Basic Business License Renewal Application (DOH) 2026

1. Click ‘Get Form’ to open the Basic Business License Renewal Application in the editor.
2. Begin by entering your Basic Business License number in the designated field at the top of the form.
3. Select your renewal option: 'Renew with No Changes', 'Renew with Updated Billing/Premise Information', or 'Cancel'. Depending on your choice, complete the relevant sections (A, B, C, D, and E).
4. If renewing with updated information, fill out Section A for Health Licensing Applicants, including inspection type and date. Ensure you provide the inspector's name and signature approval.
5. In Section B, update your billing information by providing your full name, address, phone number, and email.
6. For premise updates in Section C, enter the new premise address along with supporting documentation details.
7. If canceling in Section D, specify the reason for cancellation and provide any necessary details.
8. Finally, complete Section E by signing the Clean Hands Statement and entering your name and Federal EIN or SSN. Review all entries for accuracy before submitting.

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