N.Y. Comp. Codes R. & Regs. tit. 19, § 195.15 – Employee statements.

(a) Each business licensed to install, maintain or service security or fire alarm systems shall obtain a complete employee statement from each employee at the time of hiring.
(b) The employee statement shall be a form prescribed by the Department of State, and shall set forth, whether or not the employee has ever been convicted of an offense (other than a minor motor vehicle offense); and at least the following information:
1. (1) employee's full name and residence address;
2. (2) the business or occupation engaged in for the three years immediately preceding the date of the filing of this statement, setting forth the place or places where such business or occupation was engaged in and the name or names of employers, if any;
3. (3) that he/she has not been convicted of a felony involving fraud, bribery, perjury or theft or any other misdemeanors or offenses indicated in section 69-o(2) of the General Business Law;
4. (4) such further information as the Department of State may by rule require to show the good character, competency and integrity of the person executing the statement.
(c) Immediately upon the verification of an employee's statement, the holder of a license by whom such person has been or is to be employed shall cause fingerprints of the two hands of such person to be recorded in such manner as the Department of State may by rule prescribe. The holder of a license shall immediately stamp in indelible ink the employee's statement with the name, year and license number of such holder and a number, which number shall be determined by the number of such statements furnished to such holder and shall be in numerical sequence.
(d) The holder of a license shall affix one copy of such fingerprint receipt to the employee's statement in such manner that the copy can be examined without disclosing the contents of the employee's statement and shall retain such statement and copy of fingerprint receipt so long as he/she shall be licensed under article 6-D of the General Business Law by the Department of State.
(e) The holder of a license shall file the original fingerprint receipt with the Department of State by forwarding the same by registered mail to the office of the Division of Licensing Services, P.O. Box 22001, Albany, NY 12201-2001, in accordance with the schedule stipulated in section 195.8 of this Part.