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Fill a Valid Nyc Lic 60 Template

The NYC LIC 60 form is crucial for those applying for original or renewal welder licenses in New York City, necessitating a Visual Acuity Examination. It requires applicants to undergo an eye examination by a qualified professional such as an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant within 12 months prior to submission. This form, integral to ensuring the applicant meets the necessary vision standards for welding, must be fully completed and submitted alongside the license application.

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Outline

In the bustling city of New York, where skyscrapers and infrastructure symbolize constant growth and development, the safety and qualifications of welders stand as a paramount concern. Enter the NYC LIC 60 form, a critical piece of documentation designed to ensure that individuals applying for an original or renewal welder license meet rigorous visual acuity standards. At the heart of this requirement lies the necessity to submit a Visual Acuity Examination Form, a process mandated for all applicants aiming to secure their position within the city's welding industry. This examination, which must occur no more than 1 year (12 months) prior to the application date, is a testament to the city's commitment to safety and professionalism. The form stipulates that the eye examination be administered by an array of qualified professionals including Ophthalmologists, Optometrists, Medical Doctors, Registered Nurses, or Certified Physician’s Assistants, encompassing a broad spectrum of medical expertise to certify an applicant's vision. With the explicit requirement that an applicant must pass the eye exam, demonstrating near vision acuity equivalent to Jaeger J2 at not less than 12 inches, the NYC LIC 60 form embodies the meticulous standards set forth by the Department of Buildings. It expressly declares that incomplete submissions or those failing to meet the stipulated fitness requirements will not be accepted, underlining the uncompromising emphasis on ensuring that only those with proven visual capability are granted licensure to wield the tools of the trade in New York City. Through this process, the form not only serves as a gateway for aspiring and renewing welders but also as a guardian of the city’s infrastructural integrity and the well-being of its inhabitants.

Example - Nyc Lic 60 Form

VISUAL ACUITY EXAMINATION FORM

Instructions

Applicants: This form must be submitted for all welder original and renewal applications.

Be sure to keep a copy of this form for your records. Your application for an original or renewal license will not be accepted unless a completed Visual Acuity Examination Form is submitted.

The examination must occur and this form must be completed 1 year (12 months) prior to the date of application for an original or renewal welder license. One of the following is required to administer the eye examination: Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physician’s Assistant.

All applicants must pass an eye examination, with or without corrective lenses, to prove near vision acuity on Jaeger J2 at 12 inches or greater (30.5 cm). Examination results must be documented on this form and submitted with your appli- cation.

The Department of Buildings will not accept forms that are incomplete or test results that do not comply with fitness requirements.

1

Applicant/ Licensee Information

 

Application Type:

Original Welder License

Renewal Welder License

 

 

 

 

 

First Name

 

Last Name

 

 

 

 

 

License #

 

 

 

 

 

 

THE FOLLOWING TWO SECTIONS ARE TO BE COMPLETED BY THE EYE EXAMINER

2

Vision Acuity

 

 

Please verify the applicant’s near vision acuity to Jaeger J2 specifications at a distance of

 

 

12 inches or greater (≥30.5 cm): (please check one of the following)

 

 

 

 

___

Both eyes require corrected vision to J2

 

 

 

 

___

Only one eye needs corrected vision to J2

 

 

 

 

___

No correction is required.

 

 

 

3

Examiner

 

Applicants Name

 

 

 

Date of Eye Examination

 

 

 

 

 

 

 

 

Examiner Name

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

Examiner Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

 

 

Zip

 

 

 

 

 

 

 

 

 

Examiner Professional Status (please select only one) :

 

 

 

 

 

 

 

 

 

 

 

 

Ophthalmologist

Optometrist

Medical Doctor

Registered Nurse

 

Certified Physician’s Assistant

 

 

 

 

 

 

 

 

 

Examiner Signature

 

 

 

 

 

 

 

and Stamp (If

 

 

 

State/Prov.

