employment - buffalo protection & investigation

605 Division Street • N. Tonawanda, NY 14120 • Tel: 716-745-4641 • Fax: 716-745-4642

W W W . B U F F A L O P I . C O M

Dear Prospective Employee: In addition to the application and forms attached, you also need to provide us with: Security Guard

1. A photocopy of your New York State Guard Card. 2. A photocopy of your Driver’s License. 3. A photocopy of your Social Security Card, or Birth Certificate. 4. Or you can provide a photocopy of your US Passport instead of #2 and #3 above.

Armed Guard 1. A photocopy of your New York State Guard Card. 2. A photocopy of your New York State Pistol Permit. 3. A photocopy of your Driver’s License. 4. A photocopy of your Social Security Card, or Birth Certificate. 5. Or you can provide a photocopy of your US Passport instead of #3 and #4 above.

Policeman

1. A photocopy of your current Police ID card. 2. A photocopy of your Driver’s License. 3. A photocopy of your Social Security Card, or Birth Certificate. 4. Or you can provide a photocopy of your US Passport instead of #2 and #3 above.

Please note that if you are a retired policeman, please follow the Security Guard or Armed Guard list. BPI does offer direct deposit, if you are interested please contact me for a form. If you have any questions, please do not hesitate to contact me at 716-432-8220 or [email protected] Thanks for your interest in working for Buffalo Protection & Investigation, Inc. Regards,

MTR Mona T. Rinaldo Director of Operations

Supervisor Procedures Manual RECRUITMENT, INTERVIEWING AND SELECTION 2:51

Company Name _______________________________________ Date

Please Print Clearly APPLICATION FOR EMPLOYMENT

Please Answer All Questions. Résumés Are Not A Substitute For A Completed Application.

We are an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed servicemember status, race, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state, or local laws.

THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE.

Position Applied For ____________________________________ Name Telephone Number ( ) _______-_________ Alternate or Cellular Telephone Number ( ) _______-____________

Present Address _____________________________________________________________________________________________ Street, Apartment, or Unit Number ____________________________________________ __________ ___________ How long have you lived there _____/______ City State Zip Years/Months

Previous Address ____________________________________________________________________________________________ Street, Apartment, or Unit Number ____________________________________________ __________ ___________ How long have you lived there _____/______ City State Zip Years/Months

Desired Salary/Hourly Rate ____________________

If under the age of 18, can you produce the necessary work certificate at the time of employment? Yes No

Type of employment desired? Full-time Part-time (Specify Hours)

Are you willing to work overtime? Yes No Date on which you can start work if hired

Have you previously applied for employment with this Company? Yes No

If Yes, when and where did you apply?

Have you ever been employed by this Company? Yes No If Yes, provide dates of employment, location, and reason for separation from employment.

INSTRUCTIONS FOR ANSWERING THE NEXT TWO QUESTIONS

1. Al l applicants: Do not include convictions that were sealed, eradicated, erased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program.

2. Arizona, Colorado, District of Columbia, Illinois, Kansas, Minnesota, Missouri, Montana, Nevada, Rhode Island, South Carolina, and Utah applicants: Do not respond to the second question regarding arrests.

3. California applicants: Do not include misdemeanor marijuana-related convictions that are more than two (2) years old or misdemeanor convictions for which probation was successfully completed or otherwise discharged and the case was judicially dismissed.

4. Connecticut applicants: You are not required to disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased. Criminal records subject to erasure are records pertaining to a finding of delinquency or the fact that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nolled (not prosecuted), a criminal charge for which the person was found not guilty, or a conviction for which the offender received an absolute pardon. Any person whose criminal records have been erased is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been erased, and may so swear under oath.

5. District of Columbia and Washington applicants: Limit any response to the past ten (10) years. 6. Hawaii and Massachusetts applicants: Do not answer the following two questions. 7. Indiana applicants: Regarding arrests limit your response to pending charges for felonies and class A misdemeanors that are less than

one (1) year old.


8. Michigan applicants: Regarding arrests, limit your response to felony arrests awaiting conviction or dismissal. 9. New York applicants: All pending arrests or criminal accusations must be disclosed. You are not required to disclose arrests or

criminal accusations that resulted in criminal actions or proceedings which were terminated in your favor. Do not disclose criminal actions or proceedings that were sealed or classified as youthful offender adjudications. An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within thirty (30) days of the applicant’s request for such information.

10. North Dakota and Oregon applicants: Regarding arrests, limit your response to pending charges that are less than one (1) year old. 11. Utah applicants: Limit any response to felony convictions only. Do not respond to the second question regarding arrests. Have you ever plead guilty or no contest to, or been convicted of any criminal offense other than the applicable exceptions listed above? Yes No Have you ever been arrested for any matters for which you currently are out on bail or on your own recognizance pending trial? Yes No CRIMINAL OFFENSES ONLY: If you answered Yes, to either of the above two questions, please provide the date(s) and explain in accordance with the above instructions so that individual circumstances can be considered. ____________________________________________________________________________________________________________

____________________________________________________________________________________________________________ Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. The Company will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, the applicant’s age at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.

Have you ever initiated an act of violence in the workplace? Yes No

If Yes, please provide the date(s) and explain so that individual circumstances can be considered. (A “Yes” answer will not necessarily disqualify you from employment.)

List all special technical skills that you feel qualify you for the job for which you are applying (For example., computer programming/language, software, equipment operation, special tools or machines, etc.)

__________________________________________________________________________________________________________

Education

School Name and Location (Address, City, State)

Course of

Study

Graduate?

