Get Sc Dhec 1769 2023-2025

Filling out the SC DHEC 1769 form can be a straightforward process if you follow the steps carefully. This guide is designed to assist users in completing the Retail Food Establishment Application online, ensuring all required information is accurately provided.

Follow the steps to complete the SC DHEC 1769 form online.

1. Click the ‘Get Form’ button to access the SC DHEC 1769 form and load it for completion.
2. Provide the establishment name in the designated field.
3. Enter the establishment’s physical address, including the city and zip code, in the required fields.
4. Input the establishment’s phone number, ensuring you include the area code.
5. Fill out the email address that will be associated with the retail food establishment.
6. List the hours of operation for each day of the week. If the establishment is closed on certain days, indicate ‘Closed’ for those days.
7. Provide 24-hour emergency contact information, including name, email address, and phone number.
8. Enter the names of the permit holder or owners in the corresponding section.
9. If applicable, provide a billing address different from the physical address.
10. Indicate whether the facility is new, converted, remodeled, or a change of ownership by selecting the appropriate option.
11. Specify the type of retail food establishment by checking all applicable boxes.
12. Attach copies of the Certified Food Protection Manager certificate and Food Handlers certificate as required.
13. If applicable, provide information on any variance requests and attach documentation where necessary.
14. Include a menu or list of foods to be served with the application.
15. If relevant, attach a consumer advisory.
16. Identify the cooking processes used at the establishment by checking the appropriate box.
17. Provide details about the drinking water supply, specifying whether it is public or private.
18. Fill in information on the sewage disposal system, including provider details if using public facilities.
19. Provide details for refuse collection, including the name of the contractor.
20. If installed, include information about grease traps or interceptors.
21. Ensure that the application is signed by the owner or presiding officer, with the name printed and the date of submission noted.
22. Review the completed form for accuracy and ensure all required documents are attached.
23. Once everything is completed, you can save changes, download, print, or share the form as needed.

Complete your SC DHEC 1769 form online today to ensure a smooth application process.