 

 

Stamp is Available)

______________________________ Date

_________

License #

___________________

 

 

 

 

 

 

 

 

LIC 60 12/11

Document Attributes

Fact Detail
Purpose of Form The NYC LIC 60 form is used for visual acuity examination for welder license applicants, both original and renewal.
Timeframe for Examination The eye examination must be conducted and the form completed 1 year (12 months) prior to the application date for an original or renewal welder license.
Qualified Examiners The examination can be administered by an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant.
Examination Requirements Applicants must pass an eye examination, with or without corrective lenses, proving near vision acuity on Jaeger J2 at 12 inches or more (≥30.5 cm).
Documentation Examination results must be documented on the LIC 60 form and submitted with the welder license application. Incomplete forms or non-compliant test results are not accepted.
Governing Law This form is governed by the regulations and requirements set by the New York City Department of Buildings.

Guide to Using Nyc Lic 60

Once your decision is made to apply or renew your welder license in New York City, remember one crucial step in the process: completing the Visual Acuity Examination Form, also known as form LIC 60. This form is an essential requirement, without which your application will not be processed. It serves as a testament to your visual acuity, ensuring that you meet the necessary vision requirements needed for the job. Filling out this form accurately is significant, as incomplete forms or those not meeting the fitness requirements will be rejected. Here’s a step-by-step guide to help you fill out the form correctly.

  1. Start by gathering all necessary personal information and your current welder license details if you're applying for a renewal.
  2. Under the Applicant/Licensee Information section, indicate whether you are applying for an Original Welder License or a Renewal Welder License by checking the appropriate box.
  3. Fill in your First Name and Last Name in the spaces provided.
  4. If you're applying for a renewal, enter your current License #. Leave blank if you are applying for the first time.
  5. Visit an authorized eye examiner for your vision acuity test. This can be an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant.
  6. In the Vision Acuity section, the examiner will verify your near vision acuity to Jaeger J2 specifications at a distance of 12 inches or greater (≥30.5 cm). They will check the appropriate box indicating if both eyes require correction, only one eye needs correction, or no correction is required.
  7. The Examiner must fill in their name in the Examiner Name field.
  8. Add the Date of Eye Examination.
  9. The examiner should provide their Telephone Number, Address, City, State, and Zip in the respective fields.
  10. The examiner will select their professional status by checking the corresponding box for Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant.
  11. The form must be signed by the examiner in the Examiner Signature section. If a stamp is available for the state or province, it should also be applied.
  12. Don’t forget to write down the examiner’s License # and the Date the form was signed.
  13. Review the form to ensure all sections are properly filled out and that no required information is missing.
  14. Make a copy of the completed form for your records before submission.
  15. Submit the completed form along with your application for an original or renewal welder license to the specified address or department as directed by NYC's licensing requirements.

After correctly submitting the Visual Acuity Examination Form along with your welder license application, your submission will be reviewed for compliance with NYC's vision requirements. Ensure all information is accurate and complete to avoid any delays in the processing of your application. This careful attention to detail is not just about fulfilling a requirement; it's a step toward safeguarding quality and safety in your professional welding career.

Get Answers on Nyc Lic 60

When you’re getting ready to submit your application for a welder license in New York City, you might have some questions about the NYC LIC 60 form, otherwise known as the Visual Acuity Examination Form. Here are answers to some frequently asked questions that could help guide you through the process.

  1. What is the purpose of the NYC LIC 60 form?

    The NYC LIC 60 form is a crucial document for anyone applying for either an original or a renewal welder license in New York City. Its main purpose is to verify that the applicant has the necessary visual acuity, with or without corrective lenses, to perform welding tasks safely and effectively. This form ensures that all welders meet the JAeger J2 near vision acuity requirement at 12 inches or more.

  2. Who is required to complete the NYC LIC 60 form?

    All applicants for an original or renewal welder license in New York City must submit a fully completed NYC LIC 60 form. Without this, the Department of Buildings will not accept your application.

  3. Who can conduct the eye examination?

    An eye examination for the LIC 60 form can be conducted by a licensed ophthalmologist, optometrist, medical doctor, registered nurse, or certified physician’s assistant. It’s important to ensure that the examiner is professionally qualified in one of these categories.

  4. What happens if I don't submit the LIC 60 form with my application?

    If you fail to submit a completed LIC 60 form with your welder license application, your application will be rejected. The LIC 60 form is a mandatory requirement for both original and renewal applications, serving as proof of your ability to meet the required visual acuity standards.

