1 Current Page 1 2 Page 2 3 Preview 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 Your email address may be used to send information such as license renewal reminders. 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. - Select -YesNo