Application to Operate a Food Premise

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Personal information on this form is collected under the authority of section 5(1) of the Food Premises Regulations made under the Public Health Act, R.S.P.E.I. 1988, Cap. P-30.1, and under authority of section 31 of the Freedom of Information and Protection of Privacy Act, R.S.P.E.I. 1988, Cap.F-15.1, as it relates to the operation of a food premises. If you have any questions about the collection or use of this personal information, you may contact Environmental Health at 902-368-4970 or toll free at 1-800-958-6400.

Identification

Business/Organization Name

Contact First Name

Contact Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone 1

For example 902-555-5555

Telephone 2

For example 902-555-5555

Fax Number

For example 902-555-5555

Email Address

Would you like to receive emails specific to operating a food premises from the department? If yes, the email listed above will be added to a mail list.

You can unsubscribe from the mailing list at any time by replying to an email using unsubscribe as the subject.