Form 1a - Application For Id Cards - District Of Columbia Department Of Health
Download a blank fillable Form 1a - Application For Id Cards - District Of Columbia Department Of Health in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 1a - Application For Id Cards - District Of Columbia Department Of Health with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF HEALTH
HEALTH REGULATION AND LICENSING ADMINISTRATION
Instructions on How to Apply for New/Renewal or Replacement
ID CARDS
(CFPM, SPO, MM, MT)
v All Candidates must obtain an application form:
o In person – Forms are available in the Processing Center in the lobby of the DOH building at 899 North
Capitol Street, NE; open Monday through Friday (except holidays) from 8:30 a.m. to 4:30 p.m. OR
o By email - Forms may be requested by sending an email to id.cards@dc.gov.
v All Candidates must complete the application process:
o In person – Present completed application, supporting materials, and payment to a DOH
representative in the Processing Center in the lobby of the DOH building at 899 North Capitol Street,
NE; open Monday through Friday (except holidays) from 8:30 a.m. to 4:30 p.m. OR
o By USPS mail - Completed application and supporting materials should be mailed with payment to
the address below.
v Payments
o If submitting a check (personal, business or certified) or money order, make it payable to DC Treasurer.
Money orders or checks cannot be older than 30 days.
o If a candidate is paying by credit/debit card, cardholder must do so, in person, in the Processing Center at
the time of payment.
CANDIDATES THAT ARE MAILING THIS FORM SHOULD EXPECT TO RECEIVE ID CARDS
BY EMAIL WITHIN FOURTEEN (14) BUSINESS DAYS AFTER SUBMITTING A COMPLETE
APPLICATION WITH ALL REQUIRED MATERIALS AND PAYMENT
ID Cards – Certified Food Protection Manager (CFPM)
(DCMR Title 25-A §§200.1, 203.1 203.3, and 3700)
1. All Food businesses (stationary and mobile) must have at least one (1) employee certified in food safety
present at all times.
Businesses selling only pre‐packaged, non‐hazardous foods are exempt from this requirement
2. These designated employees must pass a nationally-recognized food safety examination to obtain an official
DOH-issued Certified Food Protection Manager (CFPM) ID card.
3. The ID card must be posted within the food business where customers can view it.
4. ID Cards are valid for three (3) years from the date of the exam, after which the employee must complete and
pass another nationally-recognized food safety examination.
v To have CFPM ID Card emailed, an applicant must have submitted and/or presented:
a. A completed application form
b. Any copy (hardcopy or electronic copy) of national certificate along with test score from passing a
national exam
c. Payment in correct amount and in acceptable form
v Payment: New/Renewal = $35; Replacement = $15
P.O. Box 37489 * Washington, D.C. 20013 * Phone (202) 535-2180 * Fax (202) 535-1359
Form 1a
*Required information – application will not be processed if missing or incomplete
v8 - Sept 2017
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 1a - Application For Ncia Arbitrator Panel Status - Nairobi Centre For International Arbitration
Legal
Form 4507 - Application For Commercial Rehabilitation Exemption Certificate - Michigan Department Of Treasury
Financial
Form 4757 - Application For Commercial Facilities Exemption Certificate - Michigan Department Of Treasury
Financial
Form 8952 - Application For Voluntary Classification Settlement Program (vcsp) - Department Of Treasury
Financial
Related Categories
Parent category: Legal