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Form DOH-5126 - EDRS Burial Transit Permit Fee Report - health ny-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Funeral Home Name and Location at the top of the form. This identifies the entity responsible for the burial transit permit.
- Input the Check Number if applicable. If you do not have a Death Registration Number, ensure to include the Decedent's Name and Date of Death in this section.
- Fill in the Date Permit Issued using the format mm/dd/yyyy. This is crucial for record-keeping purposes.
- Provide the Registration District Name, which refers to the City, Town, or Village where the death occurred.
- If known, enter the Registration Death Number and District Number in their respective fields.
- Complete the Name of Deceased field with Last and First names, followed by their Date of Death in mm/dd/yyyy format.
- Finally, fill in your name as Funeral Director along with your Registration Number before submitting.
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