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 the DOH-4212 form?
A: The DOH-4212 form is the Emergency Pesticide Application Notification Exemption Reporting Form.
Q: Which state is the DOH-4212 form for?
A: The DOH-4212 form is for the state of New York.
Q: What is the purpose of the DOH-4212 form?
A: The purpose of the DOH-4212 form is to report exemptions for emergency pesticide applications.
Form Details:
Download a printable version of Form DOH-4212 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.