Get Ca 79-012a(1) 2020-2026

The CA 79-012A(1) is an inedible kitchen grease transporter registration application that must be completed by businesses intending to operate as grease transporters in California. This guide will provide clear, step-by-step instructions to assist you in accurately filling out the form online.

Follow the steps to complete the registration application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the establishment number in the designated field. This number identifies your business with the Department of Food and Agriculture.
3. Next, indicate the date on which you are submitting the application. Ensure that this is filled out correctly.
4. Select whether this application is for a new registration or a renewal by checking the appropriate box.
5. Provide the name of your business and include a valid phone number for contact.
6. Fill in your mailing address, including city, county, and ZIP code.
7. Indicate whether the business is independently owned and operated by selecting 'Yes' or 'No.'
8. If the location address differs from the mailing address, provide it in the specified fields.
9. Enter the name of the owner, followed by their email address.
10. Provide the name and contact details (email, phone number, and title) of the applicant or contact person, if this differs from the owner.
11. List the driver names and their associated driver license numbers as per the transportation requirements.
12. Complete the vehicle information section, detailing the year, make, model, and license number of each vehicle.
13. Specify the type of grease being transported and provide the destination address for the grease.
14. Attach digital photographs of each vehicle showing the front, rear, and both side views to the application.
15. Ensure all information is accurately completed, as this is required before a license may be issued. If there are any changes in information, report these in writing as instructed.
16. Print the name of the authorized representative, include their title, and ensure they sign and date the application.
17. Once you have filled out all necessary sections, save your changes and download the form for your records.
18. Finally, mail the completed application along with the fee to the specified address. Consider printing it for your records.

Complete the CA 79-012A(1) form online today to ensure your compliance and registration as an inedible kitchen grease transporter.