Food Business Operator Application for
Registration of a Milk Production Holding
Food Safety and Hygiene (England) Regulations 2013,
Food Hygiene (Wales) Regulations 2006
and Regulation (EC) No’s 852/2004, 853/2004 and 854/2004
PROTECT COMMERCIAL WHEN COMPLETED
Please complete this form in black ink using BLOCK CAPITALS or complete on screen. The completed form
should be submitted as detailed at the end of this form. If you need help or advice about how to complete this form
or about the circumstances in which registration under the Regulations is required, please contact the Approvals
Team on 01904 232060 or email approvals@foodstandards.gsi.gov.uk
PART 1 – Holding for which registration is sought under Article 6, Regulation
(EC) 852/2004
New
registration
Please indicate whether application is a new
registration or change of name or operations:
Change
to name *
Change to
operations *
* For change to name or operations, please also complete part 1a below
PART 1a – Details of change of name or operations (if applicable)
Please give the date on which this change has or will become effective:
Please give
details of the
change of
name or
operations:
From:
To:
PART 1b – Details of holding
Registered name
(Registered name is the name of the sole trader, partner/s or legal entity of the business)
Trading name / Farm name
(if different from registered name)
(Trading name is any chosen name under which the business is carried out)
Holding Number /
Herd Number **
/
/
/
** If you have been issued with a Herd Number (the final 2 digits shown above), please enter it above.
Production holding
address
Telephone
number
(inc. Postcode)
Mobile
number
Email
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PART 2 – Type of milk production holding for which registration is
sought
Activities for which registration is sought - please complete all boxes that are applicable:
Cows
Buffalo
Goats
Sheep
Enter number of animals by species:
Estimated average weekly production (litres):
Wholesale milk by species - see note (1) below:
(Insert X where applicable)
Raw drinking milk by species – see note (2) below:
(Insert X where applicable)
Retail sales
B & B catering
If producing raw drinking milk – see note (2):
State type of use: whether to be used for retail
sales or for catering (insert X where applicable)
(1) Wholesale milk refers to milk that is sold directly to first purchasers for further processing.
(2) Raw drinking milk refers to the supply of raw drinking milk directly to the final consumer.
Raw drinking milk from cows cannot be supplied directly to the final consumer until raw
milk samples have been taken by the FSA and satisfactory results received.
If operating on a seasonal basis,
please state months of operation:
To month:
From month:
Is the holding under a farm assurance scheme? YES
Buffalo
If yes please provide details:
Goats
First milk purchaser:
(e.g. Arla, Dairy Crest, retained on farm etc)
NO
PART 3 – Food Business Operator (FBO) details and Business structure
Please indicate the type of business
(Please place a cross in only one box)
Incorporation
Partnership
Sole trader
Other business type
now complete 3a
now complete 3b
now complete 3b
provide details in Part 6*
(* Other business types will be treated on a case by case basis to identify the natural person or legal person required to
be compliant with food law within the food business under their control)
3a – Incorporation details (as registered with Companies House or equivalent)
Full Limited Company name
Registered office address
(inc. Postcode)
Company registration number
Company Director(s)
Title (Mr, Mrs,
Forename(s)
Surname
Forename(s)
Surname
Ms, Miss, Dr)
Title (Mr, Mrs,
Ms, Miss, Dr)
(Provide full details for all Company Directors - If required, continue in Part 6)
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3b – Food Business Operator(s) (FBO) (complete only if Partnership / Sole trader)
Title (Mr, Mrs,
Forename(s)
Surname
Ms, Miss, Dr)
Telephone
number
Mobile
number
Home address
(inc. Postcode)
Email
Title (Mr, Mrs,
Forename(s)
Surname
Ms, Miss, Dr)
Telephone
number
Mobile
number
Home address
(inc. Postcode)
Email
Title (Mr, Mrs,
Forename(s)
Surname
MS, Miss, Dr)
Telephone
number
Mobile
number
Home address
(inc. Postcode)
Email
Title (Mr, Mrs,
Forename(s)
Surname
MS, Miss, Dr)
Telephone
number
Mobile
number
Home address
(inc. Postcode)
Email
(Provide full details for all Partners - If required, continue in Part 6)
PART 4 – Holding manager and contact details
Duly authorised representative of the Food Business Operator (FBO)
Title (Mr, Mrs,
Forename(s)
Surname
Ms, Miss, Dr)
Telephone
number
Mobile
number
Email
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PART 5 – Operation/production hours
Please indicate all milking time periods by completing the appropriate sections below:
1) From:
Hours
To:
hours
2) From:
Hours
To:
hours
3) From:
Hours
To:
hours
(eg from 06:00 hours to 08:00 hours)
4) Continuous milking (eg robotic milking):
PART 6 – Additional details
Please provide any further details that you feel
may be pertinent to your application
PART 7 – Application
N.B. If you fail to complete all parts of this form your application for registration will be returned to you.
I hereby apply, on behalf of the business, for registration to use the holding at the address specified in Part 1b for the
purpose of milk production as detailed in part 2, to which The Food Safety and Hygiene (England) Regulations 2013,
Food Hygiene (Wales) Regulations 2006, (Regulation (EC) No’s 852/2004, 853/2004 and 854/2004 (as amended)
apply.
The Food Standards Agency must be informed of any changes to the name or operations by re-submitting a
Food Business Operator Application for Registration of a Milk Production Holding application form
Name in BLOCK LETTERS
Date
Signature
IMPORTANT
It is an offence to sell milk for human consumption, or for manufacture into products for sale for human consumption,
unless the business and holding are registered in accordance with the Food Safety and Hygiene (England) Regulations
2013, Food Hygiene (Wales) Regulations 2006 and Regulation (EC) No’s 852/2004, 853/2004 and 854/2004 (as
amended).
The application form must be signed by the applicant and submitted by one of the following methods:
1. Post to:
Food Standards Agency (Approvals Team)
Kings Pool
Peasholme Green
York YO1 7PR
2. Email to:
approvals@foodstandards.gsi.gov.uk
3. Fax to:
01904 232 229
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