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  • Ny Ehs Permit Application - Chemung County 2017

Get Ny Ehs Permit Application - Chemung County 2017

NEW FOOD SERVICE ESTABLISHMENTProrated Fee amount: For (minus) Site Eval fee paid: Office Balance Due: Use Only Date Paid: Recpt #: PERMIT APPLICATION Environmental Health ServicesPhone: (607) 7372019.

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How to fill out the NY EHS Permit Application - Chemung County online

This guide provides a step-by-step overview of how to successfully complete the NY EHS Permit Application for Chemung County online. It is designed to assist users at all levels of experience through the process of filling out the necessary information accurately.

Follow the steps to complete the application efficiently.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Begin filling out the application by providing the establishment type. Check all applicable boxes, such as Restaurant - Full Service or Catering - Off Premise.
  3. In Section A, complete all required facility information, including the facility name, address, and water supply details. Choose whether the establishment is year-round or seasonal and indicate the seating capacity.
  4. In Section B, fill in the owner or operator information. This section require details like the legal name, email address, and phone numbers. Indicate if the owner information is the same as the operator’s.
  5. In Section C, provide information regarding worker’s compensation and disability insurance. Specify which forms you will attach as proof of insurance.
  6. Complete any applicable sections based on your establishment type, such as Section D for seasonal establishments, Section E for mobile units or pushcarts, and Section F for vending machines.
  7. If applicable, fill out Section G with the names and titles of corporate officers or organization leaders involved in the facility's operation.
  8. In Section H, indicate whether you own or rent the building and provide the contact phone number for the property owner if renting.
  9. Sign and date the application in Section I. Ensure that all information is accurate, as false statements may be legally punishable.
  10. Finally, review the completed application, save your changes, and then download, print, or share the form as needed before submitting it.

Start completing your NY EHS Permit Application online today.

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NY EHS Permit Application - Chemung County
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