Get Oil Spill Relocation Program - Relocation Application - Health Ny

This guide provides users with a comprehensive overview of how to accurately complete the Oil Spill Relocation Program - Relocation Application online. It outlines each step and section of the form to ensure you provide the necessary information clearly and effectively.

Follow the steps to complete your application accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in your document editor.
2. Fill in the 'Spill No.' field with the relevant spill number associated with your application. Ensure this information is accurate.
3. In the 'Spill Name' section, enter the name of the spill as it appears in related documentation.
4. Next, complete the 'Applicant Name and Address' section with your personal information and a contact phone number. This identifies you as the applicant.
5. Sign the application in the designated 'Applicant Signature' area and indicate the date of signing.
6. Select the type of building by checking one or more options provided: residential, commercial, single family, or multiple unit. For multiple units, specify the number of units.
7. Indicate whether the building is owner-occupied or rented.
8. Fill in the 'Building Owner' name and their contact phone number.
9. Describe the building's location concerning the spill in the designated area.
10. Provide the basis for your application, detailing specific circumstances related to the spill.
11. Describe any odors observed in the appropriate section.
12. If organic vapor monitoring was performed, indicate 'Yes' or 'No'. If yes, provide details about the instrument used, the sampler's affiliation, and the calibration date.
13. Include the name of the sampler and results from the monitoring in the designated areas. Additionally, note any factors affecting the results.
14. Indicate whether air sampling was performed with a 'Yes' or 'No'. If an occupant profile questionnaire was completed by an occupant, indicate accordingly.
15. Complete the section for the person who filled out the application, providing their name, date, agency/title, and contact number.
16. Once all fields are filled, review your information for accuracy. Save changes, and if required, download or print the application.
17. Prepare the completed application for submission to the Bureau of Toxic Substance Assessment as directed.

Complete your Oil Spill Relocation Program application online today to ensure your request is processed promptly.