Get Radon Detector Order Form - New York State Department Of Health - Health Ny

Filling out the Radon Detector Order Form from the New York State Department of Health is an essential step in ensuring your environment is safe from radon exposure. This guide provides a clear and supportive framework, enabling you to complete the online form with ease and confidence.

Follow the steps to successfully complete your order form.

1. Click the ‘Get Form’ button to access the Radon Detector Order Form. This action allows you to secure the document and proceed to fill it out online.
2. Begin by entering your full name in the designated fields. Make sure to provide your first name, middle initial (if applicable), and last name.
3. Input the address where you would like the detector(s) mailed. This should include the street name and number, city, state, and zip code.
4. If the address for using the detector(s) is different from the mailing address, please provide that information in the subsequent fields, including street address and city.
5. Specify the county and town or village where you reside, as this information is necessary for health regulations.
6. Fill in your telephone numbers in the designated fields for daytime and evening contacts, ensuring that they are correct for any follow-up communication.
7. Answer the question regarding previous use of radon detectors in your home. If you answered 'Yes,' indicate whether you acquired the test kit through the New York State Department of Health.
8. Sign and date the form to certify that you are not a dealer of radon measuring detectors and agree to the intended use of the device.
9. Consider whether you are interested in being contacted for research purposes regarding radon. Indicate your preference by checking 'Yes' or 'No.'
10. Indicate the number of detectors you wish to order. Remember, each detector costs $11.00. Calculate your total and ensure the payment method is specified correctly.
11. Lastly, indicate how you learned about the New York State Department of Health's Radon Program by checking one of the provided options.
12. Review your entries carefully for accuracy. Once all sections are complete, save your changes, download, or print the form as required before submitting it.

Complete your Radon Detector Order Form online today to ensure your home remains safe from radon exposure.