Get Coles County Health Department

Completing the Coles County Health Department application for a food establishment permit is a crucial step for your business. This guide provides detailed instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete your application.

1. Click ‘Get Form’ button to obtain the application form and open it in your preferred editor.
2. In the 'Permit Type and Fee' section, select the appropriate checkbox for your permit category and note the corresponding fee. Ensure to review the categories: Category 1, Category 2, Category 3, or Non-profit organizations.
3. Fill in the 'Name of Establishment' field with the official name of your food establishment as it appears on your business documentation.
4. Complete the 'Address of Establishment' section by providing the physical address, including the city and zip code.
5. Enter the 'Mailing Address of Establishment' if it differs from the physical address. This section should include the mailing city and zip code.
6. Provide the 'Operator or Manager' details, including the name, establishment phone number, emergency phone number, and fax number. Ensure all provided information is up to date.
7. Identify the type of organization by checking the correct box: Individual, Firm, Corporation, or Partnership. If you select Partnership, attach the full names and addresses of all partners.
8. In the 'Hours of Operation' section, fill in the hours your establishment will operate for each day of the week.
9. If applicable, provide 'Certified Food Service Sanitation Manager' details for Category I establishments, including the names, titles, numbers, and expiration dates.
10. Indicate whether your facility has changed menu items or food handling practices by selecting 'Yes' or 'No.' If 'Yes', provide a brief explanation.
11. Sign the application by entering your printed name, address, and signature. Ensure that the information is true to the best of your knowledge.
12. After completing all sections, save changes, and decide whether to download, print, or share the form as needed.

Complete your application online today to ensure your food establishment is compliant with health regulations.