New Proprietor Details
Note: If the proprietor is a company or association, specify name of person completing the application form and authority (eg. Director of Company).
New Premises Details
If none of the above applies to your premises, the classification of your premises will depend upon the risk associated with your food handling activities such as refrigeration and cooking. Please answer the following questions to assist the Council in determining whether your premises is a Class 2 or 3.
Classification
Declared QA Food Safety Program
Documents Required for Quality Assurance and Audited Premises
Food Safety Program – Class1 and 2 Only
Declaration of New Proprietor
If the business is owned by a sole trader or a partnership, the proprietor(s) must sign and print name(s).
If the business is owned by a company or association, the applicant on behalf of that body must sign and print their name.
Note: If the proprietor is a company or association, specify name of person completing the application form and authority (eg. Director of Company).
Consent from previous proprietor to transfer the proprietorship from the previous proprietor to the new proprietor listed on the start of this form.
CONTACT US
Phone 03 5760 2600 to make an EFTPOS
or credit payment over the phone.
EMAIL council@benalla.vic.gov.au
IN PERSON
Visit the Council’s Customer Service Centre
at 1 Bridge Street East, Benalla
MAIL
Send this application back to us with a
cheque for the full amount made payable
to Benalla Rural City Council,
PO BOX 227, BENALLA VIC 3671