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The NYC LIC 60 form plays a crucial role in ensuring that individuals applying for or renewing a welder's license in New York City meet the necessary visual acuity standards to safely perform welding tasks. This requirement underscores the importance placed on the safety and precision within the welding profession, as the ability to discern detail at close range is fundamental. By stipulating that the visual acuity examination must be conducted within a year prior to the application and insisting on documentation from a limited group of medical professionals—ranging from ophthalmologists to certified physician's assistants—the NYC Department of Buildings sets a high standard. The form not only seeks to confirm that an applicant possesses near vision acuity on Jaeger J2 at no less than 12 inches or greater but also mandates a clear record of the testing conditions and outcomes. Completed forms are pivotal for the application process; incomplete submissions or those that fail to demonstrate compliance with the visual fitness requirements are outright rejected. Therefore, the LIC 60 form serves as a gatekeeper, ensuring that only those who meet specific health criteria are permitted to proceed in the licensure process, thereby prioritizing the safety and integrity of welding operations within the city.

Nyc Lic 60 Sample

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

File Overview

Fact Detail
Form Purpose Used for all original and renewal applications for a welder license in New York City.
Document Requirement A completed Visual Acuity Examination Form must be submitted with the welder license application.
Validity Period The eye examination must be conducted and the form completed within 1 year prior to applying for an original or renewal license.
Qualified Examiners An Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant can administer the exam.
Acuity Standard Applicants must prove near vision acuity on Jaeger J2 at 12 inches or greater.
Application Rejection Incomplete forms or test results not meeting fitness standards will not be accepted.
Governing Law Under the jurisdiction of the New York City Department of Buildings.

Nyc Lic 60: Usage Guidelines

Filling out the NYC LIC 60 form is a necessary step for welders applying for or renewing their license in New York City. This form must be correctly completed and submitted with the application to comply with the Department of Buildings' requirements. The form serves to document the applicant's visual acuity, which is a measure of their ability to see details at a specified distance, a crucial ability for any welder. Incorrect or incomplete forms will result in the refusal of the application, so it's important to follow the steps carefully and ensure all information is accurate and up-to-date.

Steps to Fill Out the NYC LIC 60 Form:
  1. Start with the Applicant/Licensee Information section:
    • Check the appropriate box to indicate whether you are applying for an Original Welder License or a Renewal Welder License.
    • Enter your First Name and Last Name in the spaces provided.
    • If you are renewing your license, provide your current License #.
  2. Proceed to the Vision Acuity section. This part must be filled out by an authorized eye examiner (Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician Assistant):
    • The eye examiner must verify the applicant's near vision acuity according to Jaeger J2 specifications at a distance of 12 inches or greater (≥30.5 cm).
    • The examiner will check the appropriate box to indicate whether both eyes require corrected vision to reach J2, only one eye requires correction, or no correction is required.
  3. The Examiner section should also be completed by the eye examiner:
    • Include the Applicant’s Name and the Date of the Eye Examination.
    • Fill in the examiner’s Name, Telephone Number, Address, City, State, and Zip Code.
    • Specify the examiner's Professional Status by selecting the appropriate designation from the list provided.
    • The examiner must sign and date the form in the space provided. If available, a state or provincial stamp should be affixed.

Once the form is fully completed and signed by the authorized examiner, it should be submitted along with your license application. Be sure to keep a copy of this form for your records. Submitting this form accurately is crucial for a successful application process, so double-check all entered information for correctness before submission.

FAQ

  1. What is the NYC LIC 60 form used for?

    The NYC LIC 60 form is specifically utilized for visual acuity examinations. This form is a requirement for individuals applying for either an original or renewal welder license in New York City. It ensures that all welders possess the necessary near vision acuity, with or without corrective lenses, which is essential for safe and effective welding operations. The form must be completed and submitted along with the welder license application to verify the applicant's vision meets the required standards.

  2. Who needs to submit an NYC LIC 60 form?

    Applicants seeking an original welder license or those applying for a renewal of their existing welder license in New York City must submit an NYC LIC 60 form. It is a critical step in the application process to ensure that the welder's vision acuity aligns with the safety and operational requirements.

