This version of the form is not currently in use and is provided for reference only. Download this version of Form CDPH8679O for the current year.
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CDPH8679O?
A: Form CDPH8679O is the Out-of-State Home Medical Device Retailer Registration Application in California.
Q: Who needs to fill out this form?
A: Out-of-state home medical device retailers doing business in California need to fill out this form.
Q: What is the purpose of this form?
A: The purpose of this form is to register out-of-state home medical device retailers with the California Department of Public Health.
Q: Are there any supporting documents required?
A: Yes, supporting documents such as a copy of the retailer's home state registration or license may be required.
Q: How long does it take to process this registration application?
A: The processing time for this registration application may vary. It is recommended to submit the application well in advance of doing business in California.
Form Details:
Download a fillable version of Form CDPH8679O by clicking the link below or browse more documents and templates provided by the California Department of Public Health.