Charitable Bail Organization Certificate Application
This document is the application form for obtaining a Charitable Bail Organization Certificate under New York State Insurance Law Section 6805. Applicants need to provide information such as their business address, officer details, and evidence of tax-exempt status. Instructions for completing and submitting the form are also included.
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How do I fill this out?
To complete this application, you will need to provide detailed information about your charitable bail organization. Ensure all mandatory fields are filled accurately. Follow the instructions provided for each section.

How to fill out the Charitable Bail Organization Certificate Application?
1
Fill out the general information section with your organization's details.
2
List all officers, directors, trustees, and executive personnel with required personal information.
3
Provide the name, title, date of birth, and bail agent license number of authorized individuals.
4
Attach necessary documents such as the trust instrument and evidence of tax-exempt status.
5
Submit the completed form to the New York State Department of Financial Services.
Who needs the Charitable Bail Organization Certificate Application?
1
Charitable organizations seeking to operate a bail business in New York State need this form to obtain certification.
2
Corporations or associations applying for recognition as a Charitable Bail Organization.
3
Nonprofits looking to provide bail assistance services legally in New York State.
4
Legal advisors helping charitable organizations set up bail services.
5
Bail agents needing to be appointed or terminated by the charitable organization.
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What are the instructions for submitting this form?
Submit the completed form to the New York State Department of Financial Services Licensing Bureau. You may submit it by mail to One Commerce Plaza, Albany, NY 12257, or use their online submission form available on the DFS NY website. For queries, contact the Licensing Bureau via email at licensing@dfs.ny.gov or call (518) 474-6600. Ensure all the required documents and evidence are attached before submission. Follow up with the department if you do not receive a response within the specified time.
What are the important dates for this form in 2024 and 2025?
Please note that deadlines for submitting the application may vary. For specific deadlines in 2024 and 2025, please refer to the New York State Department of Financial Services website or contact their licensing bureau directly.

What is the purpose of this form?
The purpose of this form is to apply for a Charitable Bail Organization Certificate as required by New York State Insurance Law Section 6805. It ensures that organizations intending to provide bail services as a charity comply with state regulations and operate within the legal framework. This application includes providing detailed information about the organization's structure, officer details, and compliance with tax-exempt status to obtain certification.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Applicant: Provide the full legal name of the organization applying for certification.
- 2. Principal Business Address: Enter the main business address including the street, city, state, and zip code.
- 3. Officers, Directors, Trustees, and Executive Personnel: List all individuals in these positions along with their personal information and title.
- 4. Authorized Individuals: Details of individuals authorized to appoint and terminate bail agents, including their license numbers.
- 5. Trust Instrument or Corporate Charter: Attached document that legally creates the organization under state law.
- 6. Tax Exempt Status Evidence: Attach evidence proving the organization's exemption under IRS Code Section 501(c)(3).
What happens if I fail to submit this form?
Failure to submit this form can result in the inability to operate as a Charitable Bail Organization in New York State.
- Legal Action: Operating without certification may result in legal consequences and fines.
- Operational Restrictions: Without certification, your organization cannot post bail for individuals, hindering your primary function.
How do I know when to use this form?

- 1. New Certification: Applying for initial certification to begin operations.
- 2. Recertification: Renewing your certificate to continue operations smoothly.
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