This completed form should be sent to

Public Protection, Assets & Environment, Tamworth Borough Council, Marmion House, Lichfield Street, Tamworth, Staffordshire, B79 7BZ
Telephone 01827 709 445 / Email /

«WORKID»

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 Tamworth Borough Council for guidance.
Establishment Details
Trading Name of Food Business
Address of Food Business / (or address at which moveable establishment is kept)
Post Code
Business Tel No (inc STD) / Business Email
Business Fax No / Business Web
Full Name & Address of Food Business Operator(s) (Note the Food Business Operator is either the business owner or the person(s) running the business day to day, who is responsible in law, for the activities of the food business)
Post Code
Type of Business (please all the boxes that apply)
  • Hospital /residential home /school
/
  • Private House used as a Food Business
/
  • Wholesale / cash and carry

  • Restaurant / café / snack bar
/
  • Market / market stall
/
  • Food broker

  • Retailer (including farm shop)
/
  • Takeaway
/
  • Catering

  • Mobile business
    eg ice cream van, burger van
/
  • Hotel / pub / guest house
/
  • Packer

  • Distribution / warehousing
/
  • Primary producer of livestock / arable
/
  • Food manufacturing / processing

  • Staff restaurant / canteen
/
  • Importer

  • Other (please provide details)

Ownership Details
 Tick / Ownership Type / Details
Sole Trader / Proprietor Name / Tel No
Partnership / Name of ALL Partners / Tel No
Limited Company / Limited Company Name(as registered with Companies House) / Limited Company Number
Registered Head Office Address of the Limited Company Listed
Other / Details
Date you opened or intend to open your business
Print Name of
Food Business Operator / AFTER THIS FORM HAS BEEN SUBMITTED, FOOD BUSINESS OPERATORS MUST NOTIFY ANY SIGNIFICANT CHANGE IN ACTIVITIES TO THE ADDRESS STATED ABOVE (INCLUDING CLOSURE OF BUSINESS) AND SHOULD DO SO WITHIN 28 DAYS OF THE CHANGE(S) HAPPENING
Signature of
Food Business Operator
Date