  3. Who is authorized to perform the eye examination for the NYC LIC 60 form?

    An eye examination for the NYC LIC 60 form may be conducted by one of the following healthcare professionals: an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant. It is important that the examiner has the appropriate credentials and qualifications to assess near vision acuity accurately according to Jaeger J2 specifications.

  4. What are the vision requirements to pass the eye examination on the NYC LIC 60 form?

    Applicants must pass an eye examination proving near vision acuity on Jaeger J2 at 12 inches or greater (≥30.5 cm). This requirement can be met with or without the use of corrective lenses. It ensures that welders have the necessary vision capability to perform welding tasks effectively and safely.

  5. How often must the eye examination be conducted?

    The eye examination on the LIC 60 form must be completed within 1 year (12 months) prior to the date of application for an original or renewal welder license. This timeframe ensures that the examination results are recent and accurately reflect the applicant's current vision capabilities.

  6. What happens if the NYC LIC 60 form is incomplete or the vision standards are not met?

    The Department of Buildings will not accept any NYC LIC 60 forms that are incomplete or if the test results do not comply with the required vision fitness standards. Applicants whose forms are rejected due to incompleteness or not meeting vision requirements will need to rectify the issues and resubmit the form to proceed with their application.

  7. Should applicants keep a copy of the completed NYC LIC 60 form?

    Yes, it is strongly recommended that applicants keep a copy of the completed NYC LIC 60 form for their records. Having a personal copy ensures that they have proof of their compliance with the vision requirements and a record of their examination results, which might be useful for any future queries or in cases of submission errors.

Common mistakes

Filling out the NYC LIC 60 form, which is necessary for welder original and renewal applications, requires attention to detail. Unfortunately, mistakes can happen, which might lead to the rejection of your application. Below are five common mistakes people often make on this form:

  1. Not ensuring the eye examination is current. The eye examination for the LIC 60 form must be conducted no more than one year before the application date. It's easy to overlook this requirement, resulting in the submission of an outdated examination.
  2. Choosing an unqualified examiner. The form clearly lists who can conduct the eye examination: an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant. Unfortunately, some applicants mistakenly have their examination conducted by healthcare professionals not on this list, resulting in an unacceptable form.
  3. Incomplete vision acuity section. Section 2 of the form, which is dedicated to vision acuity, requires specific information regarding whether the applicant's vision meets the Jaeger J2 specifications with or without corrective lenses. Failing to check one of the provided boxes or leaving this section incomplete is a common error.
  4. Forgetting to keep a copy of the form for personal records. As the instructions suggest, it’s crucial to keep a copy of the completed form for your records. Not doing so might leave you without the needed documentation should there be an issue with your application or if the form is lost in submission.
  5. Submitting a form with missing examiner details or signature. The examiner’s information, including their name, address, telephone number, professional status, and signature, are all required. Sometimes, applicants submit their form with one or more of these fields incomplete, especially overlooking the need for the examiner's signature and stamp, if available.

To avoid these common errors, take the time to thoroughly review both the form and the examination requirements before submission. Ensuring the exam is up-to-date, completed by a qualified professional, accurately filled, and properly retained, will streamline your application process. Remember, the NYC Department of Buildings will not accept incomplete or non-compliant forms, so paying close attention to the details can save you time and effort in securing or renewing your welder license.

Documents used along the form

When applying for or renewing a welder license in New York City, several documents complement the NYC LIC 60, or the Visual Acuity Examination Form. This specific form is a mandatory requirement, confirming that an applicant meets the necessary vision standards. However, to ensure a comprehensive application, additional forms and documents are often needed to support or provide further information. The following list outlines six such documents frequently used alongside the NYC LIC 60 form:

  • Application for Welder License: This is the main application form where an individual provides personal details, professional experience, and other relevant information necessary for obtaining or renewing a welder license.
  • Proof of Experience: Documents or letters from employers that verify the applicant's welding experience. These are crucial for demonstrating the required hands-on experience in welding tasks.
  • Proof of Training: Certificates or transcripts from accredited welding courses or programs. These documents support the applicant’s claims of professional training and knowledge in welding techniques.
  • Photo Identification: A government-issued ID, such as a driver's license or passport, is necessary to verify the applicant's identity. This ensures the person applying is the same as the person named on the application.
  • Payment Receipt: Proof of payment for the application fee. This document is important to confirm that the applicant has paid the necessary fees associated with the license application or renewal.
  • Medical Clearance Form: Apart from the Visual Acuity Examination Form, a general medical clearance form may be required to ensure the applicant is physically fit to perform welding tasks safely.

