Proposal to register a health and wellbeing premises

Please complete and submit to propose registration of a premises under the Public Health & Wellbeing Act.


Fields marked with * are required




Premises Details

Address of premises











Proposal details

Health Premises











Select files to upload (DOC,DOCX,PDF,JPG,GIF,XLS,XLSX,PPT,PPTX,TXT,RTX). File size limit 25MB


Applicant Details

Name of Applicant/s










(if different from premises trading address)


Contact details



Terms and conditions
Council charges a commercial rate on land used for predominantly commercial activities (that is: where goods are made or services provided).

Where the commercial activities are located with a predominantly residential land use, Council will apply a Mixed Use rate which is lower than the commercial rate but higher than the residential rate.

The current rates are available in Councils Rating Strategy. For further information please contact Council's Financial Services on 03 5272 4650.

You are authorised to make this application as the proprietor or approved agent of the Food and/or Health business.


Privacy
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.


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