irp21.pdf
Download irp21.pdf (41.72 KB)
File name:
irp21.pdf
Form ID:
IRP-21
Purpose:
For NY IRP account holders requesting 30-day temporary authority while NY IRP application is being filed. Application forms and this form must be faxed to (518) 486-6579. See IRP instruction manual for more information.
Form title:
IRP Temporary Authority (TA) Request Form (Attachment B)