Albany County, NY
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Albany County Department of Health
Maribeth Miller, Interim Commissioner
175 Green Street
Albany, NY 12202
Phone (518) 447-4580
Fax (518) 447-4698
Mon – Fri, 8:30 AM - 4:30 PM
Departments » Health » Programs & Services
Environmental Health Forms
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Children's Camps
- What to Consider when Choosing a Children’s Camp in NY:
Childrens' Camps in New York State Publication 3601 Rev 6/2008 (ny.gov) - Amusement Devices and Similar Equipment at Children’s Camps in NYS Fact Sheet:
Amusement Devices and Similar Equipment at Children's Camps in New York State, Fact Sheet, May 2015 (ny.gov) - Requirements for Children’s Camps in New York State:
Requirements for Children's Camps in New York State (ny.gov) - Children’s Camp Written Plan Checklist:
Children's Camp Written Plan Checklist (ny.gov) - Children’s Camp Illness or Injury Poster:
Children's Camp Program - Required Reporting for Injury and Illness (ny.gov) - NYS Children’s Camps Fact Sheet Swimming Requirements:
Children's Camps Swimming Fact Sheet (ny.gov) - Acceptable Annual Water Supply Start-Up Procedures for Seasonal Public Water Systems:
Seasonal System Start Up Procedures (ny.gov) - NYS Sex Offender Registry Search Procedures for Children’s Camps Fact Sheet:
NYS Sex Offender Registry Search Procedures for Children's Camps - Cardiopulmonary Resuscitation (CPR) Certification for NYS Children’s Camps and NYS Bathing Facilities:
CPR Certification Fact Sheet (ny.gov) - Counselors-In-training (CIT) for Children’s Camp Program:
Counselors-In-Training (CIT) for NYS Children's Camp Program - Children’s Camp Aquatics Director Qualifications:
Camp Aquatics Director Fact Sheet (ny.gov) - Prospective Children’s Camp Director Certified Statement:
Prospective Children's Camp Director Certified Statement (ny.gov) - Children’s Camp Facility and Staff Description:
Children's Camp Facility and Staff Description (ny.gov) - Children’s Camp Additional Staff Qualifications:
Children's Camp Additional Staff Qualifications (ny.gov) - Learn-to-Swim Programs for Children’s Camps:
Learn-to-Swim Fact Sheet (ny.gov) - Notice of Intent to Construct Enlarge or Convert a Facility:
Notice of Intent to Construct, Enlarge or Convert a Facility (ny.gov)
Day Care Centers
Fee Schedule
Food Service
Food Service Establishments
- NYS Environmental Health Regulations SubPart 14-1 – Food Service Establishments
- Application for a Permit to Operate a Food Service Establishment
- Worker’s Compensation Board Insurance Requirements
- Instructions for a Food Service Establishment Takeover
- Procedures for Opening a New or Modified Food Service Establishment
- Notice of Intent to Construct, Enlarge or Convert a Facility – DOH-154
- Application for Approval of Plans and Specifications for the Construction, Alteration or Remodeling of a Food Service Establishment
- Carbon Monoxide Detector Brochure
Temporary Food Service
- NYS Environmental Health Regulations SubPart 14-2 – Temporary Food Service Establishments
- Temporary Food Service Instructions
- Application for a Permit to Operate a Temporary Food Service Establishment
Mobile/Pushcart Food Service
Pools and Bathing Beaches
- Application for Approval of Plans and Specifications for Pools
- Application for a Permit to Operate
- Contamination of Regulated Swimming Pools
- Excessive Chlorine Levels: Bleaching of DPD Color
- Report on Operation of Swimming Pool
- Swimming Pool Safety Plan
- Swimming Pool & Bathing Beach Safety Plan Checklist: DOH-2286_032006 (ny.gov)
- Children's Camps Fact Sheet – Swimming requirements: Children's Camps Swimming Fact Sheet (ny.gov)
- Progressive Swimming Instructor for NYS Children's Camps: Progressive Swimming Instructor Fact Sheet (ny.gov)
- Requirement for Children's Camps - Subpart 7-2 of the State Sanitary Code: Title: SubPart 7-2 - Children's Camps | New York Codes, Rules and Regulations (ny.gov)
- Aquatic Certifications for NYS Bathing Facilities: Aquatic Certifications Fact Sheet (ny.gov)
- Use of Our Swimming Facilities Brochure for Temporary Residences: Use of Our Swimming Facilities (ny.gov)
- Engineering Report for Swimming Pool Plans: Engineering Report for Swimming Pool Plans (ny.gov)
- Report on Operation of Swimming Pool: DOH-1323 - Report on Operation of Swimming Pool (ny.gov)
- Engineering Report for Bathing Beaches: doh-2436_0604 (ny.gov)
- Written Notification for Supervision of Bating Facilities at Temporary Residences & Campgrounds: Written Notification for Supervision of Bathing Facilities at Temporary Residences & Campgrounds (ny.gov)
- Daily Report on Beach Operation: DOH-2287 - Daily Report on Beach Operation (ny.gov)
- Cardiopulmonary Resuscitation (CPR) Certification for NYS Children's Camps and NYS Bathing Facilities: CPR Certification Fact Sheet (ny.gov)
- Notice of Intent to Construct Enlarge or Convert a Facility: Notice of Intent to Construct, Enlarge or Convert a Facility (ny.gov)
Public and Private Water Supply and Wastewater Management
