Form DOH-5126 - EDRS Burial Transit Permit Fee Report - health ny-2026

1. Click ‘Get Form’ to open it in the editor.
2. 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.
3. 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.
4. Fill in the Date Permit Issued using the format mm/dd/yyyy. This is crucial for record-keeping purposes.
5. Provide the Registration District Name, which refers to the City, Town, or Village where the death occurred.
6. If known, enter the Registration Death Number and District Number in their respective fields.
7. Complete the Name of Deceased field with Last and First names, followed by their Date of Death in mm/dd/yyyy format.
8. Finally, fill in your name as Funeral Director along with your Registration Number before submitting.

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