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Form DOH-4301 Lead and Copper Materials Certification Form and Application for Waiver From Lead and Copper Sampling - New York
What Is Form DOH-4301?
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 the Form DOH-4301?
A: The Form DOH-4301 is the Lead and Copper Materials Certification Form and Application for Waiver From Lead and Copper Sampling in New York.
Q: What is the purpose of the Form DOH-4301?
A: The purpose of the Form DOH-4301 is to certify that the materials used in the water system meet the lead and copper requirements and to request a waiver from lead and copper sampling.
Q: Who needs to fill out the Form DOH-4301?
A: Water systems in New York that are subject to lead and copper sampling requirements need to fill out the Form DOH-4301.
Q: Is the Form DOH-4301 specific to New York?
A: Yes, the Form DOH-4301 is specific to New York and is used to comply with the lead and copper sampling requirements in the state.
Q: What information is required on the Form DOH-4301?
A: The Form DOH-4301 requires information such as the water system identification, contact information, materials used, and a request for waiver from lead and copper sampling.
Q: Are there any fees associated with the Form DOH-4301?
A: There are no fees associated with the Form DOH-4301.
Q: Can I request a waiver from lead and copper sampling with the Form DOH-4301?
A: Yes, the Form DOH-4301 includes an application for waiver from lead and copper sampling.
Q: What should I do with the completed Form DOH-4301?
A: The completed Form DOH-4301 should be submitted to the appropriate office indicated on the form.
Form Details:
- Released on January 1, 2005;
- 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-4301 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
