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235709

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This document is used for tracking cases of influenza, influenza-like illnesses, and upper respiratory illnesses in New York. It helps in monitoring the spread and impact of these illnesses.

This Form is used for documenting and tracking cases of skin infections in New York. It helps in monitoring the spread of infections and implementing necessary preventive measures.

This form is used for the management contract statement and certification in the state of New York. It is a document that must be completed and submitted according to state regulations.

This Form is used for applying to become a Preferred Provider Organization (PPO) under Workers' Compensation in New York.

This form is used for members in New York to request specific protected Medicaid health information.

This form is used for providers in New York to certify their contract statement and eligibility.

This form is used for filing a complaint related to healthcare services in New York. It is available in Haitian Creole language.

This document is a complaint form used in New York for submitting grievances.

This form is used for lodging complaints in New York and is available in Arabic language.

This Form is used for Water System Operators in New York to apply for the renewal of certification.

This form is used for applying for a Certificate of Approval for bottled or bulk water facilities in New York.

This Form is used for applying for approval of plans for a new public water supply improvement in the state of New York.

This Form is used for applying for a Certificate of Waiver from disinfection requirements in New York.

This Form is used for determining the plan review fee schedule in New York for various projects.

This form is used for certification of lead and copper materials and for applying for a waiver from lead and copper sampling in New York.

This form is used for applying for approval of sanitary facilities for a single lot in an unapproved realty subdivision in New York.

This form is used for obtaining an engineer's certification of the completion of a public water improvement project in New York. It is a requirement to ensure that the project has been completed according to the necessary standards and specifications.

This form is used to apply for a specific waiver for residential on-site wastewater treatment systems in New York.

This form is used for the engineer's certification of technical requirements for the design of ultraviolet (UV) facilities for disinfection of a public water supply in New York.

This form is used for applying for a specific waiver for the installation or replacement of residential on-site water supply systems in New York.

This form is used for submitting a Water System Operation Report by public water systems in New York that treat water with chlorine and/or fluoride. It provides instructions for completing the form and reporting the necessary information.

This form is used for reporting the monthly operation of bottled water facilities in the state of New York.

This form is used for recording percolation test data in New York. It helps to assess the ability of soil to absorb water.

This form is used for conducting a Level 1 assessment for the Total Coliform Rule in New York. It helps ensure the safety of drinking water.

This form is used for the Sparcs Data Agreement Notification in New York. It is a notification form related to data agreements in the healthcare field.

This form is used for conducting an environmental assessment of water systems in healthcare settings in New York. It helps in evaluating the quality and safety of water used in healthcare facilities.

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