Form Cdph 8591 – Fill Out and Use This PDF

Form Cdph 8591 PDF Details

The State of California Health and Human Services Agency, under its Food and Drug Branch, mandates the completion of the CDPH 8591 form for cold storage or refrigeration facility license applications. This crucial document serves a broad spectrum of purposes, including new applications, renewals, relocations, and changes in ownership or combined ownership and location changes. Detailed in the form are fields covering basic identification of the firm applying, including any doing business as (DBA) names, contact details for both the facility and its correspondence, as well as specific operational data like 24-hour emergency contact numbers and interstate commerce activities. The type of ownership structure is also to be declared, covering a spectrum from individual/sole proprietorships to corporations and nonprofits, along with detailed information on owners or officers. Moreover, the form requires the disclosure of any other valid licenses or registrations issued by the Department of Public Health, amplifying its role in ensuring regulatory compliance. The application closes with sections for the applicant’s acknowledgment, signature, and payment details, highlighting its comprehensive nature in facilitating the licensure process. The form not only acts as a critical step towards obtaining the necessary operational permissions but also signifies the applicant's commitment to adhering to the standards set forth by the California Department of Public Health.