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Form DOH-2178 Verification of EMS Certification - New York
What Is Form DOH-2178?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the Form DOH-2178?
A: Form DOH-2178 is the Verification of EMS Certification form in New York.
Q: What is the purpose of Form DOH-2178?
A: The purpose of Form DOH-2178 is to verify EMS certification in New York.
Q: Who needs to fill out Form DOH-2178?
A: EMS providers in New York who need to verify their certification.
Q: What information is required on Form DOH-2178?
A: Form DOH-2178 requires personal information, EMS certification details, and signature.
Q: Are there any fees associated with Form DOH-2178?
A: Yes, there is a fee of $10 for each verification request using Form DOH-2178.
Form Details:
- Released on April 1, 2014;
- 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-2178 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
