DHEC 1769 PDF Details

A fee applies; the amount is printed on the form.

New facility: the applicant shall submit a completed application for permit at least thirty (30) calendar days before the date planned for opening of the new facility.

Change of ownership: within fifteen (15) calendar days of a change of ownership, the applicant shall submit a completed application for permit.

Changes: if making changes in an existing permitted Retail Food Establishment, complete Change to Existing Retail Food Establishment Permit (D-1716) instead of this form.

QuestionAnswer
Form NameDHEC 1769
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out12 min
EditionRev 05/2023
Issuing agencySouth Carolina Department of Health and Environmental Control
Filing deadlineAt least thirty (30) calendar days before the date planned for opening of the new facility
Other namesDHEC 1769, DHEC1769, DHEC Form 1769, Retail Food Establishment Application
Official sourceDHEC 1769 (Rev 05/2023), South Carolina Department of Health and Environmental Control