APPLICATION FORM FOR THE REGISTRATION OF A FOOD BUSINESS ESTABLISHMENT This form should be completed by food business operators in respect of new food business establishments and submitted to the relevant competent authority 28 days before commencing food operations. On the basis of the activities carried out, certain food business establishments are required to be approved rather than registered. If you are unsure whether any aspect of your food operations would require your establishment to be approved, please contact (the Food Authority) for guidance. 1. Address of Establishment (or address at which moveable establishment is kept) Postcode 2. Name of Food Business (trading name) Telephone No. 3. Full Name of Food Business Operator 4. Address of Food Business Operator Postcode Telephone No. 5. Type of Food Business (please tick ALL the boxes that apply) Farm Shop Catering Importer Private House for Food Business Retailer Food Broker Seasonal Slaughterer 6. Email Type of Business Sole Trader Staff Restaurant/Canteen/Kitchen Packer Hotel/Pub/Guest House Distribution/Warehousing Market Stall Market Other (please give details) Partnership Food Manufacturing/Processing Hospital/Residential Home/School Wholesale/Cash & Carry Moveable Establishment e.g. Icecream Van Restaurant/Café/Snack Bar Takeaway Limited Company Other (please give details) (If Limited Company please complete 7 below) 7. Limited Company Name Company No. Registered Office Address Postcode 8. Number of vehicles or stalls kept at, or used from, the food business establishment and used for the purposes of preparing, selling or transporting food: 5 or less 6-10 11-50 51 plus 9. Water Supplied to the Food Business Establishment Public (Mains) Supply Private Supply 10. Full Name of Manager (if different from operator) 11. If this is a new business (date you intend to open) 12. If this is a seasonal business (period during which you intend to be open each year) 13. Number of People Engaged in Food Business 0-10 11-50 51 plus (please tick one box) (count part-time worker(s) (25 hours per week or less) as one-half) Signature of Food Business Operator Date Name (BLOCK CAPITALS) AFTER THIS FORM HAS BEEN SUBMITTED, FOOD BUSINESS OPERATORS MUST NOTIFY ANY CHANGES TO THE ACTIVITIES STATED ABOVE TO [THE COMPETENT AUTHORITY] AND SHOULD DO SO WITHIN 28 DAYS OF THE CHANGE(S) HAPPENING. PLEASE RETURN TO:ENVIRONMENTAL HEALTH, CIVIC CENTRE, P.O. BOX 28, BEECROFT ROAD, CANNOCK, WS11 1BG NOTES ON REGISTRATION OF FOOD PREMISES Registration of all food business establishments is required by law. Registration allows local authorities to keep an up to date list of all food premises in their area, so they can be visited at intervals according to risk assessment criteria. Who needs to register? Changes to food safety legislation from January 2006 now require all food business operators who produce, process, distribute or sell food (for profit or not) to register. This now includes previously exempt undertakings e.g. childminders, small bed and breakfast establishments and food businesses operating less than 5 times in any 5 weeks, all whom were previously exempt from registration. Food business operators must now individually register each separate unit of their food business even if situated on the same site, likewise establishments under the control of different food business operators, e.g. a coffee shop within a supermarket under the control of a different food business operator will need to register in its own right. If you operate a mobile food business you should register with the local authority in whose area the vehicle/trailer is normally kept and/or food stored. Food establishments subject to approval under regulation 853/2004 e.g. dairies and wholesale meat product producers do not need to register that part of the business if already subject to approval. If an additional food business is operated on site, e.g. a farm shop this will need to be registered, as it is not covered by approval. A business engaged only in primary production activities, e.g. a farm growing vegetables does not need to be registered as a food business. Food Business operators should register their food business establishment with Environmental Health at least 28 days before food operations commence. Food businesses operating before 1 January 2006 will not need to re-register. To Register Complete this form and return to Environmental Health at Cannock Chase District Council. There is no fee for registration. What will happen to the information given on the form? The details will be entered on the register of food business establishments. Only the following information will be available for inspection by the general public and others on request: 1 2 3 4 Name of the food business operator Name of the food business Address of the food business establishment Particulars and nature of the food business Confirmation of registration will only be issued, on receipt of a written request from the business operator. On receipt of a completed application form you are likely to be contacted by Environmental Health to arrange an inspection or discuss the operation of the food business. Changes to the business Under Article 6(2) of regulation 852/2004 Food Business Operators shall inform Environmental Health of any changes to the food business operator or changes to the activities carried out in relation to food including the closure of an established. Such changes should be made in writing before changes occur. Notification of a change of operator should be made by the new occupier in order that the register may be updated. These notes are provided for information only and should not be regarded as a complete statement of the law. For further advice contact Environmental Health, Cannock Chase District Council, Beecroft Road, Cannock. Tel: 01543 462621, environmentalhealth@cannockchasedc.gov.uk S/Env/Food/Food Registration