# of Years Completed

Degree/Major

High School

College

Bus./Tech./Trade or Post College

Honors Received _______________________________________________________________________________________________

If applicable, list below any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc. ____________________________________________________________________________________________________________

____________________________________________________________________________________________________________


WORK EX PERIENCE Please list the names of your present and/or previous employers in chronological order with present or last employer listed first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Employer _________________________________________ ____________________________________ Name Address Type of Business Telephone ( ) - Dates Employed From / /_____ To / / Job Title Duties Supervisor’s Name May we contact? Yes No If No, why not? Wages Start Final Reason for Leaving What will this employer say was the reason your employment terminated? ____________________________________________________________ How much notice did you give when resigning? If none, explain.

Employer _________________________________________ ____________________________________ Name Address Type of Business Telephone ( ) - Dates Employed From / /_____ To / / Job Title Duties Supervisor’s Name May we contact? Yes No If No, why not? Wages Start Final Reason for Leaving What will this employer say was the reason your employment terminated? ____________________________________________________________ How much notice did you give when resigning? If none, explain.

Employer _________________________________________ ____________________________________ Name Address Type of Business Telephone ( ) - Dates Employed From / /_____ To / / Job Title Duties Supervisor’s Name May we contact? Yes No If No, why not? Wages Start Final Reason for Leaving What will this employer say was the reason your employment terminated? ____________________________________________________________ How much notice did you give when resigning? If none, explain.

Please explain fully all gaps in your employment history in excess of one month.

Have you ever been terminated or asked to resign from any job? Yes No. If Yes, how many times? ________ Has your employment ever been terminated by mutual agreement? Yes No If Yes, how many times? ________ Have you ever been given the choice to resign rather than be terminated? Yes No If Yes, how many times? ________ If you answered Yes to any of the above three questions, please explain the circumstances of each occasion.


REFERENCES Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

NAME POSITION COMPANY WORK RELATIONSHIP (i.e., supervisor, co-worker)

TELEPHONE

Please list the names of personal references (not previous employers or relatives) who know you well that we may contact.

NAME OCCUPATION ADDRESS TELEPHONE NUMBER OF YEARS KNOWN

APPLICANT CERTIFICATION

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company’s policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company’s policies and applicable federal, state, and local law. If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement, as well as an agreement to arbitrate. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGR EEMENT—EX PRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY. IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.


I authorize the Company or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation. I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States. THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE. Applicant Signature Date / /

If the applicant is a minor, the foregoing release and consent must be signed by the applicant’s parent or legal guardian. Signature by the applicant’s parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal guardian that the Company, to the extent permitted by federal, state, and local law, can test the applicant for illegal or controlled substances, conduct inspections of property without notice, and communicate test results to Company personnel who need to know, the applicant, and the applicant’s legal guardian. Parent/Legal Guardian Witness Date Date UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT , THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR, POLYGRAPH, OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100. I have read and understand the above statement. Applicant Signature Date / /

UNDER MASSACHUSETTS LAW, IT IS UNLAWFUL FOR AN EMPLOYER TO REQUIRE OR TO ADMINISTER A LIE DETECTOR, POLYGRAPH OR SIMILAR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. FEDERAL AND/OR STATE LAW MAY PROHIBIT THE USE OF LIE DETECTOR, POLYGRAPH OR SIMILAR TEST AS WELL.

THIS APPLICATION MAY NOT BE APPLICABLE FOR ALL INDUSTRIES. ©2010 Paychex, Inc 151508/154425 11/10

Supervisor Procedures Manual MANAGING EMPLOYEES IN THE WORKPLACE 3:45

New Employee Information

Employer Complete

New Hire Rehire Previous Name (if applicable) EMPLOYMENT DATA Job Title Date of Hire / / Rate of Pay Grade

Hourly Salaried

Full-time Part-time Seasonal - Scheduled Days and Hours

Supervisor/Manager Signature Date / / Employee Complete PERSONAL DATA Last Name First Name Initial Address City State Zip Code Telephone Number ( ) - Date of Birth / / EMERGENCY CONTACT INFORMATION Name Relationship Emergency Telephone Number ( ) - Employee Signature Date / / 11/07

Form W-4 (2010)Purpose. Complete Form W-4 so that youremployer can withhold the correct federal incometax from your pay. Consider completing a newForm W-4 each year and when your personal orfinancial situation changes.

Head of household. Generally, you may claimhead of household filing status on your taxreturn only if you are unmarried and pay morethan 50% of the costs of keeping up a homefor yourself and your dependent(s) or otherqualifying individuals. See Pub. 501,Exemptions, Standard Deduction, and FilingInformation, for information.

Exemption from withholding. If you areexempt, complete only lines 1, 2, 3, 4, and 7and sign the form to validate it. Your exemptionfor 2010 expires February 16, 2011. SeePub. 505, Tax Withholding and Estimated Tax.

Check your withholding. After your Form W-4takes effect, use Pub. 919 to see how theamount you are having withheld compares toyour projected total tax for 2010. See Pub.919, especially if your earnings exceed$130,000 (Single) or $180,000 (Married).

Basic instructions. If you are not exempt,complete the Personal Allowances Worksheetbelow. The worksheets on page 2 further adjustyour withholding allowances based on itemizeddeductions, certain credits, adjustments toincome, or two-earners/multiple jobs situations.

Two earners or multiple jobs. If you have aworking spouse or more than one job, figurethe total number of allowances you are entitledto claim on all jobs using worksheets from onlyone Form W-4. Your withholding usually willbe most accurate when all allowances areclaimed on the Form W-4 for the highestpaying job and zero allowances are claimed onthe others. See Pub. 919 for details.

Personal Allowances Worksheet (Keep for your records.)

