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Get Ny Doh-3848 2015-2025
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How to fill out the NY DOH-3848 online
This guide provides step-by-step instructions for completing the NY DOH-3848, a controlled substances semi-annual report for emergency medical services agencies. By following these steps, users can efficiently fill out the form with accuracy and confidence.
Follow the steps to complete the form online:
- Click 'Get Form' button to obtain the form and access it in the editor.
- Fill in the reporting period at the top of the form. Make sure to indicate whether it is from January 1 to June 30 or July 1 to December 31.
- Enter the agency name, NYS agency code, NYS CS license number, business phone, address, city, state, county, and zip code in the respective fields.
- For each controlled substance, fill in the name, dosage form (in mg/unit), total quantity received from the DEA registrant, total quantity administered and wasted, total quantity lost (attach a loss report using DOH-2094), and total quantity accounted from records.
- Complete the physical inventory count for stocks and sub stocks.
- Indicate the total number of EMS responders authorized to administer controlled substances, breaking it down into EMT-P and EMT-CC.
- Certify that you have conducted a physical inventory of the controlled substances listed. Include your name, signature, and date.
- Fill in the name, signature, and date for the CEO of the agency.
- After you have completed all required fields, save your changes. You can then download, print, or share the form as needed.
Complete your documents online to ensure timely submission of the NY DOH-3848.
When starting a new job, employees must complete essential forms to kickstart their employment correctly. This includes the NY DOH-3848 for health coverage, a W-4 for tax purposes, and an I-9 to confirm work eligibility. These forms are vital for both compliance and ensuring that you receive the correct benefits from the start of your employment.
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