Westbury, NY · Nassau County
Plumbing License Renewal Form
Plumbers use this form to apply to the Village of Westbury for renewal of an existing plumbing license and provide required business and insurance information.
What this form is
This form is for a plumber holding a Village of Westbury plumbing license who is applying to renew it for the listed renewal years. It asks for the license number, applicant and business details, contact information, and signature, and requests copies of general liability and workers compensation certificates. The form states a $100 renewal fee and a $200 fee for late renewals.
Who needs it
A plumber holding a Village of Westbury plumbing license should complete this form to apply for renewal and provide the requested insurance certificates.
How to submit it
Return the completed renewal application, appropriate fee, and copies of the requested certificates to the Department of Buildings at 235 Lincoln Place, Westbury, NY 11590.
About notarization
This document is signed and dated without a notary; the signer provides copies of general liability and workers compensation certificates.
How to submit this form
- 1
Download The Form
Download the Plumbing License Renewal Form.
- 2
Complete The Application
Enter your license number, renewal years, applicant and business details, contact information, and signature.
- 3
Gather The Certificates
Include copies of your general liability and workers compensation certificates.
- 4
Submit To The Department
Return the form, appropriate fee, and certificate copies to the Department of Buildings at 235 Lincoln Place, Westbury, NY 11590.
Frequently asked questions
- Do I need a notary for the Plumbing License Renewal Form?
- No. The form has a signature line and does not require notarization; provide copies of general liability and workers compensation certificates.
- How do I submit the Plumbing License Renewal Form?
- Return the completed form, appropriate fee, and requested insurance certificate copies to the Department of Buildings at 235 Lincoln Place, Westbury, NY 11590.
- What information and attachments does the form request?
- It requests the plumbing license number, renewal years, applicant and business details, contact information, and signature, along with copies of general liability and workers compensation certificates.
- What renewal fee does the form list?
- The form lists a $100 renewal fee and states that late renewals are $200.
Need something notarized?
This Plumbing License Renewal Form doesn’t need a notary — but if you have another Westbury form that does, a commissioned online notary can help.