"Home Improvement Contractor Trust Fund Enrollment Form" - New York City

Home Improvement Contractor Trust Fund Enrollment Form is a legal document that was released by the New York City Department of Consumer Affairs - a government authority operating within New York City.

Form Details:

  • Released on August 19, 2019;
  • The latest edition currently provided by the New York City Department of Consumer Affairs;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York City Department of Consumer Affairs.

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Download "Home Improvement Contractor Trust Fund Enrollment Form" - New York City

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DEPARTMENT OF CONSUMER
NYC SMALL BUSINESS
AFFAIRS (DCA) LICENSING CENTER
SUPPORT CENTER
42 Broadway, Lobby
90-27 Sutphin Blvd, 4th Floor
New York, NY 10004
Jamaica, NY 11435
Monday-Friday: 9:00 a.m.-5:00 p.m.
Monday-Friday: 9:00 a.m.-5:00 p.m.
Wednesday: 8:30 a.m.-5:00 p.m.
311 (212-NEW-YORK outside of NYC)
nyc.gov/dca | @NYCDCA
HOME IMPROVEMENT CONTRACTOR
TRUST FUND ENROLLMENT FORM
Applicants who enroll in the Trust Fund must pay a $200 fee to the New York City Department of
Consumer Affairs (DCA) as part of the application process. Please complete the information
below to enroll your business in the Trust Fund.
Important: Applicants who do not enroll in the Trust Fund must post and maintain a bond.
Legal Name of Business:
Business’s Trade or
Doing- Business-As (DBA)
Name, if applicable:
Business Address:
All payments to the Trust Fund will be held in trust by the Fund for the benefit of the license
industry and are nonrefundable as long as the Fund exists. If the Fund dissolves, Fund monies
will be distributed equally to Fund contributors who are licensed at the time the Fund dissolves.
If a licensee fails to comply with the laws, rules, and regulations enforced by DCA and DCA has
exhausted all administrative steps, including revocation of a license, Fund money will be used to
satisfy a DCA order. After reviewing Fund resources, the Commissioner or the Commissioner’s
designee will decide whether to order partial payment of awards, fines, and/or judgments from
the Fund. Any payment of awards, fines, and/or judgments from the Fund does not relieve the
licensee from legal obligations to satisfy DCA orders and/or court judgments.
I have read and agree to the conditions outlined above.
__________________________________________
__________________________________________
Signature of License Applicant
Print Title/Position (if any)
__________________________________________
__________________________________________
Print Full Name
Date
Updated 08/19/2019
DEPARTMENT OF CONSUMER
NYC SMALL BUSINESS
AFFAIRS (DCA) LICENSING CENTER
SUPPORT CENTER
42 Broadway, Lobby
90-27 Sutphin Blvd, 4th Floor
New York, NY 10004
Jamaica, NY 11435
Monday-Friday: 9:00 a.m.-5:00 p.m.
Monday-Friday: 9:00 a.m.-5:00 p.m.
Wednesday: 8:30 a.m.-5:00 p.m.
311 (212-NEW-YORK outside of NYC)
nyc.gov/dca | @NYCDCA
HOME IMPROVEMENT CONTRACTOR
TRUST FUND ENROLLMENT FORM
Applicants who enroll in the Trust Fund must pay a $200 fee to the New York City Department of
Consumer Affairs (DCA) as part of the application process. Please complete the information
below to enroll your business in the Trust Fund.
Important: Applicants who do not enroll in the Trust Fund must post and maintain a bond.
Legal Name of Business:
Business’s Trade or
Doing- Business-As (DBA)
Name, if applicable:
Business Address:
All payments to the Trust Fund will be held in trust by the Fund for the benefit of the license
industry and are nonrefundable as long as the Fund exists. If the Fund dissolves, Fund monies
will be distributed equally to Fund contributors who are licensed at the time the Fund dissolves.
If a licensee fails to comply with the laws, rules, and regulations enforced by DCA and DCA has
exhausted all administrative steps, including revocation of a license, Fund money will be used to
satisfy a DCA order. After reviewing Fund resources, the Commissioner or the Commissioner’s
designee will decide whether to order partial payment of awards, fines, and/or judgments from
the Fund. Any payment of awards, fines, and/or judgments from the Fund does not relieve the
licensee from legal obligations to satisfy DCA orders and/or court judgments.
I have read and agree to the conditions outlined above.
__________________________________________
__________________________________________
Signature of License Applicant
Print Title/Position (if any)
__________________________________________
__________________________________________
Print Full Name
Date
Updated 08/19/2019