Department of Public Health - City and County of San Francisco, California Forms

This document is for regulated businesses in San Francisco, California to declare their workers' compensation coverage.

This form is used for applying for a compliance assessment regarding Article 38 in the City and County of San Francisco, California.

This document is for requesting a zoning referral for a health permit in the City and County of San Francisco, California.

This form is used for applying to become a concessionaire at the Farmers Market in San Francisco, California.

This document is a referral form for the Fire Marshal in the City and County of San Francisco, California. It is used for requesting the services or assistance of the Fire Marshal in matters related to fire safety and prevention.

This document is used for applying to become a retail food vendor at a certified farmers' market in the City and County of San Francisco, California.

This document is used for verifying the commissary, catering facility, or permitted kitchen for caterers in the City and County of San Francisco, California.

This form is used for applying for monitoring well construction or destruction, as well as soil borings, in the City and County of San Francisco, California.

This document is a form that allows City and County of San Francisco employees to reflect on their data use. It helps to track and analyze the impact of data-driven decisions in various departments of the organization.

This form is used for requesting changes to the formulary, or the list of covered medications, in the City and County of San Francisco's health insurance plan.

This form is used for conducting an initial risk assessment in the City and County of San Francisco, California. It helps identify potential risks and develop strategies to mitigate them.

This type of document is used for conducting a reassessment of adult or older adult individuals in the City and County of San Francisco, California.

This Form is used for summarizing the closing information of an adult or older adult in the City and County of San Francisco, California.

This Form is used for conducting a comprehensive assessment of adults and older adults in San Francisco, California. It helps gather important information about an individual's physical and mental health, as well as their living situation and support needs.

This type of document is a patient flyer for the BHS Adult Blood Pressure program in the City and County of San Francisco, California. It provides information and details about the program to help residents of San Francisco manage their blood pressure.

This document is for conducting a background check and obtaining clearance for an individual applying for a massage license in San Francisco, California.

This document is an application form used for requesting permission to construct or remove a production well in the City and County of San Francisco, California.

Este formulario se utiliza para presentar una queja o apelación ante la Ciudad y el Condado de San Francisco, California.

This form is used for assessing pediatric symptoms in children in the City and County of San Francisco, California. The Pediatric Symptom Checklist (PSC) is a tool to evaluate a child's emotional and behavioral functioning.

This document is a Bed Bug Complaint Report Form specific to the City and County of San Francisco, California. It is available in both English and Hindi. This form is used for reporting bed bug complaints to the city authorities for necessary action.

This document is for keeping a record of responses to bed bug complaints in San Francisco, California. It is written in Gujarati.

This type of document is a registration form for responding to bed bug complaints in the City and County of San Francisco, California.

This document is used for applying for a permit to operate a well in the City and County of San Francisco, California.

This document is used for declaring a non-profit sponsor or a for-profit temporary food facility in the City and County of San Francisco, California.

This document is used for calculating the fees for temporary food facilities in the City and County of San Francisco, California.

This document is a health worksheet for school-age children in San Francisco, California. It is used to obtain assent for making healthy choices.

This document is a worksheet for adolescents in San Francisco, California to provide their assent for participating in healthy choices programs.

This Form is used for notifying the City and County of San Francisco, California about the closure of a business. It provides the necessary information and documentation required for officially closing a business within the jurisdiction.

This Form is used for opting out or rescinding consent for the Care Quality Network Information Exchange in the City and County of San Francisco, California.

This Form is used for reporting tenant complaints in San Francisco, California. It is available in English and Chinese languages.

This Form is used for reporting tenant complaints in the City and County of San Francisco, California. It is available in English, Spanish, Chinese, and Filipino.

This document provides guidelines for the qualified facilities in San Francisco, California to develop a Tier I Spill Prevention, Control, and Countermeasure (SPCC) plan.

This form is used for applying for a permit to operate as an authorized backflow assembly tester in the City and County of San Francisco, California.

This document provides a report on the quality of behavioral health services in the City and County of San Francisco, California. It examines the standards of care provided and evaluates the overall quality of the services.