Form DOH-4387 Notification of Loss / Theft of Official New York State Prescriptions - New York

Form DOH-4387 Notification of Loss / Theft of Official New York State Prescriptions - New York

What Is Form DOH-4387?

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOH-4387?
A: Form DOH-4387 is the Notification of Loss/Theft of Official New York State Prescriptions.

Q: What is the purpose of Form DOH-4387?
A: The purpose of Form DOH-4387 is to report the loss or theft of official New York State prescriptions.

Q: What should I do if I have lost or had my official New York State prescriptions stolen?
A: If you have lost or had your official New York State prescriptions stolen, you should fill out Form DOH-4387 to report the incident.

Q: What information do I need to provide on Form DOH-4387?
A: On Form DOH-4387, you will need to provide your name, address, information about the lost or stolen prescriptions, and any additional details about the incident.

Q: Is there a deadline for submitting Form DOH-4387?
A: Yes, there is a deadline for submitting Form DOH-4387. It must be submitted within 48 hours of discovering the loss or theft.

Q: What happens after I submit Form DOH-4387?
A: After you submit Form DOH-4387, the New York State Department of Health will be notified about the loss or theft of your official New York State prescriptions.

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Form Details:

  • Released on July 1, 2012;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DOH-4387 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-4387 Notification of Loss / Theft of Official New York State Prescriptions - New York

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