Doh 1881-2026

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  1. Click ‘Get Form’ to open the doh 1881 in the editor.
  2. Begin by selecting the type of service you are affirming compliance for: either 'Ambulance Service' or 'ALS First Response Service'.
  3. Enter the Current Operating Certificate Expiration Date, followed by the Name of Service and NYS EMS Agency Code.
  4. Fill in your agency's Address, City, State, and Zip code accurately.
  5. Provide the Contact Person's name, E-mail address, Work Phone Number, and any Additional Phone Number if applicable.
  6. Review the certification statement carefully before signing. Ensure all vehicles listed comply with state requirements.
  7. Complete the Notary Public section at the bottom of the page once all information is filled out.
  8. On the next page, list all new vehicles or those for agency recertification as required. Indicate if new certification logos are needed.

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