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CDPH 8610 PFR North App 0609. formcodes - cdph ca-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by selecting whether you are a new applicant, renewal applicant, or if there has been an ownership change. Mark the appropriate box.
- Enter the full name of your firm in the 'Name of Firm' field and any DBA names in the 'DBA' section.
- Fill in the facility address, including street number, city, state, and ZIP code. If your mailing address differs, provide that information as well.
- Complete contact details such as business operator's name and title, telephone number, fax number, and email address.
- Indicate the type of ownership by checking the appropriate box and list owners’ or officers’ names and titles.
- Specify the type of activity your facility engages in by marking all applicable boxes under 'Type of Activity'.
- Select a payment code based on your facility size and activities performed. Ensure you check only one box from A to M.
- Finally, sign and date the application before submitting it through our platform for processing.
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