For further assistance please call (242) 225-7280

or email taxinquiries@bahamas.gov.bs

CONSOLIDATED AGENCIES APPLICATION

Please note ONE form is to be completed for all agencies. Business Licence applications MUST be submitted online at:

vat.revenue.gov.bs

SECTION 1: To be completed by all applicants

SECTION 2: For Submission to The Department of Physical Planning & Ministry of Works - Building Controls Division

SECTION 3: For Submission to The Department of Environmental Health Services

1 BUSINESS OWNER INFORMATION ( Required for all sections )

Mailing Option * :

Pick Up

Applying For* :

(If applying for an existing business, please provide a copy of previous Business Licence(s))

Corporate Name * :

(Please add the Corporate Name provided by the Registrar General)

Reference Number * :

(Enter the Reference Number sent to you by email from your Trade Name request)

(Agent) Surname:

First Name:

Middle Initial:

(Owner #1) Surname * :

First Name * :

Middle Initial:

(Owner #2) Surname:

First Name:

Middle Initial:

Company Name * :

Trading As Name:

P.O. Box Number * :

Email Address * :

Confirm Email Address * :

Phone # * :

Home #:

Work #:

Cell #:

2 DEPARTMENT OF PHYSICAL PLANNING/BUILDINGS CONTROL DIVISION (SHOP/BUSINESS INFORMATION * Be specific)

Type of Application* :

Island* :

Street Name* :

Building #:

Subdivision:

Directions to the property* :

Type/Nature of Business* :

Description of Goods/Services Provided * :

Business Trade Name (For Existing Businesses Only):

State Current Use of Building:

Number of Floors/Storeys:

Ground Floor Sq. Ft.:

Second Floor Sq. Ft.:

Date Requesting Inspection* :

Time:

FOR BUSINESSES WITH MULTIPLE LOCATIONS

Branch/Store Location

Manager's Name

Telephone Contact

Street Name

Building #

Subdivision

Branch 1:

Branch 2:

Branch 3:

Branch 4:

Branch 5:

Branch 6:

Branch 7:

Branch 8:

Branch 9:

Branch 10:

3 DEPARTMENT OF ENVIRONMENTAL HEALTH SERVICES (Please tick the appropriate box(es) below for attached documentation)

Floor Plan Staff Health/Medical Certificate Pest Control Contract Garbage/Hazardous Waste Disposal Contract

*Please note that if the above-mentioned information is not accurate, it will delay departmental review and inspection time.

OWNER DECLARATIONS

I hereby confirm to the best of my knowledge and belief, that the information contained herein is true and correct. I also understand that failure to provide the correct information may result in the cancellation of any or all approvals previously granted.

Please attach documents here:

Attachment 1:

Attachment 2:

Attachment 3:

Attachment 4:

Attachment 5: