Theatrical Employment Agency Self-Certification - Nyc Department Of Consumer Affairs Page 15
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15By signing below, I certify that the statements above are true and correct.
If you submit this form as an electronically filled-in PDF, you may type your name in the signature field.
_______________________________
___________________________
Signature
Print Name
_______________________________
___________________________
Title
Date
Please submit the signed original to DCA and make a copy for your records.
All laws and rules of the City of New York, including the New York City Consumer Protection Law and
Rules, are accessible via nyc.gov/consumers. For convenience, sections of relevant New York State Law
and/or New York City Law and Rules are also accessible in one of the following ways:
• Go to DCA’s Business Toolbox at nyc.gov/BusinessToolbox
• Go to DCA’s Licensing Center at 42 Broadway, 5th floor, in Manhattan
Revised 09/19/14
Page 15 of 15
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