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Application for Approval of a Food Business Establishment

1.Establishment for which approval is sought
Address of Premises
2. Category of Establishment for which approval is sought
Indicate the category of approval (see Appendix I) in respect of which you are applying to use the establishment (tick all that apply).
General Activity
Minced Meat, Meat Preps and MSM
Meat Products
Live Bivalve Molluscs
Fishery Products
Dairy Products
Egg and Egg Products
Frogs Legs and Snails
Rendered Animal Fats and Greaves
Treated Stomach, Bladders and Intestines
Gelatine
Collagen
3. Food business operator and management of the establishment
Address of Business
Business Manager 1
Business Manager 2
Business Manager 3
Others in control of business
Person 1
Person 2
Person 3
4. Use of the establishment
Which of the following activities will be conducted in / from the establishment?
(tick all that apply)
5. Transport of products from the establishment
How will products be transported from the establishment?
6.Supply of products from the establishment to other establishments
Which of the following will be supplied with products from the establishment?
7.Other activities on the same site
Will any of the following activities be conducted on the same site as, or within, the establishment to which this application for approval relates?
Slaughter, including pigs, sheep, cattle, poultry, game etc
Cutting fresh (including chilled and frozen) meat, poultry meat or game
Storage of fresh (including chilled and frozen) meat, poultry or game
8. Information and documentation
The following information is required in order to process your application and should be sent with this application form if possible. Please indicate which information you are sending now (N.B. information that is not sent now will still be required before your application can be determined).
Unlimited number of files can be uploaded to this field.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, rtf, pdf, doc, docx, xls, xlsx.
9. Products to be handled in the establishment
Which of the following activities will be conducted in the establishment?

This includes activities that relate to the products of animal origin in respect of which you are applying for the approval of your establishment.

Indicate by giving the approximate quantities to be handled in kilograms or litres per week (tick all that apply).
Minced Meat and Meat Preparations
Mechanically Separated Meat
Meat Products
Live Bivalve Molluscs (Shellfish) / Fishery Products
Raw Milk / Dairy Products
Eggs (not Primary Production) / Egg Products
Frogs’ Legs and Snails
Rendered Animal Fats and Greaves
Treated Stomachs, Bladders and Intestines
Gelatine
Collagen
Stand-alone Cold Store
10. Application
IMPORTANT
Please notify any changes to the details you have given on this form, in writing to the Food Authority at the address shown.

The information you supply on this form will be used for the purpose for which you have provided it, and appropriate measures are in place to protect your personal data.  A full privacy notice, which provides information about your rights under current data protection legislation and details about what will happen to your personal data can be found here:

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