  5. Is there a specific time frame for the eye examination?

    Yes, the eye examination must be conducted and the form completed within 12 months prior to the date of your application. This ensures that the assessment of your visual acuity is current and accurate at the time of your application.

  6. What are the visual acuity requirements to pass the examination?

    Applicants must pass an eye examination demonstrating near vision acuity on the Jaeger J2 at a distance of 12 inches or greater. This means you must be able to read the Jaeger J2 chart from at least 30.5 cm away, with or without corrective lenses.

  7. What should I do after the eye examination?

    After completing the eye examination, ensure that the examiner has filled out the LIC 60 form in its entirety, signed it, and, if available, stamped it with the state/province stamp. You should keep a copy of this form for your records and submit the original with your welder license application to the Department of Buildings. It’s essential to check that all information is accurately documented and that the form is complete before submission to avoid any delays in processing your application.

It’s always a good idea to review the requirements and procedures carefully when applying for or renewing your welder license to ensure a smooth and successful process.

Common mistakes

When filling out the NYC LIC 60 form, which is essential for welders applying for or renewing their license, individuals often make mistakes that can lead to delays or even the denial of their application. Being aware of these common errors can help applicants ensure their form is completed accurately, thus avoiding unnecessary complications.

  1. Not ensuring the eye examination is within the required timeframe: The examination must be carried out and the form completed within 12 months before submitting the application. Applicants sometimes overlook this detail, leading to the submission of outdated information which is not accepted.

  2. Failing to have the examination conducted by an authorized professional: Only specific healthcare professionals are permitted to perform the exam and complete the form. These include an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant. A common mistake is having the exam completed by someone not authorized, rendering the form invalid.

  3. Incomplete information: It is crucial to fill out every section of the form thoroughly. However, applicants often submit forms with missing information, such as failing to indicate whether vision correction is required for one or both eyes, or omitting the examiner’s signature and professional status. This oversight can result in the rejection of the form by the Department of Buildings.

  4. Not providing proof of near vision acuity to Jaeger J2 at the required distance: The form stipulates that all applicants must demonstrate near vision acuity on the Jaeger J2 scale at 12 inches or greater. Sometimes, applicants submit test results that do not specifically state they meet this requirement, leading to uncertainties regarding their fitnes

Documents used along the form

In the intricate process of obtaining or renewing a welder license in New York City, the Visual Acuity Examination Form, also known as NYC LIC 60, stands as a critical requirement. While it is essential in its own right, it is often just one piece of a broader collection of documentation necessary for welders to successfully navigate through the licensing process. To ensure a comprehensive understanding, one should be aware of additional forms and documents often associated with the LIC 60 form.

  • Welder License Application Form: This is the initial document that welders fill out to apply for a new license or to renew an existing one. It contains personal information, professional experience, and details about the specific welding processes the applicant is proficient in.
  • Proof of Experience Document: Applicants are required to submit documentation that verifies their practical welding experience. This could take the form of employment records, contract documents, or letters from past employers.
  • Welding Performance Qualification Records (WPQR): This document demonstrates that the welder has passed performance tests relevant to the welding processes for which they are seeking licensure, adhering to specific codes and standards.
  • Certificate of Fitness: In some cases, welders might need to obtain a Certificate of Fitness from the NYC Fire Department, proving they have met the necessary safety training and qualifications to perform hot work.
  • Proof of Worker’s Compensation Insurance: Independent contractors or business owners are often required to show evidence of worker’s compensation insurance to comply with state regulations and protect themselves in case of accidents.
  • Continued Education Certificates: Depending on the renewal cycle, welders might need to demonstrate participation in continued education programs related to their field, ensuring their skills and knowledge remain up-to-date.

The assembly of these documents, alongside the NYC LIC 60 form, frames a robust portfolio that reflects the qualifying credentials of welders applying for licensure. This comprehensive documentation aids in not only reinforcing the standards of professionalism within the welding industry but also in ensuring that safety and proficiency remain at the forefront of licensing considerations. By acquainting oneself with these forms and their purposes, welders and related professionals can navigate the licensure process more effectively and with greater assurance of success.

