HYP renewal form (Rev 6 2012) smaller size doc-2026

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  1. Click ‘Get Form’ to open the HYP renewal form in the editor.
  2. Begin by entering the 'Name of Hypodermic Needle & Syringe Permit' in the designated field. Ensure that this matches your current permit details.
  3. Next, input your 'License Number' accurately. This is crucial for processing your renewal request.
  4. Fill in your 'Address' and 'Telephone Number'. Double-check for any typos to avoid communication issues.
  5. Indicate the 'Expire Date' of your current permit. This helps ensure timely processing of your renewal.
  6. In the certification section, ensure that the appropriate individual signs—this could be you as an owner, a partner, or a corporate officer. Include their printed name and date.

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