HomeMy WebLinkAboutveteran-exemptions-form-accessible-adaVeteran's Exemptions
Application for Exemption from Permit Fees under Business and Professions Code (BPC) Section
16102. Every soldier, sailor, or marine of the United States who has received an Honorable
Discharge or a Release from active duty under Honorable Conditions from such service may
hawk, peddle and vend any goods, wares or merchandise owned by him, except spirituous, malt,
vinous or other intoxicating liquor, without payment of any license, tax or fee whatsoever, whether
municipal, county or State, and the board of supervisors shall issue to such solder, sailor or
marine, without cost, a license therefore. Alameda County may review these documents annually
to maintain accuracy. Submit completed forms to dehwebbilling@acgov.org or mail to the
address above to the attention of the Mobile Food Program. Please note active duty cannot be
Active Duty for Training.
Submitted By / Date:Email Address:
Veteran's Name:Home Phone Number:Business Phone Number
Home Address:
Business Name, Address, and Description:
To be considered for an exemption from the Alameda County Environmental Health
Department permit fees, under BPC Section 16102 referenced above, all documents listed below
are required to be submitted to this department for review by the authorized Registered
Environmental Health Specialist (REHS)
DD 214
Valid Government Issued Identification
Valid Business License
Valid Seller’s Permit (business must be a sole proprietorship in the veteran’s name)
Branch of Service:
U.S.
Army
U.S.
Navy USMC U.S. Air
Force
U.S. Coast
Guard
U.S. Public Health
Service
Determination:
Approved Not Approved
I declare and certify under the penalty of PERJURY, by the Law of the State of California, that the
foregoing is TRUE. I understand that I am NOT eligible for consideration for a Veteran Exemption, if I
engage in the sale of “Spirituous, Malt, Vinous and or other intoxication liquor”.
Veteran's Signature:Date:
For Office Use Only:
Not Approved due to the following:
Authorized REHS Name :Date:
REHS Signature:
Supervisor Name:Date:
Supervisor Signature: