Food Hygiene Rating Scheme: Appeal form

Business details

Food business operator/proprietor *

Business name

Business addresses

Business telephone number

Inspection details

Date of inspection

Food hygiene rating given

Date notified of rating

Appeal

I do not agree with the food hygiene rating given by the food safety officer because (please explain below under each of the three headings). *

Compliance with food hygiene and safety procedures

Compliance with structural requirements

Confidence in management/control procedures

Name

Position

Date

By submitting an electronic application, your electronic signature is assumed as a valid undertaking that the information you have provided is true and accurate to the best of your knowledge. You may be required to sign your application at a later stage *

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