DOH-4330 - New York State Department of Health - health ny-2026

1. Click ‘Get Form’ to open the DOH-4330 application in the editor.
2. Begin by filling out the 'Applicant Information' section. Enter your legal name, contact information, and controlled substance license number if applicable.
3. Select the appropriate 'Application Type' by checking one of the boxes for new applications, name changes, address changes, or renewals.
4. In the 'License Classification' section, check only one box that corresponds to your business type (e.g., Manufacturer, Distributor).
5. Complete the 'Controlled Substance Schedule(s) to be Utilized' section by checking all applicable schedules from I to V.
6. Fill out the 'Storage of Controlled Substances' section by describing how you will store these substances securely.
7. If applicable, provide details about the supervisor of controlled substance activity and ensure all acknowledgments are read and signed.
8. Finally, review your entries for accuracy before submitting. Use our platform's features to save and share your completed form easily.

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