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Consumer Affairs

Online Forms

ONLINE FORMS

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The following forms may be filled out on-line. However, they must be returned by mail or delivered to the Office of Consumer Affairs. Please include all applicable fees.

FORM

DESCRIPTION

SIZE

Request for Occupational License Activation This form must accompany a renewal form with any license that is 60 days past due. You must also submit a current certificate of insurance. 1 Page
Application to Shelve a License (CS-500) This affirmation must be completed in order to shelve a Suffolk County license for a two (2) year period. A fee of $100.00, as well as your identification card, must accompany it. 1 Page
Application for Surrendering License Completion of this form is required to surrender your Suffollk County Occupational License. 1 Page
Change of License Records

This form can be used to report any change of licensing records such as address, telephone number, and business name, as well as to request a replacement I.D. card or License Certificate. PLEASE NOTE: IF YOUR BUSINESS IS INCORPORATED AND YOU ARE CHANGING BUSINESS NAMES, YOU MUST APPLY FOR A NEW LICENSE!

1 Page

Motor Fuel Distributor Registration

All persons or firms who are engaged in the distribution of gasoline or other motor fuels, including but not limited to diesel fuel, within Suffolk County are required to be registered with the Suffolk County Office of Consumer Affairs. Submit the completed application together with the appropriate business papers and a check or money order in the amount of $425 for a two-year registration to the Office of Consumer Affairs.

1 Page

Motor Fuels Facilities Certificate of Registration All motor fuel facilities that offer for sale or sell motor fuel within Suffolk County must register with the Suffolk County Office of Consumer Affairs. Submit the completed application together with the appropriate business papers and a check or money order in the amount of $150 for a two-year registration to the Office of Consumer Affairs. 1 Page
Occupational License Renewal Form To Renew your Occupational License complete this form and return it to Suffolk County Consumer Affairs with a check or money order 1 Page

If you have any suggestions or find any problems with the forms on this site, please notify the Suffolk County Department of Consumer Affairs.