Food establishment registration

Establishment details

Type of food business *

Please tick ALL boxes that apply

Catering
Distribution/Warehousing
Food Manufacturing/Processing
Hospital/Residential Home/School
Hotel/Pub/Guest-House
Importer
Market Stall
Moveable Establishment (e.g. Ice Cream Van)
Primary Producer - Arable
Primary Producer - Livestock
Private House used for Food Business
Restaurant/Café/Snack Bar
Retailer
Staff Restaurant/Canteen/Kitchen
Takeaway
Wholesale/Cash and Carry
Other

Other (please specify) *

Address of establishment

Please provide the address of where the movable establishment is kept overnight.

Prefix e.g. first floor flat.
House name/number
Street
Village/Area e.g. Scawby, Bottesford, etc.
Town
County
Post code *Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.

Food business operator details

Name of food business *

Trading name

Full name of food business operator *

Limited company where relevant

Address of food business operator

Prefix e.g. first floor flat.
House name/number
Street
Village/Area e.g. Scawby, Bottesford, etc.
Town
County
Post code *Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.

Telephone number

E-mail address

Head office details

Is the head office address different to the establishment address

Address of head office

Prefix e.g. first floor flat.
House name/number
Street
Village/Area e.g. Scawby, Bottesford, etc.
Town
County
Post code *Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.

Telephone number

E-mail address

Type of business

Type of business *

Type of business

Limited Company

Partnership

Sole Trader

Other

Other (please specify) *

Limited company details

Limited company name *

Company number

Address of limited company

Prefix e.g. first floor flat.
House name/number
Street
Village/Area e.g. Scawby, Bottesford, etc.
Town
County
Post code *Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.

Is this a new business

Date you intend to open *

Date you intend to open

Declaration

Name *

I confirm that the information given is true and accurate and that I am authorised to submit this form on behalf of the business/company. *

I confirm that the information given is true and accurate and that I am authorised to submit this form on behalf of the business/company.

I Agree

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