
LETE APPLICATIONS WILL BE RETURNED See Page 2 for Instructions NEW APPLICANT RELOCATION OWNERSHIP CHANGE 1. Legal Name of Firm RENEWAL OWNERSHIP AND LOCATION CHANGE 9. Facility Operator (name and title) 2. DBA (List additional DBAs on separate sheet if necessary.) 10. Facility Telephone Number ( 11. Facility FAX Number ) ( 3. Facility Address (number, street) 12. 24-Hour Emergency Telephone Number 4. Facility Address (continued) ) 14. Correspondent (name and title) ( 5. City St.
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How to fill out the Cdph8678 online
The Cdph8678 is the cosmetic manufacturing registration application form used by the California Department of Public Health. Completing this form accurately is essential for obtaining the necessary registration for your business's cosmetic manufacturing operations.
Follow the steps to complete the Cdph8678 online.
- Click ‘Get Form’ button to access the Cdph8678 application. Ensure that you have a stable internet connection while obtaining the form online.
- Begin by indicating whether you are a new applicant, relocating, or undergoing an ownership change. Mark the appropriate box clearly.
- In the 'Legal Name of Firm' field, provide the full legal name of your business or organization as it appears in your incorporation documents.
- For the 'DBA' section, enter any other business names you may be using. If there are multiple names, list them on a separate sheet.
- Fill out the 'Facility Address' with the complete street address of your manufacturing facility, including the city, state, and ZIP code.
- If your mailing address differs from the facility's address, complete the 'Mailing Address' section with the relevant information.
- Provide the 'Facility Operator's' name and title, identifying the individual in charge of operations at the facility.
- Enter the facility's telephone number, ensuring it is a working daytime number. Include the area code.
- Complete the 'Facility FAX Number' section if applicable, noting that it is not mandatory.
- Input the '24-Hour Emergency Telephone Number' for immediate contact in case of an emergency related to the facility.
- In the 'E-Mail Address' section, provide a valid email for communication regarding the application.
- Identify the 'Correspondent' who will be the main contact for your application and include their telephone number and FAX number.
- Specify the county where your facility is located.
- If your facility is outside the United States, indicate the country in the appropriate field.
- Include the URL of your business website, if available.
- Select the appropriate type of ownership by marking the corresponding box and attach any required documentation.
- If applicable, enter the corporate name and state of incorporation, attaching necessary documents.
- List the names and titles of all owners or officers, using additional sheets if necessary.
- Provide the size of your facility in square feet and the number of employees working there, along with business hours.
- Enter your business license number and Seller’s Permit. Respond to the Fictitious Business Name question by marking 'Yes' or 'No' and attach required documents.
- Indicate all products you manufacture at the facility by checking the relevant boxes. Remember to attach the lists of ingredients and labels where required.
- Finally, sign the application, print your name, title, and include the date of signing.
- After completing the form, ensure you save your changes. You may then download, print, or share the completed form as needed.
Get started on your cosmetic manufacturing registration today by filling out the Cdph8678 online.
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