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)
• DOH-4494: Tanning Facilities Program Fee Determination Schedule (PDF)
• Tanning Facilities Program Application Checklist (PDF)
• Workers' Compensation and Disability Insurance Requirements for Obtaining a Department of Health Permit

Other Required Information and Forms

• Tanning Hazards Information Sheet
• Tanning Facility Statement of Acknowledgement Form
• Warning Sign, available in both English and Spanish in Portable Document Format (PDF). The sign must be printed 11" x 17" or larger to meet the text size requirements specified in the New York State regulation.
• Injury and Illness Report Form (PDF)

Contact Information

Download and complete forms DOH-3915, DOH-4494, and the Application Checklist and mail to:

New York State Department of Health
Geneva District Office
624 Pre-Emption Road
Geneva, New York 14456-1334
(315) 789-3030