CDPH 8610 PFR North App 0609. formcodes - cdph ca-2026

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The document is a Processed Food Registration Application from the California Department of Public Health, intended for processors, manufacturers, repackers, and warehousers of processed food. It outlines the necessary information required for registration, including business details, facility addresses, ownership types, and applicable fees. The application must be completed fully to avoid being returned, and it includes instructions for new applicants and renewals. Additionally, it specifies penalties for late payments and provides contact information for further inquiries.

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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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