Enter “1” for yourself if no one else can claim you as a dependentA A

You are single and have only one job; or

Enter “1” if:B You are married, have only one job, and your spouse does not work; or B

Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.

Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or

more than one job. (Entering “-0-” may help you avoid having too little tax withheld.)

CC

Enter number of dependents (other than your spouse or yourself) you will claim on your tax returnD D

E E

F F

Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.) H H

If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductionsand Adjustments Worksheet on page 2.

For accuracy,complete all

worksheets

that apply.

If you have more than one job or are married and you and your spouse both work and the combined earnings from all jobs exceed$18,000 ($32,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to avoid having too little tax withheld.

If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.

Cut here and give Form W-4 to your employer. Keep the top part for your records.

OMB No. 1545-0074Employee’s Withholding Allowance CertificateW-4Form

Department of the TreasuryInternal Revenue Service

Whether you are entitled to claim a certain number of allowances or exemption from withholding issubject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

Type or print your first name and middle initial.1 Last name 2 Your social security number

Home address (number and street or rural route)MarriedSingle

3Married, but withhold at higher Single rate.

City or town, state, and ZIP code

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

55 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2)$66 Additional amount, if any, you want withheld from each paycheck

7 I claim exemption from withholding for 2010, and I certify that I meet both of the following conditions for exemption.

Last year I had a right to a refund of all federal income tax withheld because I had no tax liability and

This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.

7If you meet both conditions, write “Exempt” here

8

Under penalties of perjury, I declare that I have examined this certificate and to the best of my knowledge and belief, it is true, correct, and complete.

Employee’s signature(Form is not valid unless you sign it.) Date

9 Employer identification number (EIN)Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) Office code (optional) 10

Enter “1” if you have at least $1,800 of child or dependent care expenses for which you plan to claim a credit

4 If your last name differs from that shown on your social security card,

check here. You must call 1-800-772-1213 for a replacement card.

Cat. No. 10220Q

Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above)

Note. You cannot claim exemption fromwithholding if (a) your income exceeds $950and includes more than $300 of unearnedincome (for example, interest and dividends)and (b) another person can claim you as adependent on his or her tax return.

Nonwage income. If you have a large amountof nonwage income, such as interest ordividends, consider making estimated tax

G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.

G If your total income will be between $61,000 and $84,000 ($90,000 and $119,000 if married), enter “1” for each eligible

child plus “1” additional if you have six or more eligible children.

If your total income will be less than $61,000 ($90,000 if married), enter “2” for each eligible child; then less “1” if you have three or more eligible children.

(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.)

Tax credits. You can take projected taxcredits into account in figuring your allowablenumber of withholding allowances. Credits forchild or dependent care expenses and thechild tax credit may be claimed using thePersonal Allowances Worksheet below. SeePub. 919, How Do I Adjust My TaxWithholding, for information on convertingyour other credits into withholding allowances.

Nonresident alien. If you are a nonresidentalien, see Notice 1392, Supplemental FormW-4 Instructions for Nonresident Aliens, beforecompleting this form.

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Form W-4 (2010)

Complete all worksheets that apply. However, youmay claim fewer (or zero) allowances. For regularwages, withholding must be based on allowancesyou claimed and may not be a flat amount orpercentage of wages.

payments using Form 1040-ES, Estimated Taxfor Individuals. Otherwise, you may oweadditional tax. If you have pension or annuityincome, see Pub. 919 to find out if you shouldadjust your withholding on Form W-4 or W-4P.

10

Form W-4 (2010)

Deductions and Adjustments Worksheet

Note. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.

Enter an estimate of your 2010 itemized deductions. These include qualifying home mortgage interest,charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, andmiscellaneous deductions

1

$1

$11,400 if married filing jointly or qualifying widow(er)$$8,400 if head of household 2Enter:2

$5,700 if single or married filing separately $3 Subtract line 2 from line 1. If zero or less, enter “-0-” 3$Enter an estimate of your 2010 adjustments to income and any additional standard deduction. (Pub. 919)4$5Add lines 3 and 4 and enter the total. (Include any amount for credits from Worksheet 6 in Pub. 919.)5$6Enter an estimate of your 2010 nonwage income (such as dividends or interest)6$7Subtract line 6 from line 5. If zero or less, enter “-0-”7

Divide the amount on line 7 by $3,650 and enter the result here. Drop any fraction8 8

Enter the number from the Personal Allowances Worksheet, line H, page 19 9

Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet,also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1

10

10

Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)

Note. Use this worksheet only if the instructions under line H on page 1 direct you here.

1Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet)1

2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if

you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more

than “3.” 2

3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter

“-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet 3

Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4–9 below to figure the additional

withholding amount necessary to avoid a year-end tax bill.

Enter the number from line 2 of this worksheet4 4

Enter the number from line 1 of this worksheet5 5

Subtract line 5 from line 46 6$Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here7 7$Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed8 8

Divide line 8 by the number of pay periods remaining in 2010. For example, divide by 26 if you are paidevery two weeks and you complete this form in December 2009. Enter the result here and on Form W-4,line 6, page 1. This is the additional amount to be withheld from each paycheck

9

$9

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on thisform to carry out the Internal Revenue laws of the United States. Internal Revenue Codesections 3402(f)(2) and 6109 and their regulations require you to provide thisinformation; your employer uses it to determine your federal income tax withholding.Failure to provide a properly completed form will result in your being treated as a singleperson who claims no withholding allowances; providing fraudulent information maysubject you to penalties. Routine uses of this information include giving it to theDepartment of Justice for civil and criminal litigation, to cities, states, the District ofColumbia, and U.S. commonwealths and possessions for use in administering their taxlaws, and using it in the National Directory of New Hires. We may also disclose thisinformation to other countries under a tax treaty, to federal and state agencies toenforce federal nontax criminal laws, or to federal law enforcement and intelligenceagencies to combat terrorism.

