Enquiry for starting a food business

Applicant name *

Proposed trading name *

Proposed proprietor (if different from applicant eg. company) *

Proposed premises address *

Contact Number *

Email Address *

Have you operated premises under the Food Act 1984 before? *

Is this enquiry the result of purchasing or potentially purchasing an existing premises? *

Preferred method of contact at this stage *

Will your premises be based at;

Your homeA fixed premises (eg Café/Restaurant)A van or market stall

Please tick all that apply

Will you be providing offsite catering? *

Will you be a wholesaler or distributor of prepacked goods? *

Will you be catering to people with dietary requirements (eg nut or gluten free products)? *

Is the food prepared or served exclusively to people in aged care, hospital, child care centre or meals on wheels? *

Do you repackage products? *

Do you handle products that require temperature control? *

Additional information regarding your proposed business

I acknowledge Wellington Shire Council's Privacy Statement. *