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Cutting Edge Program Application

  1. Environmental Health Division

  2. Provide Name of Establishment, Address of Establishment and MCESD Permit Number.

  3. Please be aware that the file must be in PDF format. Total file size is limited to 250 MB. Upload any additional files below.

  4. Risk Factors

    Please check all of the policies that apply to your facility.

  5. Agreement

    1. All policies checked above include a policy that addresses minimum code requirements for all of the applicable areas, a training component on the policies, and a verification component.
    2. I agree that all of the submitted policies are valid at the time of submittal and agree to maintain copies of these policies on hand for review during inspections.

  6. Disclaimer

    Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

  7. Leave This Blank:

  8. This field is not part of the form submission.