The average time and expenses required to complete and file this form will varydepending on individual circumstances. For estimated averages, see theinstructions for your income tax return.

4

Table 1All OthersMarried Filing Jointly

If wages from LOWESTpaying job are—

Table 2All OthersMarried Filing Jointly

If wages from HIGHESTpaying job are—

Enter online 7 above

If wages from HIGHESTpaying job are—



If wages from LOWESTpaying job are—

You are not required to provide the information requested on a form that issubject to the Paperwork Reduction Act unless the form displays a valid OMBcontrol number. Books or records relating to a form or its instructions must beretained as long as their contents may become material in the administration ofany Internal Revenue law. Generally, tax returns and return information areconfidential, as required by Code section 6103.


0123456789

10

If you have suggestions for making this form simpler, we would be happy to hearfrom you. See the instructions for your income tax return.

$0 -7,001 -

10,001 -16,001 -22,001 -27,001 -35,001 -44,001 -50,001 -55,001 -65,001 -72,001 -85,001 -

105,001 -115,001 -

$7,000 -10,000 -16,000 -22,000 -27,000 -35,000 -44,000 -50,000 -55,000 -65,000 -72,000 -85,000 -

130,001 - and over

0123456789

101112131415

$0 -6,001 -

12,001 -19,001 -26,001 -35,001 -50,001 -65,001 -80,001 -90,001 -

$6,000 -12,000 -19,000 -26,000 -35,000 -50,000 -65,000 -80,000 -90,000 -

120,000 -120,001 and over

$0 -65,001 -

120,001 -185,001 -

$550910

1,0201,2001,280330,001 and over

$65,000120,000185,000330,000

$0 -35,001 -90,001 -

165,001 -

$550910

1,0201,2001,280370,001 and over

$35,00090,000

165,000370,000

105,000 -115,000 -130,000 -

Department of Homeland Security

U.S. Citizenship and Immigration Services

Form I-9, Employment Eligibility Verification

OMB No. 1615-0047; Expires 08/31/12

Read instructions carefully before completing this form. The instructions must be available during completion of this form. ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have a future expiration date may also constitute illegal discrimination.

Section 1. Employee Information and Verification (To be completed and signed by employee at the time employment begins.)

Print Name: Last First Middle Initial Maiden Name

Address (Street Name and Number) Apt. # Date of Birth (month/day/year)

StateCity Zip Code Social Security #

I am aware that federal law provides for

imprisonment and/or fines for false statements or

use of false documents in connection with the

completion of this form.

Employee's Signature Date (month/day/year)

Preparer and/or Translator Certification (To be completed and signed if Section 1 is prepared by a person other than the employee.) I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct.

Address (Street Name and Number, City, State, Zip Code)

Print NamePreparer's/Translator's Signature

Date (month/day/year)

Section 2. Employer Review and Verification (To be completed and signed by employer. Examine one document from List A OR examine one document from List B and one from List C, as listed on the reverse of this form, and record the title, number, and expiration date, if any, of the document(s).)

ANDList B List CORList A

Document title:

Issuing authority:

Document #:

Expiration Date (if any):

Document #:

Expiration Date (if any):

and that to the best of my knowledge the employee is authorized to work in the United States. (State(month/day/year)

employment agencies may omit the date the employee began employment.)

CERTIFICATION: I attest, under penalty of perjury, that I have examined the document(s) presented by the above-named employee, that the above-listed document(s) appear to be genuine and to relate to the employee named, that the employee began employment on

Print Name TitleSignature of Employer or Authorized Representative

Date (month/day/year)Business or Organization Name and Address (Street Name and Number, City, State, Zip Code)

B. Date of Rehire (month/day/year) (if applicable)A. New Name (if applicable)

C. If employee's previous grant of work authorization has expired, provide the information below for the document that establishes current employment authorization.

Document #: Expiration Date (if any):Document Title:

Section 3. Updating and Reverification (To be completed and signed by employer.)

l attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented

document(s), the document(s) l have examined appear to be genuine and to relate to the individual.

Date (month/day/year)Signature of Employer or Authorized Representative

I attest, under penalty of perjury, that I am (check one of the following):

A lawful permanent resident (Alien #)

A citizen of the United States

An alien authorized to work (Alien # or Admission #)

A noncitizen national of the United States (see instructions)

until (expiration date, if applicable - month/day/year)

Form I-9 (Rev. 08/07/09) Y Page 4

DOS-1206-f-l-a (Rev. 01/10) Page 1 of 9

APPLICANT INFORMATION SECTION

DMV Consent Section - IMPORTANT INFORMATION Regarding Your Photo ID

RESIDENCE ADDRESS

LAST NAME

FIRST NAME NAME SUFFIX (For example: Sr. / Jr. / III )MIDDLE NAME

APT/UNIT/PO BOXSTREET ADDRESS (Required - P.O.Box may be added to ensure delivery)

CITY STATE ZIP+4

COUNTY (Enter only if in New York State) COUNTRY/NATION (Of above address)

DAYTIME PHONE (INCLUDING AREA CODE) FAX NUMBER - IF ANY (INCLUDING AREA CODE)

E-MAIL ADDRESS (IF ANY)

Employee Statement and Security Guard Application

INSTRUCTIONS: Forms must be completed in blue or black ink. Incomplete forms will not be processed. Please refer to pages 5 and 6 for further instructions on completing this form.

