
FSI-303-15 (8/15) ... APPLICATION FOR FOOD PROCESSING ESTABLISHMENT LICENSE. NYS Department of Agriculture and Markets - Article 20-C ... 10B Airline Dr. Albany, N.Y., 12235 (518) 485-5326 www. agriculture.ny.gov.
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How to fill out the Article 20 C License online
Filling out the Article 20 C License application is an essential step for individuals and businesses looking to operate food processing establishments in New York. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to complete your application with ease.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by completing the applicant information section. Provide the individual's name, partnership, or full name of the corporation, along with the county, trade name, business telephone number, street, city, state, and zip code.
- Fill in the optional mailing address if different from the main address. Ensure you provide the street, city, state, and zip code.
- Complete the identification number section. You can enter either the federal ID number or the social security number, depending on your business structure.
- List all sole proprietors, officers of the corporation or cooperative, or partners/members if applicable. This section may require you to attach a list if there are multiple individuals.
- Indicate your principal office address. Additionally, state the incorporation details such as the state and date of incorporation, and whether you are a foreign or out-of-state entity.
- Answer the felony conviction question about the applicant and its associates. If applicable, include necessary details and a 'Certificate of Conviction' if required.
- List food preparation or processing activities that your establishment will perform. Be explicit about the types of food processed and any relevant activities.
- For retail food stores, indicate whether you are exempt from submitting a copy of the certificate proving successful completion of a food safety course.
- Detail your Workers Compensation Insurance status by selecting the appropriate option and providing the insurance provider's name.
- Read the statements regarding the information provided in the application, ensuring all fields are completed accurately. Sign and date the application in the designated section.
- Finally, save your changes and prepare to download or print the completed form. Alternatively, you can share it as needed.
Complete your Article 20 C License application online today!
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