online payments accepted

Increase font size a a a Credit Cards Accepted - Visa Mastercard

APPLICATION FOR APPROVAL OF A FOOD BUSINESS ESTABLISHMENT SUBJECT TO APPROVAL UNDER REGULATION (EC) NO. 853/2004

Complete Parts 1 to 8 inclusive and the specific sections of Part 9 that relate to the products of animal origin in respect of which you are applying for the approval of your establishment.

PART 1 TYPE OF PRODUCT OF ANIMAL ORIGIN FOR WHICH APPROVAL IS SOUGHT
Indicate the product(s) of animal origin in relation to which you are applying for approval to use the establishment (tick all that apply)?

	Minced Meat		Dairy Products
	Meat Preparations		Egg Products
	Mechanically Separated Meat		Cold Store
	Meat Products		Frogs' Legs / Snails
	Live Bivalve Molluscs (Shellfish)		Gelatine
	Fishery Products		Collagen

PART 2 - ESTABLISHMENT FOR WHICH APPROVAL IS SOUGHT (THE ESTABLISHMENT)

Trading Name

Full Postal Address

(inc Postcode)

PART 3 - FOOD BUSINESS OPERATOR AND MANAGEMENT OF THE ESTABLISHMENT

Name and full address (inc postcode) of Food Business Operator

	Full Names of Managers of the premises		Job titles
1		1
2		2
managers name		3

	Full Names of others in control of the business		Job titles
1		1
2		2
3		3

PART 4 - USE OF THE ESTABLISHMENT
Which of the following activities will be conducted in / from the establishment (tick all that apply)?

	Wholesale market		Cash and carry / wholesale
	Manufacture		Catering (preparation of food for consumption in the establishment)
	Other processing (please specify)		Retail (direct sale to consumers or other customers)
			Retail (direct sale to consumers or other customers)
	Packing		Market stall or mobile vendor
	Storage		Other (please specify)
	Distribution

PART 5 - TRANSPORT OF PRODUCTS FROM THE ESTABLISHMENT
How will products be transported from the establishment (Tick all that apply)?

	Your own vehicle(s)
	Contract / Private Haulier
	Purchaser's own vehicle(s)
	Other (please specify)

PART 6 - SUPPLY OF PRODUCTS FROM THE ESTABLISHMENT TO OTHER ESTABLISHMENTS
Which of the following will be supplied with products from the establishment (tick all that apply)?

	Other businesses that manufacture or process food
	Wholesale packers
	Cold stores that are not part of the establishment to which this application relates
	Warehouses that are not part of the establishment to which this application relates
	Restaurants, hotels, canteens or similar catering businesses
	Take-away businesses
	Retail shops, supermarkets, stalls or mobile vendors that you own
	Retail shops, supermarkets, stalls or mobile vendors that you do not own
	Members of the public direct from the establishment to which this application relates
	Other (please specify)

PART 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?

	YES	NO	APPROVAL CODE
Slaughter, including pigs, sheep, cattle, poultry, game etc
Culling fresh (including chilled and frozen) meat poultry meat or game
Storage of fresh (including chilled and frozen) meat, poultry or game

PART 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 (NB. information that is not sent now will still be required before your application can be determined)

A detailed scale plan of the (proposed) establishment showing the location of rooms and other areas to be used for the storage and processing of raw materials, product and waste; and the layout of facilities and equipment

A description of the (proposed) establishment and equipment maintenance arrangements

A description of the (proposed) establishment, equipment, and transport cleaning arrangements

A description of the (proposed) waste collection and disposal arrangements

A description of the (proposed) water supply

A description of the (proposed) water supply quality testing arrangements

A description of the (proposed) arrangements for product testing

A description of the (proposed) pest control arrangements

A description of the (proposed) monitoring arrangements for staff health

A description of the (proposed) staff hygiene training arrangements

A description of the (proposed) arrangements for record keeping

A description of the (proposed) arrangements for applying the identification mark to product packaging or wrapping

Please note there is an overall limit of 10MB for attachments - Please keep uploaded files as small as possible.

PART 9 ACTIVITIES / PRODUCTS TO BE HANDLED IN THE ESTABLISHMENT
Which of Ihe following activities will be conducted in the establishment? Indicate by giving the approximate
quantities to be handled in kilograms or litres per week (tick all that apply)

PART 9(1) Minced Meat and Meat Preparations

Handling minced meat
Handling meat preparations
Full Details of Activities and Specific Products Handled

How many tonnes of minced meat in total will be handled in the establishment per week on average?
How many tonnes of meat preparations in total will be handled in the establishment per week on average?

PART 9(2) Mechanically Separated Meat

Full Details of Activities

How many tonnes of mechanically separated meat in total will be handled in the establishment per week on average?

PART 9(3) - Meat Products

Full Details of Activities and Specific Products Handled

How many tonnes of meat products will be handled in the establishment per week on average?

PART 9(4) - Live Bivalve Molluscs (Shellfish) / Fishery Products

Full Details of Activities and Specific Products Handled

How many tonnes of Live Bivalve Molluscs (Shellfish) / Fishery Products will be handled in the establishment per week on average?

PART 9(5) - Raw Milk / Dairy Products

Raw Milk
Dairy Products
Full Details of Activities and Specific Products Handled

How many litres of Raw Milk will be handled in the establishment per week on average?
How many tonnes of Dairy Products will be handled in the establishment per week on average?

PART 9(6) -Egg Products

Full Details of Activities and Specific Products Handled

How many litres of Egg Products will be handled in the establishment per week on average?

PART 9(7) - Cold Store

Full Details of Activities and Specific Products Handled

How many tonnes of product will be handled in the establishment per week on average?

PART 9(8) - Frogs' Legs and Snails

Frogs' Legs
Snails
Full Details of Activities and Specific Products Handled

How many tonnes of frogs' legs in total will be handled in the establishment per week on average?
How many tonnes of snails in total will be handled in the establishment per week on average?

PART 9(9) - Gelatine

Full Details of Activities

How many tonnes of gelatine in total will be handled in the establishment per week. on average?

PART9(10) - Collagen

Full Details of Activities

How many tonnes of collagen in total will be handled in the establishment per week on average?

PART 10 APPLICATION

Name of applicant

Position in business

Name of contact

Position in business

Tel (inc Dialling code)

Fax (inc Dialling code)

QUICK LINKS

Resident in Cookstown

Business in Cookstown

Visitor in Cookstown

Sport and Leisure

Shopping In Cookstown

Visit Cookstown

Smartphone Guide

A-Z Site Map | Copyright | Disclaimer | Freedom of Information

Cookstown District Council
Burn Road | Cookstown
Co. Tyrone | Northern Ireland
BT80 8DT
Telephone: 028 8676 2205
Fax: 028 8676 4360
Email: info@cookstown.gov.uk
Website: www.cookstown.gov.uk

View Larger Map

Licensing and Regulation

APPLICATION FOR APPROVAL OF A FOOD BUSINESS ESTABLISHMENT SUBJECT TO APPROVAL UNDER REGULATION (EC) NO. 853/2004

QUICK LINKS

Visit Cookstown

Smartphone Guide