APPLICATION AS (Check only ONE):

Social Security Number:

--DMV ID#

Birth Date:- ---

Security Guard Armed Security Guard

Applicant's Name:

(See Instructions-Privacy Notification)(Must be at least 18 years old to apply.)

M M D D Y Y Y Y

Gender: Race:

White Black OtherAmerican Indian or Alaskan Native Asian or Pacific Islander UnknownMale Female

XApplicant's Signature Date Signed

The Department of State produces photo ID cards in cooperation with the NYS Department of Motor Vehicles (DMV). If you have a current NYS Driver License or Non-Driver ID card, please provide your 9-digit DMV ID Number in the space provided below. Then read the informed consent and sign this form. If you do not have a current NYS photo Driver License or Non-Driver ID card, please have your photo taken at any nearby DMV office BEFORE you complete this application. For more details, refer to our notice, “Request for Photo ID.” INFORMED CONSENT: I authorize the NYS Department of State and the NYS Department of Motor Vehicles (DMV) to produce an ID card bearing my DMV photo. I understand that DMV will send this card to the address I maintain with the Department of State. I also understand that the Department of State and DMV will use my DMV photo to produce all my subsequent ID Cards for as long as I maintain my license/registration with the Department of State.

NYS Department of State Division of Licensing Services

P.O. Box 22001 Albany, NY 12201-2001

Customer Service: (518) 474-7569 website: www.dos.state.ny.us

FOR OFFICE USE ONLY FEE: $36CASH#:

UID: PREV. UID: CODE:CLASS:

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BACKGROUND QUESTIONS

Answer the following questions by checking either "YES" or "NO"

1. Are you a citizen of the United States or a legal resident of the United States in possession of a valid alien registration card? IF “NO,” you must submit an explanation.

2. Are you a peace officer? IF “YES,” please read the attached Security Guard Training Advisory. IF you qualify for an exemption, you must submit the documentation described in the Advisory. If you DO NOT qualify, you must submit training certificates.

YES NO3. Are you a retired police officer? IF “YES,” please read the attached Security Guard Training Advisory. IF you qualify for an exemption, you must submit the documentation described in the Advisory. If you DO NOT qualify, you must submit training certificates.

4. Have you ever been convicted in this state or elsewhere of a crime or offense that is a misdemeanor or a felony? IF “YES,” you must submit with this application a written explanation giving the place, court jurisdiction, nature of the offense,sentence and/or other disposition. You must submit a copy of the accusatory instrument (e.g., indictment, criminal information or complaint) and a Certificate of Disposition. If you possess or have received a Certificate of Relief from Disabilities, Certificate of Good Conduct or Executive Pardon, you must submit a copy with this application.

5. Are there any criminal charges (misdemeanors or felonies) pending against you in any court in this state or elsewhere? IF “YES,” you must submit a copy of the accusatory instrument (e.g., indictment, criminal information or complaint).

6. Has any license or permit issued to you or a company in which you are or were a principal in New York State or elsewhere ever been revoked, suspended or denied? IF “YES,” you must submit an explanation.

YES NO

8. Have you ever been declared to be incompetent by reason of mental disease or defect which has not been removed by any court of competent jurisdiction? IF “YES,” you must submit an explanation.

YES NO

7. Have you ever been discharged from a correctional or law enforcement agency for incompetence or misconduct as determined by a court of competent jurisdiction, administrative hearing officer, administartive law judge, arbitor, arbitration panel or other duly constituted tribunal, or resigned from such an agency while charged with misconduct or incompetence? IF “YES,” you must submit an explanation.

9. Have you ever applied in this state or elsewhere for a registration/license as a security guard;; watch, guard or patrol agency;; private investigator? IF “YES,” please provide the UID # or Reg. # .

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

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Please enter the complete record of your occupation during the last five years. You may copy this page and attach as many sheets as needed.

Company One Information:

DATES OF EMPLOYMENT (From –To)SUPERVISOR

HOURS PER WEEK WORKED

DUTIESPOSITION

BUSINESS TELEPHONE

COMPANY ADDRESS

EMPLOYMENT STATUS (Full-Time OR Part-Time)NAME OF COMPANY

Company Four Information:NAME OF COMPANY EMPLOYMENT STATUS (Full-Time OR Part-Time)

COMPANY ADDRESS

BUSINESS TELEPHONE

POSITION DUTIES


SUPERVISOR DATES OF EMPLOYMENT (From –To)

Company Three Information:

DATES OF EMPLOYMENT (From –To)SUPERVISOR


DUTIESPOSITION

BUSINESS TELEPHONE

COMPANY ADDRESS

EMPLOYMENT STATUS (Full-Time OR Part-Time)NAME OF COMPANY

Company Two Information:

NAME OF COMPANY EMPLOYMENT STATUS (Full-Time OR Part-Time)

COMPANY ADDRESS

BUSINESS TELEPHONE

POSITION DUTIES


SUPERVISOR DATES OF EMPLOYMENT (From –To)

EMPLOYMENT HISTORY

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CHILD SUPPORT STATEMENT

APPLICANT AFFIRMATION

NOTICE OF EMPLOYMENT

You MUST complete this section. If you do not complete it, your application will NOT be processed.

If employment will commence with the filing of your application, this section MUST be completed by your employer.

I, the undersigned, do hereby certify that (You must “X” A or B, below): I am not under obligation to pay child support. (SKIP “B” and go directly to Applicant Affirmation). I am under obligation to pay child support (You must “X” any of the four statements below that are true and apply to you): I do not owe four or more months of child support payments. I am making child support payments by income execution or court approved payment plan or by a plan agreed to by the parties. My child support obligation is the subject of a pending court proceeding. I receive public assistance or supplemental social security income.

