Inspection Request

Submit your request for an inspection using the form below. NOTE: Per the NYS Department of Health, each business or entity must have a written Safety Plan outlining how its workplace will prevent the spread of COVID-19.

Address of the inspection.

Name of person to contact when inspection is onsite.

Please provide a phone number for the Site Contact.

The email address to whom an email should be sent to confirm the scheduled inspection sppointment.

Select the type of inspection from the drop-down list (optional).

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The date you will be ready for this inspection.

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Use this space for special requests or other information that might be helpful to the office or inspector.

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