Nys doh 3486i 2025

Show details

4.8 out of 5

126 votes

The document is a Disclosure of Ownership and Controlling Interest Statement from the New York State Department of Health's Wadsworth Center, intended for clinical laboratories applying for certification. It requires detailed information about the facility's ownership, including names, addresses, and social security numbers of individuals with significant ownership stakes. The form also includes declarations regarding any legal violations or criminal convictions related to the owners and asks if the facility is managed by another organization.

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 edit Nys doh 3486i in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting paperwork with our comprehensive and user-friendly PDF editor is straightforward. Make the steps below to complete Nys doh 3486i online quickly and easily:

Sign in to your account. Sign up with your email and password or register a free account to try the service before upgrading the subscription.
Upload a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Nys doh 3486i. Quickly add and underline text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your document.
Get the Nys doh 3486i accomplished. Download your updated document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to rapidly manage your paperwork online!

See more nys doh 3486i versions

We've got more versions of the nys doh 3486i form. Select the right nys doh 3486i version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2004	4.8 Satisfied (126 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the purpose of the Healthy New York program?

Healthy NY is a program designed to make reduced-cost, comprehensive health insurance available to small employers that do not provide health insurance to their employees.

What does the local health department do?

Local health departments investigate, plan for, respond to, and educate the community and key partners about water-, food-, and insect-borne diseases. Local health departments are an essential part of the process to ensure that food is safe to eat at home, at community events, in restaurants, and in schools.

What is the purpose of the New York State Department of Health?

The Department of Health is responsible for safeguarding the health of New York States residents. The department has direct authority over all health care institutions in the State covered by the Public Health Law, including hospitals, nursing homes, diagnostic and treatment centers, and many home-care providers.

What does the New York State Department of Health do?

The New York State Department of Health (State DOH) protects, improves, and promotes the health, productivity, public safety, and wellbeing of all New Yorkers.

What does the Department of health do in the US?

The mission of the U.S. Department of Health and Human Services (HHS) is to enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.