Application for the Registration of a Food Business Establishment (Regulation (EC) No. 852/2004 on the hygiene of foodstuffs, Article 6(2)) This form should be completed by food business operators in respect of new food business establishments and received by the relevant Food 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 us for guidance. (See address below) Please tick one of the following boxes before completing the food business registration form overleaf :1 Are you the existing owner of the food business and been asked to complete this form to update our records following a recent inspection. 2 Are you the new owner of an existing food business 3 Are you opening a brand new food business 4 None of the above please give details Please read the following important notes prior to completing the Food Business Registration form overleaf. Registration of a Food Business establishment is required by law and needs to be completed 28 days before commencing food operations. If you use premises in more than one local authority area, you must register with each authority separately. Where establishments under the control of different food business operators exist on the same site, e.g. coffee shop on the same site as a supermarket, but not under their control, a separate form must be completed for each food business. Premises that only have vending machines do not need to be registered. Mobile traders must register their business with the authority in which the vehicle is normally stored, i.e. the home address. You must tick all the boxes which apply to your business, answer all the questions and give all the information requested. If you have any questions contact the local authority for help. It is an offence to give information which you know is false. failure to inform the competent authority of any material changes including sale, is a strict liability offence and can be punishable for up to a £5000 fine and/or upon conviction a term of up to 2 years Please complete all the sections on this form 1. Address of establishment (or address at which movable establishment is kept) Post Code Telephone No 2. Trading name of food business 3. Full name of food business operator (or Limited company where relevant) 4. Home or Head Office address of food business operator (where different from address of establishment) Post Code Telephone No Email 5. Please provide the date of birth and national Insurance number of any individual food business operator Date of Birth National Insurance No 6. Type of food activity (please tick all the boxes that apply): Staff restaurant/canteen/kitchen Hospital/residential home/school Retailer (including farm shop) Distribution/warehousing Restaurant/café/snack bar Food Manufacturing/ processing Market / market stall Importer Takeaway Catering Hotel/pub/guest house Packer Private house used for a food business Moveable establishment e.g. ice cream van Wholesale/cash & carry Primary producer – livestock Food broker Primary producer - arable Other (please give details) Moveable Establishment Vehicle Registration No (if applicable) 7. If this is a new business, date you intend to open Signature of food business operator Date: Full Name: (BLOCK CAPITALS) Please return the completed form to : City of Bradford Metropolitan District Council Department of Public Health Environmental Health, Food Safety 5th Floor, Britannia House Bradford BD1 1HX Tele No 01274 437766 Email [email protected]
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