Doh 5025 form-2026

The document is an Engineer’s Certification form from the New York State Department of Health Bureau of Water Supply Protection, used to request approval for the completion of a public water improvement project. It includes sections for project details, construction dates, and certification by an engineering firm that the project was completed according to approved plans. The form also outlines submission instructions based on whether the project received Drinking Water State Revolving Fund approval.

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out doh 5025 form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the doh 5025 form in the editor.
Begin by entering the Public Water System Name in the designated field. This is crucial for identifying your project.
Fill in the Project Location, specifying the City, Town, or Village where the project is situated.
Indicate whether this is a Drinking Water State Revolving Fund (DWSRF) Project by selecting 'Yes' or 'No'. If 'Yes', provide the DWSRF Project Number.
Check all applicable boxes regarding plans approved by NYSDOH BWSP, including options for Regional Office and District Office.
Enter both the Construction Start Date and Substantial Construction Completion Date accurately.
Provide a brief Project Description that outlines key details of your public water improvement project.
Affix your NYS Engineer's Seal and Signature at the bottom of the form after certifying completion according to approved plans.
If there are any deviations from approved plans, document them in the provided section or attach additional sheets as necessary.

Start using our platform today to fill out your doh 5025 form online for free!

See more doh 5025 form versions

We've got more versions of the doh 5025 form form. Select the right doh 5025 form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (37 Votes)
2011	4.3 Satisfied (55 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Can I sign my doh 5025 form with my mobile phone?

Yes, it is possible with DocHub. This trustworthy and compliant online service has a phone-based signing option. After you log in to your DocHub account and add your doh 5025 form to our editor, fill out all blank areas and utilize the Sign feature on the top barf. Click on Create your signature and select Phone from the available choices. Here, you scan a QR code with your smartphone and draw your signature on your phone screen, as you normally do when approving physical papers. If you access DocHub right from your mobile device, you can eSign your template by drawing your electronic signature, uploading its photo, or simply with a typed name.

Can I edit doh 5025 form on my phone?

As a comprehensive document modifying platform, DocHub is available on mobile devices. Open DocHub in your choice of mobile internet browser and use our intelligent mobile-friendly toolset to fill out your doh 5025 form.