Hackensack, MT · Bergen County
Health License Renewal Application and Late License Surcharge Notice
Hackensack health license holders use this application to request renewal and review surcharge information for late renewals of food establishment and personal grooming licenses.
What this form is
This application is for renewing a Hackensack health license and asks for business, owner, operating contact, and establishment details. The accompanying notice says licenses expire March 1, renewals may begin February 1, and late renewals for food establishments and personal grooming establishments are subject to surcharges.
Who needs it
Hackensack food establishment and personal grooming license holders who are renewing a health license should use this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This renewal application is signed and dated without a notary; it mentions no sworn attachment or notarized related step.
How to submit this form
- 1
Download The Application
Download the health license renewal application and accompanying late surcharge notice.
- 2
Complete The Application
Provide the requested business, owner, operating contact, and establishment information, then sign and date the application.
- 3
Gather Attachments
The document does not identify any required attachments.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Health License Renewal Application?
- No. The application has a signature line and does not include a notary block or mention a sworn or notarized attachment.
- How do I submit the Health License Renewal Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- When are Hackensack health licenses due for renewal?
- The notice says licenses expire March 1 each year. Renewals may begin February 1 and should be completed before March 1.
- What late surcharges does the notice list?
- It lists surcharges for late food establishment and personal grooming renewals, calculated for each 30 days late. The amount depends on the license type and, for food establishments, the license amount.
Need something notarized?
This Health License Renewal Application and Late License Surcharge Notice doesn’t need a notary — but if you have another Hackensack form that does, a commissioned online notary can help.