Indoor Tanning Permit Issuing Officials
The New York State Department of Health Bureau of Community Environmental Health and Food Protection is responsible for the implementation of the Tanning Facility Program for the following counties:
- Bronx County
- Broome County
- Cattaraugus County
- Cortland County
- Erie County
- Kings County (Brooklyn)
- Livingston County
- Nassau County
- New York County (Manhattan)
- Niagara County
- Orange County
- Oswego County
- Queens County
- Rensselaer County
- Richmond County (Staten Island)
- Schenectady County
- Schoharie County
- Suffolk County
- Tompkins County
- Ulster County
- Westchester County
Permit Requirements
- DOH 3915: Application for a Permit to Operate (PDF, 103KB, 4pg.)
- DOH 4494: Tanning Facility Fee Determination Schedule (PDF, 60KB, 1pg.)
- Application Checklist (PDF, 50KB, 1pg.)
Other Required Information and Forms
- Tanning Hazards Information Sheet
- Tanning Facility Statement of Acknowledgement Form
- Tanning Facility Parental Consent Form
- Warning Sign (PDF, 72KB, 1pg.)
- Injury and Illness Report Form (PDF, 79KB, 1pg.)
Contact Information
Download and complete forms DOH 3915, DOH 4494 and the Application Checklist and mail to:
Center for Environmental HealthBureau of Community Environmental Health & Food Protection
Empire State Plaza-Corning Tower, Room 1395
Albany, New York 12237 518-402-7600
