Licensing Application Forms and Instructions
Due to the ongoing COVID-19 state of emergency, we ask that you email all license and registration applications to firstname.lastname@example.org for processing. If a licensing fee is required, please mail the application only (no ancillary documents) and your check to the address on the application.
New York State Public Health Law Article 33 requires a license, unless otherwise expressly provided, to be issued by the department of health to engage in controlled substance activity. Licenses are valid for two years from their effective date.
K9 Licensees and Applicants
The Bureau of Narcotic Enforcement no longer requires municipal police agencies to obtain a controlled substance license for their K9 units, pursuant to Public Health Law §3305(b). If a municipal police K9 unit is currently licensed, it need not submit a renewal application.
Non-municipal and private companies conducting canine training must still be licensed if they wish to possess, store, or utilize controlled substances.
- License Application to Engage in a Controlled Substance Activity (DOH-4330) and Instructions for Classes 1 through 11 (PDF) - Updated 3/24/2023
- Appendix A1: Class 4 & 7 Individual Researcher Protocol (PDF)
- Appendix A2: Class 5 & 7 Instructional Activities Protocol (PDF)
- Appendix B: Class 4 & 7 Institutional Researcher Statement (PDF)
- Appendix C: Class 8 Analytical Laboratory Protocol (PDF)
- Guideline for Registered Community Pharmacy (Retail Pharmacy) Operation of Automated Dispensing Systems in Residential Health Care Facilities Class 11 and 11A (PDF)
- Attestation of Compliance Automated Dispensing System (DOH-5290) (PDF)
- Manufacturers and Distributors Supervisor Attestation (DOH-5794) (PDF)
A separate application and fee is required for each license classification. Prior to the expiration date of your license, you will be provided with the materials necessary for renewal.
All sections of the application must be completed. A detailed description of the proposed storage of controlled substances must be completed.
Emergency Medical Services
Requirements for the utilization of controlled substances by Emergency Medical Services are contained in Section 80.136 of Title 10 regulations. These include requirements for the purchasing, possessing, delivering, administering and safeguarding of controlled substances. The Department of Health's Bureau of EMS reviews work plans and assists the Bureau of Narcotic Enforcement in processing license applications to engage in a controlled substance activity.