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DIVERSION APPLICATION 2026

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  1. Click ‘Get Form’ to open the DIVERSION APPLICATION in the editor.
  2. Begin by entering your personal information in the first section. Fill in your name, age, social security number, address, phone number, city, state, and zip code.
  3. In the following sections, provide details about your residency history and any relevant circumstances regarding your stay in Manhattan at the time of the offense.
  4. Continue by listing your employment details including where you work, your position, and previous job history. Be sure to include educational background and any treatment history if applicable.
  5. Complete the final sections by detailing any past offenses and explaining why you believe you should be granted a diversion. Ensure all fields are filled accurately to avoid denial.
  6. Finally, review your application for completeness before signing and dating it at the bottom. If needed, attach additional sheets for more information.

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Related links

Diversions

You may only use this site for the purpose of submitting a diversion request. Payment must be received before your request can be submitted for consideration.Read more

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doh-4330.pdf - New York State Department of Health

To obtain a controlled substance license, you must submit a License Application to Engage in a. Controlled Substance Activity (DOH-4330) to the DOH BureauRead more

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