Get Ny Ehs Permit Application - Chemung County 2013

Filling out the NY EHS Permit Application for Chemung County can seem daunting, but this guide will help you navigate the process with ease. Follow the step-by-step instructions to ensure that your application is completed accurately and efficiently for your food service establishment.

Follow the steps to complete your NY EHS Permit Application online.

1. Click the ‘Get Form’ button to access the NY EHS Permit Application. This will allow you to download and open the form for online completion.
2. Begin filling out Section A, which requires facility information. Provide the name of your establishment, contact information, and address. Make sure to indicate the operation type and seating capacity.
3. In Section B, enter the legal operator or operating corporation details. Include your social security number or EIN, along with the operator and owner's addresses and contact information.
4. Section C is for Worker’s Compensation and Disability Insurance Information. Check the applicable insurance options and ensure you attach proof of coverage or complete the exemption form if necessary.
5. If applicable, complete Section D for seasonal food service establishments. Provide expected opening and closing dates and a description of the food to be served.
6. For mobile food service units or pushcarts, fill out Section E by describing the type of vehicle and commissary address.
7. If you are operating vending or catering services, complete Section F, detailing the commissary address and listing all vending machine locations.
8. Section G requires you to list corporate officers or organization leaders involved in the operation. Attach additional pages if necessary.
9. In Section H, specify whether you own or rent the building where your establishment will operate, along with the contact phone number for the building owner or landlord.
10. Finally, ensure Section I is completed with a signature from the operator, certifying the information provided is accurate. Make sure to date the application before submission.
11. After completing the form, save your changes. You can then print, download, or share the application as needed and submit it to the Chemung County Health Department.

Complete your NY EHS Permit Application online today to ensure timely processing and compliance with health regulations.