Issue link: http://iaqnet.uberflip.com/i/636984
To submit this application you need to: • Use black ink to complete items 1 though 8. Please print clearly. • Mail the original, signed application to the New York State Department of Labor, Division of Safety and Health, License and Certification Unit, State Office Campus, Building 12, Room 161A, Albany, NY 12240. • Keep a copy for your records. • You must include with your application: 1) Your non-refundable application fee of $500, see page 1, item 1. Make your check or money order payable to the Commissioner of Labor. Do not send cash. 2) A copy of your Mold Remediation Contractor Training Course Certificate of Completion form. This must be from a New York State Department of Labor approved training provider. 3) A copy of your DBA for each County in which you do business (if applicable) see page 1, item 2b. 4) Copies of your proofs of insurance: I. Worker's Compensation coverage, see page 2, item 4 Reminder: Be sure the New York State Department of Labor, License and Certification Unit, Building 12, Room 161A, State Campus, Albany, NY 12240 is listed as the certificate holder. II. Disability Insurance coverage, see page 2, item 5 III. Liability insurance , see page 2, item 6 • For more information please go to http://labor.ny.gov/mold General information: Any individual engaged in mold remediation. Mold remediation is defined as the business of removal, cleaning, sanitizing, or surface disinfection of mold, mold containment, and waste handling of mold and materials used to remove mold form surfaces by a business enterprise, including but not limited to, sole proprietorships. An applicant for a Mold Remediation License must: • be eighteen (18) years of age or older, • satisfactorily complete a Mold Remediation Contractor Training Course from a Department of Labor approved training provider, • pay the statutorily required application fee of $500, and • submit proof of: o Workers' Compensation coverage o Disability insurance coverage o Liability insurance coverage of at least $50,000 providing coverage for claims from the licensed activities and operations performed according to New York State Labor Law Article 32. You may obtain a Mold Remediation License application online at www.labor.ny.gov/mold. Page 4 of 4 How do I obtain an application? What are the qualifications? Who needs a Mold Remediation License?