EHS Applications

EHS Applications

Welcome to EHS’s applications page. Please contact us if you have questions regarding what application(s) you need and the current fees.

A permit may be suspended or revoked by the Department of Public Health for cause. A permit is granted on the condition that the person in the permit will comply with the laws, ordinances, and regulations that are now or may hereafter be in force by the United States Government, the State of California, and the County of San Bernardino pertaining to the business.

The business owner is responsible for submitting payment prior to the health permit expiration date. Not receiving an invoice does not relieve responsibility for timely payment. Penalty fees will be applied if payment is not received within 30 days after the expiration date.

For program specific permits and applications, please visit the program.

Health Permit Application

EHS Current Fees

You can submit Temporary Food Facilities (TFFs) applications via:
Email: TFF@dph.sbcounty.gov
Fax: 909.387.4323
Mail: 385 N. Arrowhead Ave, 2nd Floor San Bernardino, CA 92415

You can submit all other applications via:
Email: EHS.CustomerService@dph.sbcounty.gov
Fax: 909.387.4323
Mail: 385 N. Arrowhead Ave, 2nd Floor San Bernardino, CA 92415

Type	Name
	Health Permit Application
	Body Art Practitioner Packet
	Application for Body Art Facility Plan Review
	Application to Sponsor a Temporary Body Art Event Health Permit
	Application for A Temporary Event Body Art Facility Health Permit

To learn more about this program, visit the webpage.

Massage and Body Art Practice

Type	Name
	Limited Service Charitable Feeding Operation Registration Form

To learn more about this program, visit the webpage.

Charitable Feeding Operations

Type	Name
	Application for Cottage Food Operations Registration/Health Permit
	Home Occupation Permit Application

To learn more about this program, visit the webpage.

Cottage Food Operations

Type	Name
	Health Permit Application
	Application for Semifrozen (Soft Serve) Milk Products Plant License
	Declaration for Food Facility Exemption at Temporary Events
	Form A – Commissary – Commercial Kitchen Agreement for Facilities Located INSIDE San Bernardino Co
	Form B Commissary-Commercial Kitchen Agreement Facilities Located OUTSIDE San Bernardino County ONLY
	Form C – Mobile Food Facility Operating Schedule
	Form D – Mobile Food Facility Authorization for Use of Restroom Facilities
	Request for a Rescore Inspection Form
	Application for Catering at Host Facility
	Application for Youth Sporting Event Snack Bar Health Permit
	Temporary Food Facility Event Organizer Health Permit Application
	Temporary Food Facility Vendor Health Permit Application
	Mobile Food Facility Written Operational Procedures

To learn more about this program, visit the webpage.

Food Facilities

Type	Name
	Health Permit Application
	Medical Waste Management Plan

To learn more about this program, visit the webpage.

Type	Name
	Health Permit Application

Type	Name	Category	Modified Date	Modified By
	Local Enforcement Agency Application for Service Request

Type	Name
	Application for Plan Review
	Mechanical Exhaust Data Sheet
	Plan Review Public Pool and Spa Specification Sheet
	Application for Body Art Facility Plan Review
	Preliminary Food Facility Checklist – Food Handling
	Preliminary Food Facility Checklist – Prepackaged
	Change of Ownership Application

To learn more about this program, visit the webpage.

Type	Name
	Health Permit Application
	Application for a Drained Swimming Pool/Spa Permit
	Incident Report – Fecal, Vomit, Blood Contamination, and Near-Drowning or Drowning

To learn more about this program, visit the webpage.

Recreation and Aquatic Facilities

To learn more about this program, visit the webpage.

Type	Name
	Well Permit Application
	Application for Backflow Prevention Assembly Tester
	Application for Well Drillers Registration
	Well Certification Application
	Notice of Intent to Extract or Divert Water

Safe Drinking Water

Type	Name
	Health Permit Application
	Form D–Mobile Food Facility Authorization for Use of Restroom Facilities

To learn more about this program, visit the webpage.

Type	Name
	Application For TFF Event Organizer Health Permit
	Application for TFF Vendor Health Permit
	Declaration for Food Facility Exemption at Temporary Event

Temporary Food Facilities

Type	Name
	Application for Liquid Waste Hauler
	Percolation Test Notification
	Onsite Wastewater Treatment System (OWTS) Permit Application/Transfer of Ownership
	Commercial Onsite Wastewater Treatment System (OWTS) Certification Form
	Residential Onsite Wastewater Treatment System (OWTS) Certification Form