ࡱ> pro#` Jbjbjmm G\n., , , , $ |#|#|#P#4$l ^Ix$x$4$$$J'J'J'HHHHHHH$ KhtMHE ('@F'((H, , $$ZI,,,(, R$ 8$H,(H,,C~ " E$l$ טB|#)<%DG.I0^I=D\N*N0EEN mG$J'>',,'$'#J'J'J'HH,dJ'J'J'^I((((   "   "   , , , , , ,  Print on Letterhead Paper Save in Letters and Memos Folders Development, Environment & Leisure Environment and Regulatory Services Director of Environment & Regulatory Services: Gary McGrogan Health Protection Service 2-10 Carbrook Hall Road ( Sheffield ( S9 2DB Fax No. (0114) 273 6464 PRESS F11 TO TYPE TEXT IN FIELD Officer: Mr C Green Tel: 0114 273 4638 Ref: AEYFoodRegistrationForm Date: As Postmark IT IS IMPORTANT THAT YOU READ THIS LETTER AND THE ENCLOSED FORM  Dear Sir/Madam Application for the Registration of a Food Business Establishment (Regulation (EC) No 852/2004 on the Hygiene of Foodstuffs, Article 6(2)) The above regulations require all food businesses to register with the Local Authority. Anyone starting a new food business must register at least 28 days before opening. There is no charge for registration and a form is enclosed for your attention. Please fill this in and return it to the above address. We will acknowledge receipt of your registration form. High risk food businesses (such as caterers, cafes, restaurants, takeaways etc.) will be inspected on a regular basis. Low risk businesses (such as corner shops) may be visited less frequently or be required to complete aself-assessment form instead of being visited. IT IS AN OFFENCE TO OPERATE UNREGISTERED FOOD PREMISES AND IT IS YOUR RESPONSIBILITY TO ENSURE THAT YOUR BUSINESS IS REGISTERED. The Regulations also require the notification of any changes to your registration such as change of owner, change of address or change to the nature of the business. Yours faithfully C Green Health Protection Service Manager For Office Use Only Received Via Post Flare Checked Duty Officer: . Update Flare Only & File New Bus (Low Risk) Update Only & File. Dummy Score (Fig Only): Next GI: . New Bus (High Risk) Visit Required. Allocated to Officer: .... Entered onto Flare Information Officer: For Office Use Only Received Via Inspection Report/Enclosed in Report Form Left at Inspection/Enclosed in Report Officer: . Information Officer Entered Info Officer: (File Only) 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 the Health Protection Service on (0114) 2735774 for guidance. 1. Address of establishment ___________________________________________________________________________________________ (or address at which moveable establishment is kept) __________________________________________________________________________________ Post code ________________________ 2. Name of food business ____________________________________________________ Telephone no. ____________________________ (trading name) 3. Full Name of food business operator __________________________________________________________________________________ 4. Address of food business operator (home) _____________________________________________________________________________ ___________________________________________________________________________ Post code _______________________________ Telephone no. _____________________________________ E-mail ___________________________________________________________ 5. Type of food business (Please tick ALL the boxes that apply): 6. Type of business: Farm Shop Food manufacturing/processing Packer Importer Wholesale/cash and carry Distribution/warehousing Retailer Restaurant/caf/snack bar Market Seasonal Slaughterer Staff restaurant/canteen/kitchenCatering Hospital/residential home/school Hotel/pub/guest house Private house used for a food business Moveable establishment Market Stall Food Broker Takeway Other (pleae give details): ______________________________Chilled foods Frozen foods Fruit & Vegetables Fish/fish products Fresh/frozen meat Fresh/frozen poultry Meat products or delicatessen Dairy products Eggs Bakery Sandwiches Confectionery Table meals/snacks Delivery service Bulk chilled food storage Other: _______________________  7. Type of business: 8. Does your business involve any of the following processes Sole Trader Partnership Limited Company Other (please give details) ________________________ (If Limited Company, please complete 9. below)Canning Vacuum packing Bottling Other packaging Other: please give details __________________________  9. Limited company name _________________________________________________ Company no. ______________________ Registered Office address ____________________________________________________________________________________ _________________________________________________________________________ Post code ________________________ 10. 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 % 11. Water supplied to the food business establishment: Public (mains) supply % Private supply % 12. Full name of manager (if different from operator) ______________________________________________________________ 13. If this is a new business ___________________________ 14. If this is a seasonal business_________________________ Date you intend to open Period during which you intend to be open each year 15. 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" """$"&"(","Z"""(#\#^#h####$H2H:HlHmHnHoHqHrHtHuHwHxHzH{Hݳjh~}0JUjh~}U h~}CJ h~}5CJ\U!jh~}5CJUmHnHu h~}CJ h~}5CJ h~}CJ h~}5CJ h~}5h~}@"\#^###!H2HmHnHpHqHsHtHvHwHyHzHHHHHH$h]ha$6&#$h]h&`#$   7$8$H$  7$8$H$ 7$8$H$________________________________ (BLOCK CAPITALS) Position__________________________________________________     PAGE  PAGE 2 Email Address: HealthProtection@sheffield.gov.uk Visit us at: www.sheffield.gov.uk/environment/how-we-work/health-protection-/ Large print versions of this letter are available by telephoning (0114) 273 4415/273 5774  FILENAME AEY Food Registration Form.dot After This Form Has Been Submitted, Food Business Operators Must Notify Any Changes To The Activities Stated Above To : Health Protection Service, 2-10 Carbrook Hall Road, Sheffield S9 2DB. 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