Form nycrr 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Facility Name and Location in the designated fields. Ensure that all information is typed clearly.
3. Next, provide the Facility Owner’s Name along with their mailing address, city/town/village, county, state/zip code, telephone number, and email address.
4. If applicable, fill in the Facility Operator’s Name and Site Owner’s Name using the same format as above.
5. Indicate the Type of Redemption Center by checking all relevant boxes such as Dealer or Non-Profit.
6. List any dealers or distributors served by your facility. If more space is needed, attach additional pages.
7. Specify your Hours of Operation clearly for easy reference.
8. Confirm if you hold any other DEC permits or registrations and list them if applicable.
9. Indicate whether you have notified the local municipality about your facility's establishment and attach any necessary documents.
10. Complete the certification section by signing and dating the form to affirm that all provided information is accurate.

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