Get Cuphd Form 3-a

Filling out the CUPHD Form 3-A is essential for documenting food establishment inspections. This guide will provide you with clear, step-by-step instructions on how to complete this form online, ensuring compliance and efficiency.

Follow the steps to successfully complete the CUPHD Form 3-A online.

1. Click the ‘Get Form’ button to obtain the form and access it for completion.
2. Begin by entering the establishment details such as the name, address, city/state, and zip code. Ensure accuracy to avoid any future discrepancies.
3. Enter the license or permit number, the name of the permit holder, and the purpose of the inspection to provide context for the report.
4. Fill in the date and the times for 'Time In' and 'Time Out' to log the duration of the inspection.
5. Provide the contact telephone number for the establishment, followed by selecting the establishment type and risk category.
6. For the section on foodborne illness risk factors and public health interventions, mark an 'X' in the appropriate boxes for compliance status (COS = corrected on-site, R = repeat violation).
7. Circle the corresponding compliance statuses for each numbered item according to your observations during the inspection (IN = in compliance, OUT = not in compliance, N/O = not observed, N/A = not applicable).
8. Continue through the list marking compliance as necessary, being thorough in noting any potential issues or violations.
9. Once all sections are completed, review the entire form to ensure all information is accurate and clear.
10. Save your changes, and then proceed to download, print, or share the form as needed for your records or submission.

Complete your CUPHD Form 3-A online today to ensure your food establishment is compliant with health regulations.