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Health Department Permit Holder Contact Information Update form

  1. Identifying Information
  2. Input your permit ID. This can be found in the center of your permit and is typically 3-4 letters followed by 3-4 numbers. For example, a food service establishment permit would typically by FDS#### and a dumpster permit would be DUMP####.

  3. Enter new contact information below
  4. Leave This Blank: