1. (a) Each applicant for a shellstock relaying permit shall submit the following:

   1. (1) A completed application form entitled “Application for Shellfish Relay” (SSRAPP February 2023), signed and dated by the applicant or the person who represents the applicant and certifying the following:

      “I certify that all information provided in or attached to this application is complete, accurate and up-to-date as of the date specified below. I further certify that there are no willful misrepresentations of the answers to questions herein, and that I have made no omissions with respect to any of my answers to the questions presented. I understand that it is my responsibility to immediately notify the Food Protection Section with regard to any changes, corrections or updates to the information provided.”; and

   2. (2) A check or money order for the applicable fee, in accordance with He-P 2153.05(b).

2. (b) The applicant shall mail or hand deliver the documents to:

   Department of Health and Human Services,

   Bureau of Finance/Receipts Unit – Food Protection Section

   129 Pleasant Street

   Concord, NH 03301-6503

   Telephone: (603) 271-4589; fax (603) 271-4859

Source. (See Revision Note at part heading for He-P 2150) #10704, eff 10-23-14; ss by #13569, eff 2-25-23