Please complete and submit to register a premises under the Public Health & Wellbeing Act.
If different from premises trading address.
Please provide street number, street, suburb and postcode.
for your application may vary according to the level of food risk. More
information can be found on our fees page.
invoice you for any fees related to your business and the payment of this invoice required for
your application to proceed.
You understand that:
This information is collected under the requirements of the Food/Public Health & Wellbeing Act for enforcement of Public Health purposes.
It may be provided to the Department of Health for the same purposes, and for the statistical purposes related to the application of the Act.
It will be treated in compliance with the Department of Health Information Privacy Principles and the Information Privacy Act.
Provide your email address and we'll send you a link you can use to resume filling out this form at any time.
The link we send you will continue to be usable for 30 days or until your submission has been completed.