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C 2025 Rental Registration Applicationtlc
Important Notice (PLEASE READ CAREFULLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediately! Please be aware that until you receive a rental certificate from the Health Department, your
property is being rented without a valid certificate, which may result in fines and other penalties.
pubmitting the registration application does not complete the process or guarantee the automatic issuance of
A rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
lrecords, septic system, the number ofbedrooms and previous inspections.
*An inspection may be required as part of this process.
Please note that occupancy limits are in place based on septic capacity and the number of
bedrooms, These measures are in place to protect our drinking water and aquifers. As
Yarmoutl prepares for a future transition to a town sewer system, these steps are crucial
for preserving our water resources. Previous occupancy determinations may be subiect to
adiustment based on the criteria mentioned above.
Ia
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors n
Monoxide Detectors and verified that they are less than 10 years old:
Contadthe Building Depanment regarding questions on type and location priorto purchasi
https://wvaw.fa DocumentCenter tt22l Smoke-detector-location
. A rrrrrefundable application fee of $80 per unit/rental is required.
. Rental Certificates expire on December 37*,2025.
. To register online and pay via credit card, visit the Town ofYarmouth Health Department
website: https://www.yarmouth.ma.us/ 1 2 7/HSalth I f you prefer to pay by check, you may begin
your application online. After completing the in itial steps, make your check payable to the Town of
Yarmouth, and be sure to include your BHR number (which will be provided during the online
application process) and your rental address. Make a note in the notes section that you will be
sending a check. Mail the check to the address above.
If NOT registering online, please make checks payable to: Town of Yarmouth and mail
completed application (on reverse side) & payment to: Town ofYarmouth Health Department.
See Reverse Side )
TOWN OF YARMOUTH
Health Department
I I46 ROTITE 28. SOTITH YARMOTITH
MASSACHTISETTS 02664
Telephone (508) 398-223t, ext. 1240
Fax (508) 760-3472
E-mail: mdale\r'@varnrouth.ma.us
Please Print Clearly
Rental Property Information
All fields ore required! lncomplete forms without a volid phone #, address, or e-mail address will notprocessed
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REGtr!VE'
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Rental Property Address:
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Rental Period:
ear-Round/Long Term
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(required)E-mail Address
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Representative's Primary Phone
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Representative's E-mail Address
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Furthermore, I understand I must notiE/ the Health Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees.
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