A.

B.

I affirm, under the penalties of perjury, that the statements made in this application are true and correct. I further affirm that I have read and understand the provisions of Article 7A of the General Business Law and the rules and regulations promulgated thereunder.

XEmployer's Signature Date Signed

I, (Please Print) , swear and affirm that I am the representative for the company identified as the employer and that I have verified the statements made by this employee and determined that these statements are true and correct to the best of my ability. I further attest that based on my verification of these statements, I find that the employee listed hereon is qualified for employment under the provisions of Articles 7 and 7-A of the General Business Law.

XApplicant's Signature

Print Name:

Date Signed

DATE OF HIRE:

TRANSACTION DATE:TRANSACTION NUMBER:

GUARD'S SOCIAL SECURITY NUMBER:GUARD'S NAME:

EMPLOYER'S UID: EMPLOYER'S BUSINESS NAME:

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INSTRUCTIONS

Read ALL instructions in this package carefully before completing the application. Incomplete forms will be returned. Any omission, inaccuracy or failure to make full disclosure may be deemed sufficient reason to deny a registration or may result in the suspension or revocation of an issued registration. A COMPLETED APPLICATION MUST INCLUDE: (Use this checklist to make sure you have included/completed all requirements.) The completed, signed application;;

Original certificate showing completion of an 8-hour pre-assignment course;;

Signed DMV Informed Consent;;

Receipt that provides proof of electronic fingerprinting by an approved vendor and the Request for NYS Fingerprinting Services Information Form (DCJS Rev. 11 - 03/04/09) OR Rolled FBI (blue) fingerprint card and NYS Request for Card Scan Information Form (DCJS Rev. 11 - 03/04/09);;

$36.00 application fee payable to the NYS Department of State. See “Application Requirements -acceptable forms of payment;;”

Applicable fingerprint fees payable to L-1 Enrollment Services. See “Fingerprint Requirements-acceptable forms of payment;;” Any additional documentation requested in response to specific questions on the application form;;

Notice of Employment section must be completed by your employer if employment will commence with filing of your application;;

If applying for an armed security guard registration, a course completion certificate for 47 hours of firearms training, or a copy of the waiver issued by the Division of Criminal Justice Services (if waived - please see enclosed Security Guard Training Advisory) Note: Security guard employers should maintain one copy of each item listed above in personnel files for each of their guards. APPLICATION REQUIREMENTS: Duties of a Security Guard: A security guard, as defined in Article 7A of the General Business Law [§89-f(6)], is a person employed in New York State to principally perform one or more of the following functions for the: (a) protection of individuals and/or property from harm, theft or other unlawful activity;; (b) deterrence, observation, detection and/or reporting of incidents in order to prevent any unlawful or unauthorized activity including but not limited to unlawful or unauthorized intrusion or entry, larceny, vandalism, abuse, arson or trespass on property;; (c) street patrol service;; or (d) response to but not installation or service of a security alarm system alarm installed and/or used to prevent or detect unauthorized intrusion, robbery, burglary, theft, pilferage and other losses and/or to maintain security of protected premises. Required Training: All security guards (except for those waived or exempted) are required to complete training programs conducted at approved training schools by certified instructors. (PLEASE SEE THE ATTACHED SECURITY GUARD TRAINING ADVISORY TO FIND OUT IF YOU QUALIFY TO BE WAIVED OR EXEMPTED. If you qualify, submit the documentation described in the Advisory. If you do not qualify, submit training certificates.) Training programs include: • 8-hour Pre-Assignment — a general, introductory course. Must submit proof of successful completion. • 16-hour On-the-Job Training (OJT) — relevant to the duties of guards, requirements of the work site and the needs of the employer. Must successfully complete this training within 90 days of employment. • 8-hour Annual In-Service Training — must complete within one calendar year of completion of the 16-hour OJT course, and every year thereafter. In addition to the above courses, security guards who carry a firearm must also complete: • 47-hour Firearms Course — Must successfully complete training and submit certificate with your application for issuance of an armed guard registration card. • 8-hour Annual Firearms Course — must complete within one calendar year of completion of the 47-hour firearms course, and every year thereafter. Fee and term of registration: The non-refundable application fee for a security guard registration is $36.00 payable to the NYS Department of State. The renewal fee is $25.00, every two years. Acceptable forms of payment: You may pay by Money Order, Company Check or Cashier's Check made payable to the NYS Department of State. Personal checks or credit cards will not be accepted. Do not mail cash.

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Employee Statement and Security Guard Application FINGERPRINT REQUIREMENTS: Beginning April 1, 2009, applicants will have access to electronic fingerprinting through L-1 Enrollment Services. Electronic Fingerprinting Procedure: Schedule Appointment: Beginning March 27, 2009, applicants may begin scheduling appointments with L-1 Enrollment Services for an appointment date of April 1st or later. To schedule an appointment at a location near you, visit their website at www.L1enrollment.com or call 877-472-6915. What to bring to Appointment: Complete the request for NYS Fingerprinting Services - Information Form (pdf) and BRING it with you to the fingerprinting site. Proof of electronic fingerprint completion: Upon completion of the fingerprint process, the vendor will provide you with two receipts as proof of fingerprint completion. Include one receipt with the completed application. The second copy of the receipt should be retained by your employer. Rolled Fingerprint Card Procedure: If an electronic fingerprint location does not exist near your residence or place of business and it is not possible to travel to an available site, you may submit a rolled FBI (blue) fingerprint card with your application along with the NYS Request for Card Scan Services - Information form. Fingerprint fees: All fees for fingerprinting (including electronic and rolled fingerprint card methods ) are payable to L-1 Enrollment Services. • Division of Criminal Justice Services (DCJS) fee: $75.00 • FBI fee (Security Guard License applicants must pay the FBI fee): $19.25 • Applicable Fingerprint Vendor fee (Subject to change in January and July of each year) Acceptable forms of payment: Payment for fingerprint fees must be made in the form of check, money order or credit card payable to L-1 Enrollment Services. Note: fingerprint fees are in addition to application fees. ADDITIONAL REQUIREMENTS:

