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How to fill out the Doh2249 Form online
This guide provides clear instructions for users looking to complete the Doh2249 Form online. Following these steps will help ensure that all necessary fields are accurately filled out, allowing for a smooth processing of your form submission.
Follow the steps to complete the Doh2249 Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the name and address of your establishment in the designated fields.
- Fill in the date of application in the specified area.
- Locate and enter your Public Water Supply ID if applicable.
- Determine the appropriate fee category based on your establishment type and check the corresponding box for exemption if applicable.
- Answer questions regarding the operation of the facility by selecting ‘Yes’ or ‘No’ for whether it is operated by a religious, educational, or philanthropic organization, or by a municipality.
- Identify the specific capacity that best reflects your operation and enter the corresponding fee amount indicated under the 'Fee Calculation' section.
- If eligible, indicate the documentation available for inspection to support your exemption request.
- Calculate the total fee and enter the amount at the bottom of the form.
- Sign and date the certification statement to affirm the accuracy of the information provided.
- Save your form changes, then download, print, or share the completed Doh2249 Form to submit it to the appropriate NYS Department of Health Regional/District Office.
Take action today by completing your Doh2249 Form online.
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