Similar forms

The Federal Aviation Administration's (FAA) medical examination forms for pilots share similarities with the NYC LIC 60 form, especially concerning the stringent requirements for visual acuity. These FAA forms also necessitate a certified healthcare professional – typically an aviation medical examiner – to conduct the examination and document the findings. Both forms have a critical role in ensuring the safety and proficiency of the individuals involved, whether they are welding or flying planes, by establishing a standard of physical fitness that includes, among other factors, the ability to see clearly.

Commercial Driver’s License (CDL) Medical Examination Report Forms used across various states exhibit parallels to the LIC 60 form. CDL forms require an assessment of vision among other physical capabilities. Just like the LIC 60, a medical examiner must complete these forms, validating that the individual meets the federal vision standards necessary to operate commercial vehicles safely. Both forms ensure that the individuals meet specific health criteria to perform their duties effectively.

The Occupational Safety and Health Administration (OSHA) Respirator Medical Evaluation Questionnaire is another document similar to the LIC 60 form. This particular questionnaire is designed to determine if an employee can safely wear a respirator at work. Though it focuses on respiratory fitness, like the LIC 60, it is mandatory for compliance with safety protocols and must be completed by a healthcare professional, ensuring the employee’s capability to perform under specified conditions without compromising health.

The United States Coast Guard’s Merchant Mariner Credential (MMC) Application includes a section for a medical evaluation that bears resemblance to the visual acuity examination required by the LIC 60 form. The MMC evaluation emphasizes a comprehensive health screening, including vision tests, to ascertain an individual's fitness for duty at sea. Both processes involve detailed scrutiny by medical professionals to certify competency for the license being applied for.

Pre-employment Physical Examination Forms required by many employers for job candidates are akin to the LIC 60 form in their intent to verify physical fitness for a role. These forms often include a vision test amongst various health checks, ensuring that the employee is capable of performing the job's physical requirements, which mirrors the LIC 60 form’s objective of confirming visual acuity for welding tasks.

Department of Transportation (DOT) Physical Examination Forms are similar to the LIC 60 form as they both require a healthcare provider to certify the physical fitness of an individual for a particular profession. The DOT form includes a vision exam to ensure that commercial vehicle drivers meet the necessary health standards for safely operating large vehicles, akin to how welders must meet vision standards to ensure safety in their line of work.

The National Collegiate Athletic Association (NCAA) Pre-Participation Physical Evaluation form, while focused on athletic fitness, shares commonalities with the LIC 60 form in terms of health screening requirements. It includes vision testing to ensure athletes can perform safely and effectively in their sport, emphasizing the importance of health and safety standards across various professional and competitive fields.

The United States Military Entrance Processing Station (MEPS) Medical Evaluation forms detail a comprehensive health screening similar to that of the LIC 60 form. These military forms assess vision among many other health aspects to determine an individual’s suitability for service. The emphasis on vision acuity, in particular, reflects a shared standard of ensuring that professionals are physically capable of meeting the demands of their roles.

University Health Services Immunization and Health History Forms commonly include a section on vision screening, somewhat reminiscent of the LIC 60 form's assessment approach. Though the primary purpose of these university forms is to document vaccination history and general health, the inclusion of vision assessment highlights the universal importance of eye health in assessing overall wellness and capability.

Lastly, the American Association of Motor Vehicle Administrators (AAMVA) Vision Test Form, used by various Department of Motor Vehicles (DMV) across the United States, closely mirrors the LIC 60 form in purpose and content. This form evaluates an individual's vision to ensure they meet the legal requirements for driving. Both forms prioritize public safety by certifying that individuals engaged in specific professions or activities have the necessary visual acuity to perform their duties safely.

Dos and Don'ts

When filling out the NYC LIC 60 form, known as the Visual Acuity Examination Form for welder license applications and renewals, it’s important to pay attention to detail and follow guidelines carefully. Here are some dos and don’ts to guide you through the process:

  • Do ensure the examination is conducted within one year (12 months) prior to the date of your application. This is crucial for the acceptance of your application.
  • Do have the examination performed by a qualified professional. Acceptable examiners include an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant.
  • Do verify that your near vision acuity meets or exceeds the Jaeger J2 at 12 inches or greater. This is a key requirement for your license eligibility.
  • Do complete all sections of the form thoroughly. Missing information can lead to delays or rejection of your application.
  • Do keep a copy of the completed form for your records. It’s important to have personal backup for all professional licensure documentation.
  • Don't submit the form if it’s incomplete. The Department of Buildings will not accept incomplete forms.
  • Don't overlook the need for the examiner’s signature and, if available, the state/province stamp. These are required for the form to be considered valid.
  • Don't forget to check the appropriate box under the Vision Acuity section to indicate the examination results correctly.
  • Don't submit test results that don’t comply with the fitness requirements. Only results that prove compliance with near vision acuity on Jaeger J2 at 12 inches or greater are acceptable.

