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Application Instructions for the Licensee - Retail Food Establishment (FR)

Number of Employees: 50-50-205 MCA states that for each license issued to an establishment that does not have more than two

employees working at any one time, the department shall collect a fee of $60.00. Retail food establishment with three (3) or more

employees working at any one time will pay a license fee of $90.

Licensee (Operator) Name: The license for a facility is speciﬁ c to an owner or operator. Write the name of the person or entity that will

be responsible for ensuring this establishment will meet public health requirements. A new license application is necessary when the

owner or operator of an establishment changes, even if the name of the facility does not change. If the facility is leased, enter the name

of the lessee. The lessee is responsible for the facility in meeting public health requirements.

Establishment Name: Write the business name of the facility. If the business has several sites, the establishment name must be

speciﬁ c to the location for this application. When making license application for multiple locations, use a separate application form for

each facility, and give the physical location (street and number) for each on its respective application form.

Establishment Address and Contact Information: Write the physical location (street address) of the food establishment. If the food

establishment is mobile, use the address for the commissary or servicing site. Some food establishments have several distribution

sites, a commissary site, an ofﬁ ce location and a different management location. If there is doubt about which address to use, attach an

explanation with this application. Please include the information necessary to locate the facility for inspection (directions, if needed), so

that your license approval will not be delayed. Name the Montana county where the establishment is located.

Mailing Address: The address entered here is where the license and annual renewal notice will be sent. Late fees may result if the

renewal notice is sent to a seasonal facility location which is closed. If you desire the license(s) for one or several franchise operations

to be sent to the head ofﬁ ce or corporate ofﬁ ce, or to a business agent, enter their mailing address.

Contact Information: Enter the name of the manager, phone number, fax number, and e-mail address, if available.

Note: The space at the bottom of the application form is to be completed by the local or state health authority.

If the facility has new construction or has been remodeled, plan review approval and pre-opening onsite inspection approval by the

health authority is necessary before the license is approved and the food establishment commences business. If the new license

application is for a change of ownership, a pre-opening on-site inspection by the health authority is necessary before the license will be

approved. There may be changes necessary before the new license is issued.

It is recommended that new license applicants make contact with the local health department or county sanitarian early in the

application process. Some portions of the license application review process may involve plan review, providing written procedures,

product lists, ﬁ re safety inspection, building permits, water system plans, laboratory analysis of water, label design, etc. Please contact

your local health department ofﬁ ce for assistance or plan review forms.

Local Health Authority Instructions -- Retail Food Establishment (FR)

Type of Establishment (endorsements):

The type of establishment identiﬁ es the types of food operations that occur on a premises. A food establishment may have

multiple endorsements at the same location - check all endorsements that apply. Only one annual retail license fee is required, regardless

of the number of endorsements approved by the local health authority.

A license is speciﬁ c to the type(s) of establishment operation(s) approved by the local health authority and is limited to the types

of food operations and sales that occur at that location. Multiple endorsements means the health authority must review the public health

and safety requirements speciﬁ c to each endorsement approved.

Type

Brief Description/Examples

Food Service Establishment: Includes restaurants, cafeterias, pizzerias, etc. or other similar place where food or drink is

prepared, served, or provided to the public with or without charge. Does not include catering or mobile operation.

Meat Market (Onsite Retail Only): Includes only the processing, packaging, and labeling of meat and meat products for on-site

sales at that location. Processing meat for wholesale distribution is prohibited without licensing from DOL.

Bakery (Onsite Retail Only): Includes only the processing, packaging, and labeling of bakery products for on-site sales.

Food Manufacturing (Onsite Retail - Take-Out): Includes processing a food product, putting it in a package, and selling at that

location. Also includes retail water vending units and the packaging and sale of ice on-site at a retail store.

Mobile or Semi-Permanent Food Service: Includes pushcarts, vehicle-mounted food service designed to be readily mobile or

limited food operations which are moveable but not wheel mounted.

Water Hauler: A water hauler is a person engaged in the business of transporting water to be used for human consumption that

is not regulated as a public water supply and does not transport water for individual family households and family farms and

ranches.

Perishable Food Dealer (Retail Only): Includes the buying and selling of packaged perishable products. Examples - Grocery

Stores, convenience stores, mobile food distributor.

Food Service/Catering (Retail): Includes food preparation and its service at locations other than the licensed facility. Catering

kitchens must meet all the requirements of a food service kitchen.

Food Service/Delicatessen (Onsite Retail): Includes the preparation and service of multiple ingredient foods for take-out

purposes. Includes the processing, packaging, and labeling requirements for on-site retail sales of that product.

Produce (Onsite Retail): Includes vegetable or fruit processing, washing, cutting, or preparing for sale.

Other: Endorsement changes must be approved by sanitarian signature, but do not require an additional license fee for an existing

licensed retail food establishment. Complete water supply, sewage treatment, plan review, and licensing information.

License Limitation/Condition/Comment Statement: May be used to ID locations for mobile food service units, identify menu or

equipment use limitations, identify maximum group sizes for catering functions, identify a plan of correction (including starting & ending

dates and the approving health authority), or any other information needed to clarify the license approval.

Application For One Stop Retail Food Establishment License - Montana Department Of Public Health & Human Services Page 2

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