2019

Pharmacist Form 5 Application for Limited (Intern) Permit

The University of the State of New York State Education Department Form 5 to receive a limited intern permit to become a pharmacist.
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Document Category: License and Identity Last Modified: November 1, 2019

Optometry Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a license in optometry.
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Document Category: License and Identity Last Modified: January 1, 2020

Clinical Laboratory Technologist Restricted License Form 1 Application for Restricted Licensure

The University of the State of New York State Education Department Form 1 to apply for a restricted license to become a clinical laboratory technologist.
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Document Category: License and Identity Last Modified: November 1, 2019

Dental Hygienist Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a dental hygienist's license.
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Document Category: License and Identity Last Modified: November 1, 2019

Nurse Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a nurse's license.
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Document Category: License and Identity Last Modified: November 1, 2019

Psychoanalyst Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a psychoanalyst's license.
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Document Category: License and Identity Last Modified: November 1, 2019

Mental Health Counselor Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 for a mental health counselor's license.
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Document Category: License and Identity Last Modified: February 1, 2019

Nurse Practitioner Form 1 Application for Certification

The University of the State of New York State Education Department Form 1 to become certified as a nurse practitioner.
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Document Category: License and Identity Last Modified: December 1, 2020

Architect Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for an architect's license.
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Document Category: License and Identity Last Modified: January 1, 2020

Restricted Dental Faculty Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a restricted dental faculty license.
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Document Category: Child Services Last Modified: April 10, 2021

Petition for Appointment of Guardian of Person Only

Surrogate's Court of the State of New York petition for the Letter of Guardianship of the infant be granted to the proposed guardian or such other person or corporation as may be entitled thereto and that process issue to all interested persons who have not waived issuance of same requiring them to show cause why such relief should not be granted.
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Document Category: License and Identity Last Modified: December 1, 2020

Architect Form 5 Application for Limited Permit for Non-Resident Architect

The University of the State of New York State Education Department Form 5 for a limited permit that authorizes practice as an architect in New York State for a specific project if you are a licensed architect in another jurisdiction but are not a resident and do not have an established business in New York State.
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Document Category: License and Identity Last Modified: January 1, 2020

Pathologists' Assistant Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a pathologists' assistant's license.
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Document Category: License and Identity Last Modified: November 1, 2019

Acupuncture Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a license in acupuncture.
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Document Category: License and Identity Last Modified: November 1, 2019

Clinical Laboratory Technologist/Certified Histological Technician Form 5N Application for Provisional Permit

The University of the State of New York State Education Department Form 5N to apply for a provisional permit which authorizes practice as a clinical laboratory technologist or a certified histological technician under the general supervision of the director of a clinical laboratory, as determined by the Department.
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Document Category: License and Identity Last Modified: December 1, 2019

Professional Geologist Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a professional geologist's license.
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Document Category: License and Identity Last Modified: November 1, 2019

Psychologist Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 to apply for a psychologist's license.
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Document Category: License and Identity Last Modified: November 1, 2019

Creative Arts Therapist Form 1 Application for Licensure

The University of the State of New York State Education Department Form 1 for a creative arts therapist's license.
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Document Category: Child Services Last Modified: April 10, 2021

Petition for Appointment of Guardian of Person and Property or Property Only

Surrogate's Court of the State of New York petition for the Letter of Guardianship of the infant and property or just the property be granted to the proposed guardian or such other person or corporation as may be entitled thereto and that process issue to all interested persons who have not waived issuance of same requiring them to show cause why such relief should not be granted.
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Document Category: Compliance Last Modified: April 10, 2021

Subcontractor's Certification

City of Rochester Department of Finance affidavit for a subcontractor to confirm that the received a copy of the initial/revised schedule of wages and supplements for the Prevailing Rate Case specified in the public improvement contract from the prime contractor.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Affidavit of Errors

City of Rochester Traffic Violations Agency form for the defendant/appellant to request a reversal of their conviction and/or remand of the matter to the City of Rochester Traffic Violations Agency for further proceedings.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Animal Services Supporting Deposition

Rochester City Court Municipal Code Violations Bureau for the complainant to list the mentioned dog(s) committing the following acts.
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Document Category: Neighborhood Planning Last Modified: April 10, 2021

Affidavit of Intent Use of Property

City of Rochester Neighborhood and Business Development form for the applicant to claim intentions of use of property.
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Document Category: License and Identity Last Modified: April 10, 2021

Taxicab Livery License Application

City of Rochester Licensing Unit application for a taxicab livery license.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Property Manager Affidavit

City of Rochester Department of Finance affidavit for a Property Owner to enter into an agreement with the named individual to act as Property Manager with respect to the referenced property/properties.
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Document Category: License and Identity Last Modified: April 10, 2021

Sexually Oriented Business Employee Application

City of Rochester City Clerk's Office Licensing Unit application for employment in a sexually oriented business.
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Document Category: License and Identity Last Modified: April 10, 2021

Application for Electrician License

City of Rochester Electrical Examining Board application for a Master License.
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Document Category: Examination Last Modified: April 10, 2021

Elevator Mechanics and Limited Mechanics License Exam Application

City of Rochester Elevator Examining Board exam application for an Elevator Mechanics and Limited Mechanics license.
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Document Category: Examination Last Modified: April 10, 2021

Application for Stationary Engineers and Refrigeration Operators Exam

City of Rochester application to be examined by the Board of Examiners and to certify that the applicant has had experience operating the boilers and/or refrigeration equipment listed.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Affidavit of Service

City of Rochester Traffic Violations Agency form for the applicant to confirm that they served the Notice of Appeal either by personal service or first class mail.
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Document Category: Compliance Last Modified: April 10, 2021

Prime Contractor's Certification

City of Rochester Department of Finance form to confirm that there are no amounts due and owing to or on behalf of laborers employed on the project by the contractor.
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Document Category: Recreation Last Modified: April 10, 2021

Facility Use Permit Application

City of Rochester Department of Recreation and Youth Services application for a permit to use the facility.
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Document Category: Recreation Last Modified: April 10, 2021

Permit Modification/Cancellation Request

City of Rochester Department of Recreation and Human Services form to cancel or modify the named permit.
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Document Category: License and Identity Last Modified: April 10, 2021

Amusement Game License Application

City of Rochester Licensing Unit form to apply for an amusement game license.
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Document Category: Examination Last Modified: April 10, 2021

Plumbing License Exam Application

City of Rochester Examining Board of Plumbers exam application for a plumbing license.
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Document Category: License and Identity Last Modified: April 10, 2021

Elevator Installers Certificate of Registration

City of Rochester Elevator Examining Board form to certify registration as an elevator installer.
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Document Category: Regulation and Ethics Last Modified: April 10, 2021

Affidavit and Application for Certificate of Residence

Affidavit and application made for the sole purpose of securing from the Chief Fiscal Officer of the County of Monroe, a certificate of residence pursuant to the requirements of Article 126 of the Education Law.
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