DOS-1619-f (Rev. 09/21) Page 1 of 1
New York State
Department of State
Division of Licensing Services
Security Guard
P.O. BOX 22052
Albany, NY 12201-2052
Customer Service: (518) 474- 7569
https://dos.ny.gov
Security Guard Change of Status
INSTRUCTIONS:
● Please print the required information as requested.
● To change your status from an unarmed security guard to an armed security guard, you must submit this form
along with a certificate showing completion of a 47-hour firearms course.
● You must return your current security guard ID card.
● In addition armed security guards must complete an 8-hour annual firearms course. This course must be
completed within one calendar year of completion of the 47-hour firearms course, and every year
thereafter.
● For purposes of registration, certain full time peace officers with more than 18 months of service may be
granted a training waiver if completion of training that meets or exceeds the minimum standards of the 8-hour
pre-assignment, 16 hour OJT and/or 47-hour firearms courses can be demonstrated. To request a waiver from
the NYS Division of Criminal Justice Services (DCJS), Security Guard Program complete the training
waiver application here: http://www.criminaljustice.ny.gov/ops/docs/index.htm#forms. If approved,
DCJS will send you a waiver letter to submit with your application to the Department of State.
● Former Police Officers and certain peace officers are eligible for an exemption. Exempt individuals
apply directly to Department of State. An exempt/waiver matrix can be found here:
http://www.criminaljustice.ny.gov/ops/sgtraining/index.htm.
● Mail this form, along with the fee and any required documentation to the above address. You may pay by check
or money order made payable to the Department of State or charge any fee to MasterCard or Visa, using a
credit card authorization form. Do not send cash. A $20 fee will be charged for any check returned by your bank.
FEE DUE: $25**
UID NUMBER
NAME ON LICENSE
HOME STREET ADDRESS (NO. AND STREET) APT/UNIT/PO BOX
CITY STATE ZIP+4
SOCIAL SECURITY NUMBER
x
Signature Date
Print Name:
