N.Y. Comp. Codes R. & Regs. tit. 1, § 197.1
Applications by farm wineries, pursuant to subdivision 42 of section 16 of the Agriculture and Markets Law and subdivision 5 of section 76-a of the Alcoholic Beverage Control Law for authorization to manufacture or sell wine produced form grapes grown outside New York State; and certifications as to the quantity of New York grown grapes unavailable due to natural disaster, act of God or continuing adverse weather condition shall be made using the following form: