Submit Intent-to-Apply Form

Thanks for your commitment to quality!

Interested in applying to QUALITYstarsNY? Complete the form below to indicate your interest submitting an application.

Please note, the form below is not the QUALITYstarsNY application. Once we receive your intent-to-apply form, we will make the QUALITYstarsNY application available to your program and provide instructions via email on how to complete and submit your application.

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Program Information

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Enter your license or permit number. If you have additional permits numbers or a BEDs code, check below. If you ONLY have a BEDs code you may enter it here.

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Which QUALITYstarsNY program are you interested in?

Your Contact Information


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