Get Ca Sf Dph Sole Practitioner Establishment Permit Application 2019-2025

Completing the CA SF DPH Sole Practitioner Establishment Permit Application online can seem daunting, but this guide provides clear, step-by-step instructions to help you navigate the process smoothly. By following these directions, you can ensure that your application is completed accurately and submitted successfully.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by filling out the application section on page 2. Include the date of application, type of establishment, business name, trade name (DBA), address, and facility ID number if applicable. Ensure your contact details, including email and business phone number, are accurate.
3. In the 'Owner Information' section, provide the name of the person to whom the permit will be issued or the corporation name, along with the home address and birthdate of each applicant.
4. Fill in the questions regarding any past felony or misdemeanor convictions, providing additional details as necessary. Attach any required documentation if the answer is 'Yes.'
5. Complete the 'Written Operational Procedures' section on page 3, describing the nature of services provided by your practice. Attach a detailed floor plan as indicated.
6. For page 4, compile the list of practitioners who will work at your establishment. Ensure to attach copies of their respective licenses or certificates.
7. Complete the referral forms on pages 5 and 6 for both the fire marshal and planning departments. These sections require specific information about your facility.
8. Fill out the San Francisco Police Department background check form on page 8. It must be submitted in person along with the required payment.
9. Collect other necessary documents outlined in the instructions, such as a copy of the lease or deed, business registration certificate, and identification.
10. Review your completed application for accuracy, ensuring all fields are filled, and necessary documents are attached. Save your changes, then download, print, or share the completed form as required.

Start your application online today to ensure timely processing and avoid delays.