Indoor Tanning Permit Issuing Officials
The New York State Department of Health Watertown District Office is responsible for the implementation of the Tanning Facility Program in:
- Jefferson County
- Lewis 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 HealthWatertown District Office
Dulles State Office Building
317 Washington Street
Watertown, New York 13601-3741
(315) 785-2600