Collectively, these documents provide a holistic view of the applicant's qualifications, experience, and health status, ensuring that only capable and healthy individuals are granted the welder license. It's essential for applicants to adequately prepare and submit all relevant documents to facilitate a smooth and successful application process.

Similar forms

The LIC 60 form, specifically designed for welders in New York City to prove their visual acuity, shares similarities with the Department of Transportation (DOT) Physical Examination Form. Both forms are essential for occupational licensing and ensure that the applicants meet specific health standards vital for their jobs. The DOT Physical Examination Form is required for drivers of commercial vehicles to ensure they can safely operate heavy machinery. Just like the LIC 60 form mandates an eye examination, the DOT form includes a range of health checks, from vision and hearing tests to evaluating overall physical health, ensuring the safety of the driver and others on the road.

Similarly, the Federal Aviation Administration's (FAA) Medical Certificate application process involves a form that requires pilots to meet certain health standards, including vision. Pilots, like welders, must submit to an examination by an approved medical professional — in the case of pilots, an Aviation Medical Examiner — to ensure they can safely perform their duties. Both forms serve as a gatekeeping tool for professions where physical condition, particularly vision, is crucial for safety and efficiency. The FAA's focus on vision parallels the LIC 60's requirement for proving visual acuity, underlining the importance of sensory health in professional certification.

The OSHA Respirator Medical Evaluation Questionnaire is another document with objectives similar to the LIC 60 form, despite covering a different aspect of health for occupational safety. This questionnaire ensures that employees are medically able to wear a respirator at the workplace, focusing on respiratory health instead of vision. Both forms are preventive measures for occupational safety, aiming to protect employees and those around them by ensuring they are physically capable of safely performing their duties under specific conditions, be it exposure to fine particles or the precision work of welding.

The Merchant Mariner Credential (MMC) Application process includes a form that assesses the fitness of individuals to operate vessels, with strict guidelines for physical and medical conditions, including eyesight. Just as the LIC 60 form screens for visual acuity in welders, the MMC application form reviews a mariner's overall health and physical condition, emphasizing the importance of visual acuity for safety at sea. This process ensures that only those who meet the medical fitness requirements are certified, similar to the LIC 60's role in welding certification.

Lastly, the American Board of Industrial Hygiene (ABIH) Certified Industrial Hygienist (CIH) examination application includes requirements for professional competency that, while not a form focused on health standards per se, emphasizes the importance of proving qualifications in a specialized field. Similarly to how the LIC 60 form verifies an applicant's visual acuity to ensure they can perform welding tasks safely and effectively, the CIH application process assesses candidates' knowledge and skills in industrial hygiene, ensuring they are well-prepared to identify and mitigate workplace health hazards. Both documents are crucial in their respective fields for maintaining high standards of professional practice and safety.

Dos and Don'ts

When filling out the NYC LIC 60 form, also known as the Visual Acuity Examination Form, for either an original or renewal welder license application, it’s essential to follow specific guidelines. Here are some recommendations on what to do and what not to do during this process:

What to Do:

  1. Ensure the Examination Is Current: Have your eye examination done within the year before your application. This means the examination should be no more than 12 months old at the time of your application to meet the requirements.
  2. Select an Authorized Examiner: The eye examination must be conducted by an authorized professional. This includes an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant. Ensure your examiner fits one of these qualifications.
  3. Verify Information Accuracy: Double-check that all the details on the form are correct, especially your personal information (name, license number) and the examiner’s details (name, telephone number, address, professional status, and license number if applicable).
  4. Keep a Copy: Once the form is completed and submitted with your application, be sure to keep a copy for your records. This is crucial in case of any discrepancies or if the Department of Buildings requires further verification.