By following these guidelines, applicants can ensure a smoother application process for obtaining or renewing a welder license in accordance with NYC Department of Buildings regulations.

Misconceptions

  • Many believe that the NYC LIC 60 form is only for new welder applicants, but it's actually required for both original applications and renewals. This ensures that all licensed welders maintain the necessary visual acuity standards.

  • There's a misconception that applicants can complete the form themselves. However, only qualified professionals like ophthalmologists, optometrists, medical doctors, registered nurses, or certified physician’s assistants are authorized to conduct the eye examination and complete the form.

  • Some think that the form can be submitted at any time during the application process. The truth is, the eye examination must be completed and the form filled out 12 months prior to the application date for an original or renewal license, making timing crucial.

  • A common misunderstanding is that if you wear corrective lenses, you automatically fail the exam. In reality, the examination is to determine whether you can achieve the required near vision acuity (Jaeger J2 at 12 inches or more) with or without corrective lenses.

  • It’s often thought that any health professional can sign off on the form. However, the LIC 60 form specifies that only certain professionals, such as ophthalmologists, optometrists, MDs, RNs, or certified physician’s assistants, can conduct the exam and sign the form.

  • Another mistake is believing the Department of Buildings will accept an incomplete form or test results that don't meet the fitness requirements. Every section of the form must be filled out correctly, and the applicant must meet the visual acuity criteria for the application to be accepted.

  • People sometimes think that passing the vision test once exempts them from retesting for renewals. However, to renew a welder license, the applicant must undergo and pass the vision acuity test again, ensuring their ability to meet the necessary standards is current.

  • Lastly, there's the erroneous belief that digital submissions of the LIC 60 form are acceptable. As of the knowledge cutoff date, applicants need to submit the original completed form as part of their application packet, highlighting the importance of keeping a copy for personal records.

Key takeaways

Filling out the NYC LIC 60 Form, the Visual Acuity Examination Form, is essential for welder original and renewal applications in New York City. By understanding the key aspects of completing and submitting this document properly, applicants can ensure they meet the requirements efficiently. Here are seven key takeaways about the process:

  • Submission Timing: The eye examination and the completion of the LIC 60 form must occur within one year (12 months) prior to the application for an original or renewal welder license. This helps ensure that the visual acuity information is up-to-date at the time of application.
  • Mandatory for Application: Applications for either an original or a renewal welder license will not be accepted without a completed LIC 60 form. This underscores the importance of the eye examination in the licensing process.
  • Qualified Examiners: The form must be filled out by an authorized professional. This includes an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant. Selecting an appropriate examiner is crucial for the validity of the examination.
  • Visual Acuity Requirement: Applicants are required to pass an eye examination proving near vision acuity on Jaeger J2 at 12 inches or greater (≥30.5 cm). This standard ensures that welders have the necessary visual acuity to perform safely and effectively.
  • Corrective Lenses: The examination can be taken with or without corrective lenses. However, it is important to note that the use of corrective lenses must achieve the Jaeger J2 standard at the specified distance.
  • Comprehensive Form Completion: Incomplete forms or test results that do not meet the required fitness criteria will not be accepted by the Department of Buildings. This means that every section of the LIC 60 form must be accurately filled out to avoid application delays or rejections.
  • Record Keeping: It is advisable for applicants to keep a copy of the completed LIC 60 form for their records. Maintaining personal records can be helpful for future reference or in case of any discrepancies.

By adhering to these key points, applicants can navigate the visual acuity examination requirement for welder licensing in New York City more effectively. The NYC LIC 60 form plays a pivotal role in confirming an applicant's visual capability to perform welding tasks, which is essential for safety and quality in the profession.

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