Form DOH-4204 Designation of Water Operator in Responsible Charge - New York

What Is Form DOH-4204?

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-4204?
A: Form DOH-4204 is the Designation of Water Operator in Responsible Charge form used in New York.

Q: What is the purpose of Form DOH-4204?
A: The purpose of this form is to designate a qualified water operator in responsible charge of a public water supply system in New York.

Q: Who needs to fill out Form DOH-4204?
A: Public water supply systems in New York are required to fill out this form to designate a water operator in responsible charge.

Q: How do I fill out Form DOH-4204?
A: You need to provide information about the public water supply system, including the system identification number, the name of the water operator in responsible charge, and the water operator's license number.

Q: Is there a fee for submitting Form DOH-4204?
A: No, there is no fee for submitting this form.

Q: What happens after I submit Form DOH-4204?
A: The form will be reviewed by the New York State Department of Health, and once approved, the designated water operator will be considered in responsible charge of the public water supply system.

Q: Do I need to renew Form DOH-4204?
A: Yes, the designation of the water operator in responsible charge needs to be renewed every three years by submitting a new Form DOH-4204.