This version of the form is not currently in use and is provided for reference only. Download this version of Form DOH-2828 for the current year.
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.
Q: What is form DOH-2828?
A: Form DOH-2828 is the EMS Agency Personnel Roster.
Q: Who needs to fill out form DOH-2828?
A: EMS agencies in New York need to fill out form DOH-2828.
Q: What information is required on form DOH-2828?
A: Form DOH-2828 requires information about the EMS agency's personnel.
Q: Is form DOH-2828 specific to New York?
A: Yes, form DOH-2828 is specific to EMS agencies in New York.
Form Details:
Download a fillable version of Form DOH-2828 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.