Indoor Tanning Permit Issuing Officials
The New York State Department of Health Geneva District Office is responsible for the implementation of the Tanning Facility Program in:
- Ontario County
- Wayne County
- Yates 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:
New York State Department of HealthGeneva District Office
624 Pre-Emption Road
Geneva, New York 14456-1334
(315) 789-3030
