Form Dfs 303 PDF Details

For many individuals looking to enter or already working within specific professional sectors, the DFS-303 form serves as a critical step in ensuring their qualifications and abilities are recognized and certified by relevant authorities. From tattoo artists and body piercers, who need to prove their skill and adherence to health standards, to food service managers and handlers ensuring safe food preparation, this form encompasses a wide range of professions. It also includes those involved with the installation and inspection of onsite sewage systems, and individuals responsible for operating public swimming pools. Each profession listed on the form requires the applicant to provide detailed personal and employment information, alongside a fee, to be considered for either provisional or full certification. Moreover, the process underscores the importance of compliance with the Cabinet for Health and Family Services' regulations, with applicants needing to affirm that their work meets these stringent standards. This document not only facilitates the formal acknowledgment of an individual’s expertise and commitment to quality and safety in their field but also acts as a gateway to employment opportunities that demand certified professionals.

QuestionAnswer
Form NameForm Dfs 303
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDFS303 kentucky form dfs 303

Form Preview Example

DFS-303 (01/04)

County:

APPLICATION FOR CERTIFICATION/REGISTRATION TO:

TATTOO ARTIST

BODY PIERCER

TATTOO ARTIST/BODY PIERCER LIMITED EAR PIERCER

FOOD SERVICE MANAGER

FOOD HANDLER

INSTALL ONSITE SEWAGE SYSTEMS INSPECT ONSITE SEWAGE SYSTEMS OPERATE PUBLIC SWIMMING POOL

Social Security #

 

 

 

 

Alternate Certificate and #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

Fee Required

Check

Money Order

 

Cash

Master Plumber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Return Check or Money Order To:

 

Installer

 

Inspector

 

Attendant

 

 

Type:

 

 

Provisional

 

Full Certification

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer'sName

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone #

 

Est. #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify that all work performed by me will be in accordance with the requirements set forth by the Cabinet for Health and Family Services.

Signature of Applicant

Date

Authorized Representative

Name of Local Health Department

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This form requires specific information to be typed in, so make sure you take the time to provide what's requested:

1. Whenever filling out the Form Dfs 303, make sure to complete all of the essential fields in its associated form section. It will help to expedite the process, making it possible for your details to be processed fast and appropriately.

Filling in segment 1 in Form Dfs 303

2. Once your current task is complete, take the next step – fill out all of these fields - Return Check or Money Order To, Installer, Inspector, Attendant, Type, Provisional, Full Certification, Name, Address, City, Telephone, EmployersName, Address, City, and Telephone with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Form Dfs 303 writing process detailed (step 2)

3. The following step will be about Signature of Applicant, Date, Authorized Representative, and Name of Local Health Department - fill in all these blank fields.

Form Dfs 303 conclusion process shown (step 3)

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