Permit Applications, Forms, and Information

Applications: (Application forms are below, scroll to bottom of page)
  • Application submissions are not electronic at this time.  Please print out and complete the application and/or form and return with the application fee.  
  • Any applications received after the December 31st deadline will be considered late and the annual fee will be doubled in amount.
  • "Non-Profit" applications received after the December 31st deadline will be considered late and a fee of $50.00 will be due.
  • Incomplete application packets submitted to the Board of Health will not be accepted and will be returned to the establishment address listed on the application.
  • **All event permit applications must be submitted to the Halifax Board of Health at least 30 days prior to any planned event opening date.
  • Any outstanding fees due by an establishment must be paid prior to a permit renewal. 
  • Failure to pay outstanding or late fees will result in non-renewal.
  • Operating with out a Permit:  The permit fee will be doubled for any business or individual operating without a permit.
Please be sure to enclose all required documents:
  • Completed, dated and signed permit application                 ***All must submit
  • Workers Compensation Insurance Affidavit                         ***All must submit
    • Workers Comp Reminder Affidavit REQUIRED: Mass. State Law [M.G.L. c 152 s 25 C (6)]
      • Any business or individual wishing to obtain a license or permit from any city or town agency must complete the appropriate workers' compensation insurance affidavit prior to receiving said license or permit.
      • No municipal authority shall issue a license or permit without first receiving a completed affidavit from the permitee/licensee.
  • Liability Insurance Certificate                                               ***All must submit
  • Workers Compensation Insurance Certificate                      *** If Applicable
  • A copy of State License                                                        *** If Applicable
  • Food Safety Certificate                                                         *** Food Services
  • Allergen Awareness Certificate                                             *** Food Services
  • Application Fee                                                                      ***All must submit (See fee schedule or contact office)
    • Documents Required at Time of Application Submission ".

Please make checks payable to the Town of Halifax and mail to the Halifax Board of Health, 499 Plymouth Street, Halifax, MA  02337.

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Application Forms: