Get Industrial Laundry Self-certification

Completing the Industrial Laundry Self-Certification form online is a straightforward process that ensures compliance with local regulations. This guide provides step-by-step instructions to help you navigate each section of the form with confidence.

Follow the steps to successfully complete your form.

1. Press the ‘Get Form’ button to obtain the form and open it in the digital editor.
2. Fill out Part I with your business's legal name, DCA license number (if applicable), and premises address. Indicate whether you are a resident of New York City or designate a representative for legal notifications.
3. Provide information regarding your business ownership, employee count, and the locations where laundry services will be performed. Check all relevant boxes and write down details where necessary.
4. In Part II, confirm compliance with laws, regulations, and rules by checking the applicable boxes. Ensure you understand the legal obligations associated with your business operations.
5. Indicate any outstanding final judgments or warrants affecting your business and the individuals named on the application. Provide explanations if applicable.
6. Complete Part III by listing each employee's information, including name, address, telephone number, start/end dates, and position.
7. In Part IV, specify if your business will engage in industrial laundry delivery services. If yes, provide vehicle information and additional delivery details.
8. Describe the cleanliness and hygiene procedures your business will implement in Part V to meet the minimum standards required.
9. Maintain a record of how your business will separate laundered and unlaundered laundry, as required by the applicable regulations.
10. In Part VI, certify the information provided in the self-certification form to be true and correct. Add your signature, printed name, title, and date.
11. Lastly, save your changes, and ensure to download, print, or share the completed form as necessary before submitting it to the Department of Consumer Affairs.

Complete your INDUSTIAL LAUNDRY SELF-CERTIFICATION form online today to ensure compliance and maintain your business operations.