The New York State Education Department (“SED”) Office of the Professions (“OP”) is alerting everyone to a vishing scam that has been brought to our attention. Phishing—or “vishing”—scams impersonate SED employees or websites attempting to collect licensure and personal information from the licensee. If you receive an inquiry which you believe to be suspicious do not provide any information. To verify if the inquiry was from OP, contact us directly. You may report any suspicious communication received to the Federal Trade Commission.
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Form 5C: Application for a Limited Residency Permit for Applicants Who Are Applying for Licensure in New York

This application form is only for applicants requesting a limited residency permit who also seek licensure in New York State. If you are not applying for licensure or are already licensed in New York State, you must use Form 5D to apply for a limited residency permit.

  • Section I: Complete all parts of this section before forwarding it to your prospective employer and be sure to have your signature notarized in item 15.
  • Section II: Your prospective employer completes Section II. Either you or your employer must return the form to the address listed on the form.