Do I need a notary for the Environmental Health Permit Application?

No. The application has a signature and date line but no notary block. The form lists no sworn attachment or notarized related step, so the applicant just signs and dates it.

How do I submit the Environmental Health Permit Application?

Submit it to the Environmental Health Division of the Department of Public Health Services at 2700 “M” Street, Suite 300, Bakersfield, CA 93301. The form says permit fees must accompany the application.

What information does the application request?

It requests owner or operator and facility information, mailing and billing details, ownership type, and applicable permit categories. Hotel or motel applicants can provide the total number of rooms.

When does the form say the permit is required?

The form states that approval of the application and issuance of an Environmental Health Permit are required before commencing operation.

Kern County, CA · Kern County

No notary required

Environmental Health Permit Application Form

This application requests an Environmental Health Permit and collects owner, operator, facility, billing, and permit-type information from Kern County businesses.

At a glance

Issued by: City of Kern County · Kern County, Kern County, California
Notarization: Not required: file this form without a notary.
Official source: kerncounty.com
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The form is for businesses seeking an Environmental Health Permit, including applicants who check the Hotel/Motel category and enter the total number of rooms. It collects owner and operator details, facility and mailing addresses, billing preferences, ownership type, and applicable permit categories. The form states that approval and permit issuance are required before operations begin, and that permit fees must be submitted with the application.

Who needs it

Owners or operators of businesses applying for an Environmental Health Permit, including hotel or motel facilities, should complete this form.

How to submit it

Submit the application to the Environmental Health Division of the Department of Public Health Services, 2700 “M” Street, Suite 300, Bakersfield, CA 93301. The form says permit fees must be submitted with the application.

About notarization

This application is signed and dated without a notary; the form lists no sworn attachment or notarized related step, so the applicant just signs and dates it.

How to submit this form

1
Download the Application
Download the Environmental Health Permit Application Form.
2
Complete the Form
Enter the owner or operator, facility, billing, and ownership information, and check the applicable permit categories.
3
Gather the Permit Fee
The form states that permit fees must be submitted with the application.
4
Submit to the County
Submit the application to the Environmental Health Division at 2700 “M” Street, Suite 300, Bakersfield, CA 93301.

Frequently asked questions

Do I need a notary for the Environmental Health Permit Application?: No. The application has a signature and date line but no notary block. The form lists no sworn attachment or notarized related step, so the applicant just signs and dates it.
How do I submit the Environmental Health Permit Application?: Submit it to the Environmental Health Division of the Department of Public Health Services at 2700 “M” Street, Suite 300, Bakersfield, CA 93301. The form says permit fees must accompany the application.
What information does the application request?: It requests owner or operator and facility information, mailing and billing details, ownership type, and applicable permit categories. Hotel or motel applicants can provide the total number of rooms.
When does the form say the permit is required?: The form states that approval of the application and issuance of an Environmental Health Permit are required before commencing operation.

Need something notarized?

This Environmental Health Permit Application Form doesn’t need a notary, but if you have another Kern County form that does, a commissioned online notary can help.