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Doh 4235-2026
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- Click ‘Get Form’ to open the doh 4235 in the editor.
- Begin with SECTION A, where you will input identifying information such as the facility name, address, and certificate number. Ensure all fields are filled accurately to avoid delays.
- Move to SECTION B. Here, indicate whether you are requesting an equivalency or waiver by selecting 'Yes' or 'No'. Provide necessary details regarding the equivalency issue or type of waiver being requested.
- In SECTION B, part II, explain why the proposed alternative is necessary. Use additional sheets if needed to provide comprehensive information.
- Complete SECTION C by signing and dating the form. Make sure your contact information is correct for any follow-up.
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