Use this form to apply for your personal Mold Abatement Worker License or for a Mold Abatement Worker / Supervisor License. You may also use this application to renew your current license.
You must provide personal information to complete this form. The authority to collect this information is found in the New York State (NYS) Labor Law. This information will be maintained and used to process the application you are filing with the Division of Safety and Health, License and Certificate Unit. Failure to provide this information may result in our inability to process your application.
Please see page 2 for how to submit your application, fees and required documents.