Notice of Employment: Upon employment, employer must complete “Notice of Employment” section found in application. An individual does not have to be employed to be registered. Employers must determine the qualifications of each applicant for employment as a security guard. The employer must exercise minimum due diligence steps;; specific steps are set forth in the Department of State rules, 19 NYCRR §174.6. Child Support Statement: A Child Support Statement is mandatory in New York State (General Obligations Law). The law requires you to complete this section — regardless of whether or not you have children or any support obligation. Any person who is four months or more in arrears in child support may be subject to having his or her business, professional and driver’s licenses suspended. The intentional submission of a false written statement for the purpose of frustrating or defeating the lawful enforcement of support obligations is punishable under §175.35 of the Penal Law. It is a class E felony to offer a false instrument for filing with a state or local government with the intent to defraud. PRIVACY NOTIFICATION: The Department of State is required to collect the federal Social Security and Employer Identification numbers of all licensees. The authority to request and maintain such personal information is found in §5 of the Tax Law and §3-503 of the General Obligations Law. Disclosure by you is mandatory. The information is collected to enable the Department of Taxation and Finance to identify individuals, businesses and others who have been delinquent in filing tax returns or may have underestimated their tax liabilities and to generally identify persons affected by the taxes administered by the Commissioner of Taxation and Finance. It will be used for tax administration purposes and any other purpose authorized by the Tax Law and may also be used by child support enforcement agencies or their authorized representatives of this or other states established pursuant to Title IV-D of the Social Security Act, to establish, modify or enforce an order of support, but will not be available to the public. A written explanation is required where no number is provided. This information will be maintained in the Licensing Information System by the Director of Administration and Management, at One Commerce Plaza, 99 Washington Avenue, Albany, NY 12231-0001. Section 89H of Article 7A requires that you notify this division of any changes to your residence address so you can receive renewal notices and any other notifications pertinent to your registration.

http://www.L1enrollment.com

of 9DOS-1206-f-l-a (Rev. 01/10) / Security Guard Training Advisory (Rev. 01/08)

NYS Department of State Division of Licensing Services

P.O. Box 22001 Albany, NY 12201-2001

Customer Service: (518) 474-7569 website: www.dos.state.ny.us

Security Guard Training Advisory Waivers/Exemptions from Mandated Training

TRAINING REQUIREMENTS

Section 89-G of Article 7A requires all persons engaged in security guard activities be registered with the New York State Department of State (DOS), and complete all training (unless exempt) at schools approved by the Division of Criminal Justice Services (DCJS). The following training courses are required: 8 Hour Pre-Assignment - A general introductory course. You must complete this course and submit a copy of the certificate issued to you with your security guard application. 16 Hour On-The-Job (OJT) - Relevant to the duties of guards, requirements of the work site, and the needs of the employer. You must complete this training within 90 days of employment. 8 Hour Annual In-Service - Must be completed in the calendar year following completion of the 16-hour OJT course, and every year thereafter. Waivers - Applications for a waiver of the aforementioned security guard training may be reviewed up to a maximum of ten years after separation from a sworn law enforcement position in New York. PLEASE SEE ATTACHED LIST OF EXEMPTIONS - THEY DO NOT REQUIRE A WAIVER In addition to the above courses, security guards who carry a firearm must have their registration upgraded to Armed Guard status, and in order to do so must also complete: 47 Hour Firearms Course - You must successfully complete this training at an approved school and submit a copy of the certificate with your application for issuance of an armed guard registration;; and 8 Hour Annual Firearms Course - Armed Guards must complete this course in the calendar year following the completion of the 47 Hour Firearms course and every year thereafter. Waivers – Applications for a waiver of firearms training for Armed Guards may be reviewed up to a maximum of ten years after separation from a sworn law enforcement position in New York. PLEASE SEE ATTACHED LIST OF EXEMPTIONS - THEY DO NOT REQUIRE A WAIVER For purposes of registration, you may be granted a waiver from training if you can demonstrate completion of training that meets or exceeds the minimum standards for the 8-Hour Pre-Assignment, OJT, or 47 Hour Firearms course. Requests for waivers should be directed to DCJS. To request a waiver, contact DCJS directly at (518) 457-4135, or write them at 4 Tower Place, Albany, NY 12203. If approved, DCJS will send you a waiver letter to submit with your security guard application to DOS.

EXEMPTIONS (DO NOT REQUIRE A WAIVER FROM DCJS)

I. Police Officers: The Security Guard Act exempts active police officers from the definition of a security guard. This means active police officers accepting secondary employment are not required to register or complete training. Retired Police Officers: In order to be exempt from the training, you must provide DOS with a letter from your department (signed by your department) indicating your retirement date. In addition, if you are required by your security guard employer to carry a firearm, or are authorized to have access to a firearm, you must provide proof to DOS and your employer of having completed a Basic Course for Police Officers (or an equivalent course), that included initial firearms training, within one year prior to employment as an armed security guard. If your initial firearms training occurred more than a year before employment as an armed security guard, you must complete an 8 Hour Annual Firearms Course for Security Guards and report that training to DOS and your employer. • If it has been more than 10 years since you retired as a police officer, you are additionally required to complete the 8 Hour Annual In- Service Training Course for Security Guards every year thereafter.

