Nassau County, NY · Nassau County

No notary required

Salesperson Registration Application

Home improvement salespeople use this application to register with Nassau County when their work includes soliciting business at county homes or signing contracts.

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

A salesperson affiliated with a home improvement business must apply if their duties include visiting Nassau County homes to solicit business or signing contracts for the business. The application asks for business and applicant details, residence and background information, and requires supporting materials, including photos and a signed business letter. The instructions also call for a separate notarized affidavit.

Who needs it

A salesperson for a home improvement business needs this application if they solicit business at Nassau County homes or sign contracts for the business.

How to submit it

Submit the completed application and required materials to the Nassau County Department of Consumer Affairs, 240 Old Country Road, Mineola, NY 11501.

About notarization

The application is signed without a notary; the separate affidavit required with it must be notarized.

How to submit this form

  1. 1

    Download the Application

    Download the Salesperson Registration Application PDF.

  2. 2

    Complete the Application

    Type or print clearly in black or blue ink and answer the questions accurately and truthfully.

  3. 3

    Gather Required Materials

    Include the notarized affidavit, two professional passport-type photos, proof of residence, and the required original business letter.

  4. 4

    Submit to the County

    Submit the completed application and materials to the Nassau County Department of Consumer Affairs at the address listed on the form.

Frequently asked questions

Who needs a salesperson registration application?
A salesperson affiliated with a home improvement business must apply if their duties include visiting Nassau County homes to solicit business or signing contracts for the business.
Do I need a notary for the Salesperson Registration Application?
No, the application itself is signed without a notary. The instructions require a separate notarized affidavit to be submitted with the application.
How do I submit the Salesperson Registration Application?
Submit the completed application and required materials to the Nassau County Department of Consumer Affairs at 240 Old Country Road, Mineola, NY 11501.
What materials must accompany the application?
The instructions require a notarized affidavit, two professional passport-type photos, proof of residence, and a dated letter with an original signature from the business owner or an officer.

Need something notarized?

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