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Retail laundry self certification 2026

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  1. Click ‘Get Form’ to open the retail laundry self-certification in the editor.
  2. In PART I, enter your business's legal name and DCA license number if applicable. Provide the premises address where services will be performed.
  3. Indicate your role as the owner and specify the number of employees in your business. Check all applicable boxes regarding where laundry services will be provided.
  4. Move to PART II and check all boxes confirming compliance with relevant laws, regulations, and rules. Ensure you understand your responsibilities under these regulations.
  5. Complete Section 2 by indicating whether there are any outstanding judgments or warrants against your business or individuals named on the application.
  6. In PART III, certify that all information is true by signing electronically. If submitting a printed version, ensure you sign and date it before submission.

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