Is the requestor seeking to have a profession or occupation that is not already included in the List of Eligible Professions that are allowed to purchase body armor?

Do the duties of the profession expose an individual engaged in such profession to serious physical injury that may be prevented or mitigated by the wearing of body armor?

Organization Legal Name

Applicant First Name

Applicant Last Name

Applicant Street Address

Applicant City

Applicant State

Applicant ZIP Code. (please use ZIP+4 if known)

Applicant Telephone Number (please include area code)

Applicant Email Address

Please attach any documentation from your employer in support of your request that your profession be added to the eligible list. (see help section for additional information)

Please provide documentation that demonstrates how you are engaged in the profession you are seeking to be added to the List of Eligible Professions.

Please provide your official job title.

What is the commonly used name of the profession you are seeking to be added to the List of Eligible Professions? (ex. Police Officer, Security Guard, etc.)

Is this profession currently on the list of those under review by the Department of State as shown on the Body Armor website?

If yes, please provide the unique identifier code for this profession as listed on the DOS Body Armor Website.

Please identify which numerical Standard Occupational Classification (SOC) code pertains to your profession. (Example: 121234)

Is the requestor an individual that is self-employed in the profession sought to be added to the List of Eligible Professions?

Employer Address

Employer Name (Supervisor First, Last)

Employer Email Address (Supervisor)

Employer Phone Number (Supervisor)

Please describe in detail the official duties of the profession . (These are the mandatory duties associated with employment or engagement in the profession) (at least 3-4 sentences)

Please describe in detail how the duties of the profession may expose an individual engaged in such profession to serious physical injury that may be prevented or mitigated by the wearing of body armor. (Please use illustrative examples and at least 3-4 sentences)

If your profession is one that involves training or formal qualification, or a license issued by a federal, state, tribal or local government entity of the United States or territory thereof, please state the requirement (license, certification, etc.) and the issuing entity.

Prior to the change in body armor law on July 6, 2022, did individuals engaged in the profession, including yourself if applicable, utilize body armor?

Please share what type of body armor is used as well as examples of situations in which body armor is worn

By entering your name below and submitting this request, I hereby certify and affirm that the information and any attachments submitted herein are true and accurate to the best of my knowledge and belief. False statements are punishable as a crime pursuant to the New York State Penal Law.