Food License Application

This license is to be completed and updated annually by all Food Service Establishments within the HVHD. 

• Key Form Components: Event Details, Person in Charge Info

---

Supporting Documents

The following must also be updated annually with the food license application:

☐ Copy of (2) Certified Food Protection Manager Certificates – All shift managers must submit a Food Protection Manager Certificate; Applies to Class 2, 3, and 4 establishments
☐ Current menu
☐ Copy of most recent private well water quality test results; not needed if facility is on public water
☐ Most recent septic and/or grease trap pumping records
☐ Pest Management details
☐ Outstanding fees, including unpaid property taxes
*Tax questions may be directed to the Tax Collector in the town of the establishment.
☐ Washington establishments must submit a signed release from the tax collector
☐ Proof of non-profit status, if applicable
☐ Payment in full; can be via check or money order made payable to HVHD or we will email you a payment link

Other Information

Applications and supporting documents are required to be submitted annually.