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Security Guard Training Advisory Waivers/Exemptions from Mandated Training II. Peace Officers: Section 170.1 of Title 19 NYCRR exempts from the definition of a security guard, any individual designated as a peace officer under Article 2 of the NYS Criminal Procedure Law (CPL). The powers of a peace officer are only valid while the individual is acting in his or her official capacity for their primary employer. Consequently, during outside employment (moonlighting), a peace officer is no longer acting in his or her official capacity, and, therefore, must register and complete all training, (unless the individual has either been waived, or is exempt [based on specific job titles] (see Recent Amendments that may have a direct affect on you, below). Current Peace Officers Applying for Firearms Training Waivers If your employer has authorized you to carry a firearm in the line of duty, and you have been employed for 18 months or more and can exhibit a valid certificate, you are exempt from the 47 Hour Firearms Course, and the additional 8 Hour Annual Firearms Course for holders of an armed security guard registration. Individuals seeking registration as an armed guard, must provide the Department of State with a copy of a waiver letter (issued by DCJS) and a certificate of completion for the MPTC Basic Course for Peace Officer with Firearms, or both the Basic Course for Peace Officers without Firearms and Firearms and Deadly Physical Force [long firearms course]. Recent Amendments that may have a direct affect on you: Section 89-n (4) GBL has been amended to exempt certain categories of peace officers (see Categories of Peace Officers Exempt from Training per Amendment to §89-n (4) GBL, next page) from the following training: 47 Hour Firearms Course, 8-Hour Pre- Assignment, OJT, and 8 Hour Annual In-Service. To qualify for an exemption, a peace officer must either be currently employed in one of the job titles (see Categories of Peace Officers Exempt from Training per Amendment to §89-n (4) GBL, next page), or retired from one of those job titles for NOT more than10 years. Although exempt from the 8 Hour Annual In-Service training course for the first 10 years of retirement, the retired peace officer is subject to an 8 Hour Annual Firearms training course, if their basic course was completed more than a year prior to filing their security guard application. Note: If it has been more than 10 years since an individual retired as a peace officer, they are required to complete the 8 Hour Annual In-Service Training Course for Security Guards, and additionally, if armed, the 8 Hour Annual In-Service Firearms Training Course every year thereafter. Categories of Peace Officers Exempt from Training per Amendment to §89-n (4) GBL A. Sheriffs, Undersheriffs, and Deputy Sheriffs of NYC, and sworn officers of the Westchester County Dept. of Public Safety Services as defined in NYS CPL, §2.10 (2): In order to be exempt from the 47 Hour Firearms Training Course, 8-Hour Pre- Assignment, OJT, and Annual In-Service Training, individuals must provide the Department of State with either a copy of their Basic Course for Peace Officers certificate, or a letter from the personnel office of the entity for which they work(ed), indicating basic peace officer training. If currently employed, they must also provide a copy of their ID card showing current employment in one of the appropriate law enforcement categories, and that they are in good standing. B. Security personnel for the Triborough Bridge and Tunnel Authority as defined in NYS CPL, §2.10 (20): In order to be exempt from the 47 Hour Firearms Training Course, 8-Hour Pre-Assignment, OJT, and Annual In-Service Training, individuals must provide the Department of State with either a copy of their Basic Course for Peace Officers certificate, or a letter from the personnel office of the entity for which they work(ed), indicating basic peace officer training. If currently employed, they must also provide a copy of their ID card showing current employment in one of the appropriate law enforcement categories, and that they are in good standing. C. Uniformed Court Officer as defined in NYS CPL, §2.10 (21)(a): In order to be exempt from the 47 Hour Firearms Training Course, 8-Hour Pre-Assignment, OJT, and Annual In-Service Training, individuals must provide the Department of State with either a copy of their Basic Course for Peace Officers certificate, or a letter from the academy indicating their academy training. These courses must meet or exceed the MPTC basic course without firearms. In addition, if the individual is in an armed position, the individual must have completed MPTC Basic Course for Peace Officer with Firearms, or both the Basic Course for Peace Officers without Firearms and Firearms and Deadly Physical Force [long firearms course]. If currently employed, the individual must also provide a copy of their ID card showing current employment, and that they are in good standing.

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Security Guard Training Advisory Waivers/Exemptions from Mandated Training D. Court Clerks as defined in NYS CPL, § 2.10 (21)(b): In order to be exempt from the 47 Hour Firearms Training Course, 8-Hour Pre- Assignment, OJT, and Annual In-Service Training, individuals must provide the Department of State with either a copy of their Basic Course for Peace Officers certificate, or a letter from the academy indicating their academy training. These courses must meet or exceed the MPTC basic course without firearms. In addition, if the individual is in an armed position, the individual must have completed MPTC Basic Course for Peace Officer with Firearms, or both the Basic Course for Peace Officers without Firearms and Firearms and Deadly Physical Force [long firearms course]. If currently employed, the individual must also provide a copy of their ID card showing current employment, and that they are in good standing. E. NYS Corrections Officers as defined in NYS CPL, §2.10 (25): (This does not include city or county correction officers) In order to be exempt from the 47 Hour Firearms Training Course, 8-Hour Pre-Assignment, OJT, and Annual In-Service Training, individuals must provide the Department of State with a letter from the NYS Department of Correctional Services and a copy of their ID card showing that they are currently employed as a NYS Corrections officer in good standing. NOTE: Individuals who are no longer active peace officers and do not have a valid basic course certificate, or do not qualify for either a waiver or an exemption, must complete the 47 Hour Firearms Training Course, 8-Hour Pre-Assignment, and OJT.

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