What Not to Do:

  1. Submit an Incomplete Form: The Department of Buildings will not accept any LIC 60 forms that are incomplete. Ensure every required section is filled out, including the verification of your near vision acuity and the examiner’s signature and stamp.
  2. Ignore the Test Requirements: All applicants must pass the eye examination, with or without corrective lenses, proving near vision acuity on Jaeger J2 at 12 inches or greater. Do not submit the form if your examination results do not meet these specifications.
  3. Use an Unqualified Examiner: As mentioned, only specific professionals are authorized to conduct the eye examination. Avoid using someone who does not fit the specified categories, as their examination results will not be recognized.
  4. Forget to Submit the Form with Your Application: Your application for a welder license, whether it’s an original or a renewal, will be incomplete without a properly filled out LIC 60 form. Ensure it is submitted together with your application package to avoid delays.

Misconceptions

There are several common misconceptions about the New York City LIC 60 form, also known as the Visual Acuity Examination Form, that need to be clarified. Understanding these misconceptions is crucial for applicants seeking welder original and renewal licenses in New York City.

  • Misconception 1: The LIC 60 form is optional for welder license applications.

    This is incorrect. The submission of a completed LIC 60 form is mandatory for all individuals applying for either an original or renewal welder license in New York City. Applications without this form will not be accepted.

  • Misconception 2: Any healthcare provider can conduct the vision exam.

    Only specific professionals, namely Ophthalmologists, Optometrists, Medical Doctors, Registered Nurses, or Certified Physician’s Assistants, are qualified to administer the eye examination and complete the LIC 60 form.

  • Misconception 3: The vision exam can be conducted at any time before the application.

    The examination must be completed within 12 months prior to the application date for an original or renewal welder license. An exam outside this timeframe will not meet the requirements.

  • Misconception 4: Both eyes must meet the J2 standard without corrective lenses.

    Applicants can pass the vision examination with or without the use of corrective lenses, as long as they achieve near vision acuity on Jaeger J2 at 12 inches or greater. This accommodates those who require glasses or contact lenses.

  • Misconception 5: All parts of the LIC 60 form can be completed by the applicant.

    The form consists of sections, some of which must be completed by the eye examiner. Applicants are responsible for parts of the form but cannot complete the entire document themselves.

  • Misconception 6: The LIC 60 form is the only document required for a welder license application.

    While the LIC 60 form is critical, it is part of a broader application process. Applicants must submit additional documentation as required by the Department of Buildings. Relying solely on this form for an application will lead to rejection.

  • Misconception 7: Incomplete forms are acceptable if the examiner's signature is present.

    The Department of Buildings will not accept LIC 60 forms that are incomplete. Every section of the form, including the examiner's signature and professional status, must be filled out meticulously to comply with the application requirements.

  • Misconception 8: Digital submissions of the LIC 60 form are preferred.

    Applicants should verify with the Department of Buildings how the LIC 60 form should be submitted, as submission requirements may vary. Assuming digital submissions are preferred or accepted without confirmation may lead to application delays or rejections.

Clarifying these misconceptions is pivotal for a smooth application process for a welder's license in New York City, ensuring that all requirements are met in a timely and accurate manner.

Key takeaways

When dealing with the NYC Lic 60 form, which is a Visual Acuity Examination Form required for welder license applications and renewals in New York City, here are several key points to keep in mind:

  • Always retain a copy of this completed form for your records, as it's critical for both your current application and any future needs.
  • The form and the visual acuity examination it represents must be completed one year (12 months) prior to submitting your application for an original or renewal welder license; hence, timing is essential.
  • Qualified professionals for administering the eye exam include an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician’s Assistant, ensuring the exam is conducted by someone with the necessary expertise.
  • Passing the eye examination is mandatory for all applicants, with or without corrective lenses. Specifically, you must demonstrate near vision acuity on Jaeger J2 at 12 inches or more.
  • Ensure the form is thoroughly completed, as the Department of Buildings will not accept forms that are incomplete or do not meet the visual fitness requirements.
  • The examiner must provide their name, telephone number, address, professional status, and sign the form. If available, the examiner's stamp should also be included, adding an extra layer of verification.

Completing and submitting the NYC Lic 60 form is a seamless process when given timely attention and ensuring all information is accurately provided, meeting the city's requirements for welders to demonstrate sufficient visual acuity.

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