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  • Doh-352 2015

Get Doh-352 2015-2025

YOU MUST COMPLETE THIS SECTION IN ITS ENTIRETY FOR THIS APPLICATION TO BE PROCESSED Course Subject DOH-352 11/12 Page 1 of 2 Dates Contact Hours Location Sponsor Signature. NEW YORK STATE DEPARTMENT OF HEALTH Center for Environmental Health Bureau of Water Supply Protection Empire State Plaza Corning Tower Room 1110 Albany New York 12237 Application for Renewal of Certification Water Treatment Plant or Distribution System Operator Instructions To avoid your application being rejected please read and follow these instructions carefully. 1. Complete ALL items in SECTION I and II ONLY. PRINT IN PEN OR TYPE ALL INFORMATION* 2. Include copies of all course completion certificates. 3. BE SURE TO SIGN AND DATE YOUR APPLICATION* FAILURE TO COMPLETE THIS APPLICATION FULLY WILL CAUSE IT TO BE REJECTED AND RETURNED AS INCOMPLETE* I. Applicant Information Phone No* Work Home Email Address Employer Name Employer Address PLEASE ENTER ANY ADDRESS CORRECTIONS IN THE SPACE BELOW County of Employment II....

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How to fill out the DOH-352 online

The DOH-352 form is essential for the application of renewal of certification for water system operators in New York State. This guide provides clear, step-by-step instructions to help you successfully complete the form online, ensuring that your application is processed efficiently.

Follow the steps to complete the DOH-352 online

  1. Press the ‘Get Form’ button to access the DOH-352 form and open it in the editor.
  2. Begin by filling out SECTION I, which includes your applicant information. This consists of your home phone number, home email address, employer name, and employer address. Ensure all information is clear and accurately entered.
  3. In SECTION I, provide any address corrections in the designated space. Fill in your work phone number, work email address, the county of employment, and indicate whether you are a veteran or a contract operator by selecting 'yes' or 'no' as applicable.
  4. Proceed to SECTION II, titled 'Renewal Training Credits.' Summarize all training received for renewal over the last three years. For each course taken, enter the course title, the dates of attendance, the contact hours, and the approved training course number.
  5. Continue filling out the details for any additional courses, ensuring that all spaces are filled completely as required to avoid rejection of your application.
  6. After completing both sections, review your entries for accuracy. Sign and date your application at the bottom of the last page.
  7. Once all information is correctly filled out and reviewed, proceed to save any changes, and download or print the completed form for submission.

Take the next step in your career by completing the DOH-352 online today!

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Fill DOH-352

Complete ALL items in SECTION I and II ONLY. What Is Form DOH-352? Verify the license status and disciplinary history of a healthcare professional or facility license in the State of Florida. Contact the Department. .

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232