Get Incorporation By Reference Certification

The Incorporation By Reference Certification is an essential document required by the New York State Department of State for any agency wishing to adopt material for official use. This guide provides step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to accurately complete the Incorporation By Reference Certification

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the name of the agency in the designated field labeled 'Agency Name'. This identifies the organization adopting the publication.
3. Next, provide the publication title in the 'Publication Title' field. Be clear and specific to ensure proper identification.
4. Fill in the volume number and volume title in the respective fields to specify the exact resources referenced.
5. Include the pertinent section or page numbers that relate to the adopted material. This helps locate the specific content within the publication.
6. Provide the author's name and the publication date in the corresponding fields to establish the credibility of the material.
7. Complete the publisher's name and address section to offer source information for the publication.
8. Enter the electronic location or source identification in the provided field which indicates where the material can be accessed, if applicable.
9. For the next part, summarize in detail any references in the 'Title NYCRR, sections' area, ensuring the information is precise.
10. State the facts that lead you to conclude that the referenced publication is reasonably available to regulated parties, as required.
11. Provide the basis for stating that reproduction and distribution of the material will not infringe on copyright, if applicable.
12. If submitting the original publication, check the appropriate section and ensure all documents are included with the submission.
13. Sign the certification in the designated 'General Counsel's Signature' area, ensuring that all information is accurate.
14. Finally, include your name, title, agency, and date to complete the certification.
15. After filling out the form, save your changes, download a copy, print it, or share it as required.

Complete your Incorporation By Reference Certification online today to ensure compliance with the New York State Department of State.