This version of the form is not currently in use and is provided for reference only. Download this version of Form CDPH8695 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 CDPH8695?
A: Form CDPH8695 is the Application for Home Medical Device Retailer Exemptee License.
Q: Who needs to fill out Form CDPH8695?
A: Any individual or entity looking to apply for a Home Medical Device Retailer Exemptee License in California needs to fill out Form CDPH8695.
Q: What is a Home Medical Device Retailer Exemptee License?
A: A Home Medical Device Retailer Exemptee License is a license that allows individuals or entities to sell or distribute medical devices to the public in California.
Q: Should I fill out Form CDPH8695 for a new license or a license renewal?
A: You should fill out Form CDPH8695 for both a new Home Medical Device Retailer Exemptee License and a license renewal.
Form Details:
Download a fillable version of Form CDPH8695 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.