Private Wells
- Individual Water Supply (well) and Sewage Disposal System Layout Application (2024)
- Test Your Well: Protect Your Family’s Water
- Haga una prueba de su pozo Proteja el agua de su familia
- Flood Recovery: Restoring and Sampling Private Wells (ny.gov)
- Coliform Bacteria in Drinking Water Supplies (ny.gov)
- PFAS in Private Wells
- PFAS en pozos de agua privados
- In-home Water Filtration Options for Household Drinking Water (ny.gov)
- Testing, Operation and Maintenance of Residential Wells - Fact Sheet #7 (ny.gov)
- Recommended Residential Water Quality Testing
- Pruebas de calidad del agua recomendadas para uso residencial
- Individual Water Supply Wells: Water Storage - Fact Sheet 2 (ny.gov)
- Individual Water Supply Wells: Susceptible Water Sources - Fact Sheet #5 (ny.gov)
- NYS Dept of Health Information on Private Wells
- NYS Dept of Health Fact Sheets on Protection of Water Wells
Septic Systems
- Application for Commercial Wastewater Treatment or Public Sewer Extension
- Septic System Operation and Maintenance (ny.gov)
- Residential Onsite Wastewater Treatment Systems Design Handbook (ny.gov)
- Title: Appendix 75-A - Wastewater Treatment Standards - Residential Onsite Systems | New York Codes, Rules and Regulations (ny.gov)
- NYS Design Standards for Intermediate Sized Wastewater Treatment Systems
Public Water
- Application for Approval of Plans for Public Water Supply Improvement
- Application for Backflow Prevention Devices
- Boil Water Notices – Checklist for Residents and Homeowners
- Boil Water Notices -Additional Information for Residents and Homeowners (ny.gov)
- 10 States Standards - Recommended Standards for Wastewater Facilities (broward.org)
Realty Subdivisions
- Application for Approval of Sanitary Facilities for Realty Subdivisions
- Realty Subdivisions: Frequently Asked Questions (FAQ) (ny.gov)
- New York State Realty Subdivision Laws: Article 11, Title II Public Health Law (ny.gov)
- Title: Part 74 - Approval Of Realty Subdivisions | New York Codes, Rules and Regulations (ny.gov)
Snake, Venomous or Devenomed
Tanning Facilities
- Tanning Facilities Program Application Checklist
- NYS Dept of Health Tanning Facilities Program Fee Determination Schedule
- Application for a Permit To Operate
- NYS Worker's Compensation and Disability Insurance Fact Sheet
- Title: SubPart 72-1 - Tanning Facilities | New York Codes, Rules and Regulations (ny.gov)
- Tanning Facilities Statement of Acknowledgement (ny.gov)
- Departamento de Salud del Estado de Nueva York Declaración de conocimiento para instalaciones de bronceado (ny.gov)
- Warning Sign for Indoor Tanning Device (ny.gov)
- Emisión de equipos de bronceado RADIACIÓN ULTRAVIOLETA SIGA LAS INSTRUCCIONES (ny.gov)
- Tanning Hazards Information Sheet (ny.gov)
- Hoja informativa sobre los riesgos del bronceado (Spanish tanning operator fact sheet) (ny.gov)
- Indoor Tanning (ny.gov)
Tattoo Artists and Establishments
- Tattoo Packet Cover Letter
Addressed to Tattoo and/or Body Piercing Artists; Tattoo and/or Body Piercing Shop Owners; Interested Parties - Local Law No. 4 for 1999
A Local Law of the County of Albany, New York Regulating Tattooing and Body Piercing - Rules and Regulations
Final draft of Albany County Department of Health Tattoo and Body Piercing Rules and Regulations - Tattoo Shop Application
Application form for a tattoo and/or body piercing shop certificate of sanitation. The fee for this certification is $180.00 and is required to be renewed annually, initially; an additional Plan Review Fee of $180.00 is required. - Tattoo Artist Application
Application form for an individual tattoo and/or body piercing artist certification. The fee for this certification is $180.00 and is required to be renewed annually. Please notice that this application requires the submission of two (2) passport photographs and in order to be issued this certification, the applicant must also pass a written examination. An appointment to take the examination must be pre-arranged. - Form A - Record of Individual Tattooing/Body Piercing Procedure
- Consent by Parent or Guardian to the Body Piercing of a Minor-Form B-2012
- Consent to Tattooing-Body Piercing Procedure - Form C-2012
- Form D - Tattoo/Body Piercing Information Sheet
- Forms E and F - Guidelines for Tattoo and Piercing Aftercare Instructions
- Think Before You Ink: Tattoo Safety | FDA
- Worker Safety - Bloodborne Infectious Diseases | NIOSH | CDC
- Tattooing Minors is Against the Law : §260.21 of New York State Penal Law - Unlawfully Dealing with a Child in the Second Degree (ny.gov)
- Safe Sharps Disposal (ny.gov)
- Forma segura de desechar los objetos punzocortantes (ny.gov)
Temporary Residences (Hotel and Motels)
- Application for a Permit to Operate
- Notice of Intent to Construct, Enlarge or Convert a Facility (ny.gov)
- Use of Our Swimming Facilities (ny.gov) see also: Swimming Pool and Bathing Beach Section
- Temporary Residences (Hotels, Motels and Cabin Colonies) | New York Codes, Rules and Regulations (ny.gov)