Get (fssmc) Program Request Form

Filling out the Food Service Sanitation Manager Certification Program Request Form online can be a straightforward process when guided properly. This form is essential for individuals seeking certification in food safety, and completing it accurately is key to a successful application.

Follow the steps to complete your application seamlessly.

1. Click the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering your full legal name in the designated fields, including your first name, middle initial, and last name.
3. Fill in your address, including the city, state, and ZIP code. Ensure that this information is accurate to avoid any delays.
4. Provide the name of your county in the required section.
5. Record your daytime telephone number to ensure that officials can contact you if needed.
6. Input your Social Security number in the specified field; remember that it is mandatory for obtaining a license under Illinois law.
7. If applicable, enter your Illinois FSSMC ID number in the provided space.
8. Mark the appropriate box to indicate whether you are applying for a new certificate, requesting a replacement certificate, or only changing your name and/or address.
9. Complete the child support declaration by indicating whether you are more than 30 days delinquent in child support obligations, and provide your signature and date.
10. Review all entries carefully for accuracy before submitting the form.
11. Finally, save your changes, and proceed to download, print, or share the completed form as needed.

Take the first step towards your certification by completing the (FSSMC) Program Request Form online today.