Nassau County, NY · Nassau County
Business License Application
Nassau County businesses use this application to request a Department of Consumer Affairs license for one of the listed business types.
At a glance
- Issued by
- City of Nassau County · Nassau County, Nassau County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- nassaucountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application requests a license for listed businesses, including home services, locksmiths, health clubs, pet grooming businesses, and storage warehouses. It collects business, owner, tax, banking, insurance, and workers’ compensation information, with additional requirements depending on the license type. The instructions state that filing an application does not authorize operation; the license must be issued before work, advertising, or soliciting business.
Who needs it
A business seeking a Nassau County Department of Consumer Affairs license for one of the business types listed in the application needs this form.
How to submit it
The form names the Nassau County Department of Consumer Affairs at 240 Old Country Road, Mineola, NY 11501, and lists [email protected] for questions. It says payments may be made by official bank check, certified check, or money order payable to “The County of Nassau.”
About notarization
This application is signed without a notary; the related Disclosure Form described in the instructions must be notarized, and a commissioned online notary may help with that separate document.
How to submit this form
- 1
Download the Application
Download the Nassau County Business License Application PDF.
- 2
Complete the Application
Fill in the business, owner, tax, banking, insurance, workers’ compensation, and questionnaire sections that apply.
- 3
Gather Required Documents
Include the supporting documents required for the license type, such as insurance certificates and any required Disclosure Forms.
- 4
Submit to the County
Send the application to the Nassau County Department of Consumer Affairs at the address listed on the form.
Frequently asked questions
- Who uses the Nassau County Business License Application?
- Businesses applying for a Department of Consumer Affairs license for a business type listed on the application use this form.
- What information does the application request?
- It asks for business and owner details, tax identification numbers, banking information, insurance information, workers’ compensation details, and answers to a questionnaire.
- Do I need a notary for the Business License Application?
- No, this application itself is signed without a notary. The instructions say the related Disclosure Form must be notarized.
- How do I submit the Business License Application?
- The form lists the Nassau County Department of Consumer Affairs at 240 Old Country Road, Mineola, NY 11501. It also gives an email address for questions.