Food (Registration of Premises) (Jersey) Order 2001 — Schedule 1 (Article 4(1)) — Form of Application for Registration of Food Premises Instructions

Enter the alcohol licence category or categories that apply to this business (for example 'On licence', 'Off licence', 'Club'), separating multiple categories with commas; leave blank if there is no licence. Fill only if 'Alcohol Licence - YES' is 'Yes'.

Check this box if the business currently holds an alcohol licence.

Check this box if the business does not hold an alcohol licence.

Enter the date when the form was signed to confirm the declaration.

Enter the full name of the person signing the form, using block (capital) letters.

Enter the job title or position of the person who has signed the form.

Check this box when you are submitting the form electronically to confirm that the details provided above are accurate.

Enter the trading name under which the food business operates (the public or customer-facing business name).

Enter the primary contact telephone number for the food business, including country and area code if applicable.

Enter the business email address used for official correspondence about the food premises.

Enter the food business’s website address or URL (include the full address, e.g. https://www.example.com, if available).

Enter the full legal name of the food business operator (or the limited company name) as it should appear on registration documents.

Enter the number of staff who have completed Basic (Level 1) food safety training; provide a whole number.

Enter the number of staff who have completed Foundation (Level 2) food safety training; provide a whole number.

Enter the number of staff who have completed Intermediate (Level 3) food safety training; provide a whole number.

Enter the number of staff who have completed Advanced (Level 4) food safety training; provide a whole number.

Enter the first line of the head office street address (building number or name and street).

Enter the second line of the head office address such as locality, town or county.

Enter the postal (postcode) code for the head office.

Enter the head office telephone number, including country or area code if applicable.

Enter the primary email address for the head office.

Enter the date you intend the new business to open. Fill only if 'New Business - YES' is 'Yes'.

Check this box if the premises is a new business (i.e., you are registering a food business that has not previously traded at this address).

Check this box if the premises is not a new business (i.e., the food business has previously traded at this address).

Enter the primary street address of the premises (building number and street name) where the business is located.

Enter any additional address information such as apartment/suite, village, locality or the address at which a movable establishment is ordinarily kept.

Enter the postal code for the premises.

Enter the first calendar date on which the seasonal business will begin operating. Fill only if 'Seasonal Business - YES' is 'Yes'.

Enter the final calendar date on which the seasonal business will cease operating for the season. Fill only if 'Seasonal Business - YES' is 'Yes'.

Check this box if the business operates only seasonally (not year‑round); if checked, also enter the dates of operation on the lines provided.

Check this box if the business operates year‑round (is not seasonal) and you do not need to provide seasonal dates of operation.

Enter the number of water closet (toilet) fixtures provided with disabled access.

Enter the number of wash hand basins provided with disabled access.

Enter the number of urinals provided with disabled access.

Enter the number of female-designated water closet (toilet) fixtures available at the premises.

Enter the number of wash hand basins (sinks) provided for female toilets at the premises.

Enter the number of urinals provided for female facilities (if applicable) at the premises.

Enter the number of water closet (toilet) fixtures provided for male users (staff only).

Enter the number of wash hand basins provided for male users (staff only).

Enter the number of urinals provided for male users (staff only).

Enter the number of water closet (toilet) cubicles provided for staff only.

Enter the number of wash hand basins (sinks) available for staff use.

Enter the number of urinals provided for staff only.

Enter the number of unisex water closets (toilet cubicles) provided for this premises.

Enter the number of wash hand basins (sinks) available in the unisex toilet provision.

Enter the number of urinals available in the unisex toilet provision.

Check this box if the premises operates as a staff restaurant or canteen.

Check this box if the premises is a hospital, residential home, or school providing food.

Check this box if the premises is used for distribution or warehousing of food products.

Check this box if the premises carries out food manufacturing or processing activities.

Check this box if the business imports or exports food products.

Check this box if the business provides event or outdoor catering services.

Check this box if the premises operates as a public house (pub).

Check this box if the food business operates from a mobile or moveable establishment.

Check this box if the food activity is farming livestock.

Check this box if the food activity is arable farming (crop production).

Check this box if your type of food activity is not listed and provide details in the space provided.

Check this box if the premises sells food direct to consumers as a retailer or farm shop.

Check this box if the premises operates as a restaurant, café, or snack bar.

Check this box if the business sells food from a market stall or at a market.

Check this box if the premises provides food for takeaway.

Check this box if the premises is a hotel or guest house that provides food to guests.

Check this box if a private house is being used to operate a food business.

Check this box if the premises operates as a wholesale or cash-and-carry food business.

Check this box if the business acts as a food broker or deals in food supplements.

Check this box when the food business is supplied with water from the public mains (municipal) water supply.

Check this box when the food business obtains its water from a private source such as a borehole, well or other private supply.

Check this box when the water supplied to the food business does not fall under public mains or private supply and requires a different specification (e.g., tanker, alternative arrangement).