Application For The Registration Of A Food Business Establishment printable pdf download

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 submitted to 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 City of Westminster for guidance.

1. Address of establishment __________________________________________________________________________________

(Or address at which moveable establishment is kept)

_________________________________________________________________________ Post Code ________________________

2. Trading name of food business ________________________________________

Telephone No. _____________________

3. Full Name of food business operator(s)

(or Limited company where relevant)

_________________________________________________________________________

4. Head Office address of food business operator ( Where different from address of

establishment)__________________________________________________________________________

_________________________________________________________________________ Post Code ________________________

Telephone No. _____________________________________ e-mail__________________________________________________

5. 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 and carry □

Primary producer - livestock □

Food Broker □

Primary producer - arable □

Other (please give details ______________________________________

6. If this is a new business __________________________

Date you intend to open

Signature of Food Business Operator________________________

AFTER THIS FORM HAS BEEN SUBMITTED, FOOD

BUSINESS

OPERATORS

MUST

NOTIFY

ANY

Date ___________________________________________________

CHANGES TO THE ACTIVITIES STATED ABOVE TO

City of Westminster,

Name __________________________________________________

AND SHOULD DO SO WITHIN 28 DAYS OF THE

(BLOCK CAPITALS)

CHANGE(S) HAPPENING.

The Completed Form should be sent to:

City of Westminster, Premises Management, Westminster City Hall, 5

Floor East 64 Victoria Street London

SW1E 6QP

Tel no 0207 641 2971 / 2334

Fax No 0207 641 2941

Application For The Registration Of A Food Business Establishment

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