Nassau County, NY · Nassau County

No notary required

Salesperson, Management Personnel or Technician Application

This application is for individuals associated with a home improvement business who apply to Nassau County Consumer Affairs as a salesperson, manager, or technician.

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

Each qualifying individual must complete this application to be added to a licensed home improvement business; filing alone does not authorize the person to negotiate with consumers. It asks for personal and business details, practical experience, and answers about legal and financial matters. Applicants must also provide specified photos, residence proof, a company letter, and a separate notarized affidavit form.

Who needs it

Individual owners, partners, officers, directors, qualifying stockholders, sales representatives, managers, foremen, and technicians who negotiate with consumers must complete it.

How to submit it

Submit the application materials to the Nassau County Department of Consumer Affairs, 240 Old Country Road, Mineola, NY 11501. The form also lists [email protected].

About notarization

This application is signed and dated without a notary; the instructions separately require applicants to submit a notarized affidavit form.

How to submit this form

  1. 1

    Download the Application

    Download the Nassau County salesperson, management personnel, or technician application.

  2. 2

    Complete the Application

    Type or print clearly in black or blue ink, answer the questions accurately, and sign and date the application.

  3. 3

    Gather Required Materials

    Include the separate notarized affidavit, two professional passport-type photos, residence proof, and the required letter from the licensed company.

  4. 4

    Submit to the County

    Send the application materials to the Department of Consumer Affairs at 240 Old Country Road, Mineola, NY 11501.

Frequently asked questions

Who must complete the Nassau County salesperson application?
Each individual owner, partner, officer, director, qualifying stockholder, sales representative, manager, foreman, or technician who negotiates with a consumer must complete it.
Do I need a notary for the salesperson application?
No. The application is signed and dated without a notary, but the instructions require a separate notarized affidavit form.
How do I submit the application?
Send the application materials to Nassau County Department of Consumer Affairs, 240 Old Country Road, Mineola, NY 11501. The form also lists an email address.

Need something notarized?

This Salesperson, Management Personnel or Technician Application doesn’t need a notary, but if you have another Nassau County form that does, a commissioned online notary can help.