Application for Sanitary Permit Instructions
This file contains essential information and instructions for applicants seeking a Sanitary Permit. It outlines the application process, required documents, and important regulations. Ensure to read through these details to facilitate a smooth application experience.
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How do I fill this out?
To fill out this form, begin by determining your application status. Ensure that all necessary documents and information are ready for submission. Follow the detailed instructions and complete each section legibly.

How to fill out the Application for Sanitary Permit Instructions?
1
Determine the status of your application and check the appropriate box.
2
Fill in the applicant and establishment information clearly.
3
Ensure all supporting documents are prepared for submission.
4
Submit the application form to the appropriate department.
5
Pay the necessary fees for processing and inspections.
Who needs the Application for Sanitary Permit Instructions?
1
Business owners applying for a new Sanitary Permit.
2
Establishments seeking to renew an existing Sanitary Permit.
3
Entrepreneurs who require a duplicate Sanitary Permit.
4
Individuals changing ownership of an existing establishment.
5
Managers updating the establishment's name.
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What are the instructions for submitting this form?
To submit this form, collect all completed documents and supporting information. You may submit via mail to the Division of Environmental Health at 155 Hesler Place, Hagatna, GU 96910. Alternatively, you can fax the completed form to (671) 922-2534 or email it to the provided DPHSS contact address. Make sure to retain copies for your records and pay the necessary fees.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include submission deadlines which are 30 days prior to your planned establishment opening. Stay informed about any updates or changes from the Department of Public Health and Social Services. Regularly check for notices regarding inspection schedules.

What is the purpose of this form?
The purpose of this form is to initiate the application process for obtaining a Sanitary Permit. It ensures that applicants provide all necessary information and documents for thorough review and inspection. Ultimately, it aims to uphold health standards and regulations within food services and public health sectors.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Name: The name of the individual completing the application.
- 2. Mailing Address: The address where communications regarding the application will be sent.
- 3. Telephone Number: Best contact number for any inquiries or issues.
- 4. Email: Contact email for electronic communication.
- 5. DBA Name: The 'Doing Business As' name for the company.
- 6. Company Name: Official name of the company as indicated on the Business License.
What happens if I fail to submit this form?
Failure to submit this form may result in a delayed application process. Your establishment cannot operate legally without the required permit. Continual non-compliance will attract fines and legal action.
- Application Delays: Not submitting on time can postpone your establishment's opening.
- Legal Consequences: Operating without a Sanitary Permit is against health regulations.
- Financial Penalties: Persistent issues can lead to increased fees or fines.
How do I know when to use this form?

- 1. Applying for a New Permit: Use when starting a new business that requires health compliance.
- 2. Renewing an Expired Permit: Necessary for continuing operations legally.
- 3. Changing Ownership: Required if the management or ownership of the establishment changes.
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