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Get Medicaid Expeditor New York Form

Ts to: Director of Licensing Bureau of Fire Prevention Fire Department City of New York 9 MetroTech Center Room 1S -1C Brooklyn, NY 11201-3857 Instructions: This application must be completed by owner, principal or self employed individuals. The completed application should be forwarded to the address above, with a check made payable to the New York City Fire Department with the application fee ($105 for original applications and $50 for renewal applications). The fees are non refundable.

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