NEW FOOD SERVICE ESTABLISHMENTProrated Fee amount: For (minus) Site Eval fee paid: Office Balance Due: Use Only Date Paid: Recpt #: PERMIT APPLICATION Environmental Health ServicesPhone: (607) 7372019CHEMUNG.

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How to fill out the NY EHS Permit Application - Chemung County online

Filling out the NY EHS Permit Application for Chemung County is a vital step for individuals seeking to operate a food service establishment. This guide will walk you through the process of completing the application form online, ensuring that you can submit your request efficiently and correctly.

Follow the steps to complete your permit application online.

  1. Click the ‘Get Form’ button to access the NY EHS Permit Application - Chemung County and open it in your preferred editor.
  2. Complete the Permit Application by filling in the necessary details. This includes the establishment type where you should check all that apply (e.g., restaurant, catering, mobile unit, etc.).
  3. In Section A, provide the facility information including the facility name, phone number, and mailing address. Additionally, state whether your operation is year-round or seasonal, and note your seating capacity.
  4. In Section B, fill out the owner/operator information. This includes the legal name of the operator or corporation and their contact details.
  5. In Section C, provide information regarding your worker’s compensation and disability insurance. Attach the necessary forms to demonstrate compliance.
  6. If applicable, complete Section D for seasonal establishments by providing your expected opening and closing dates.
  7. For mobile units or pushcarts, fill out Section E with the type of vehicle and commissary address where the food is prepared or stored.
  8. For vending machines or catering, complete Section F with the necessary commissary address and attach a list of vending locations and the food dispensed.
  9. In Section G, list any corporate officers or organization leaders involved in your establishment if it is operated under a corporation.
  10. Indicate whether you own or rent the building in Section H, and provide the necessary contact information.
  11. Sign and date the application in Section I to certify the accuracy of the information. Ensure that all required signatures are present.
  12. Finally, save your changes, then download, print, or share the completed application as needed.

Start filling out your NY EHS Permit Application online today to ensure you meet the necessary requirements.

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