Application for Approval

This form is to be used to apply for approval to use premises to handle dairy products, egg products, fishery products, meat products, or minced meat and meat preparations.

Either print a copy of this form and fill it in with a black pen in BLOCK CAPITALS, or complete it on screen. Complete Parts 1 to 9 inclusive, and the specific Part or Parts of the form that relate to the Regulations under which you are applying for approval, then complete, sign and date Part 15.

	Please see the Flow Chart for Approval of Product-specific Premises prior to completing this form
	PART 1 – REGULATIONS UNDER WHICH APPROVAL IS SOUGHT
	Under which Regulations are you applying for approval to use The Premises? (check all that apply)
*	Dairy Products (Hygiene) Regulations 1995 (as amended) Egg Products Regulations 1993 (as amended) Food Safety (Fishery Products & Live Shellfish) (Hygiene) Regulations 1998 (as amended) Meat Products (Hygiene) Regulations 1994 (as amended) Minced Meat and Meat Preparations (Hygiene) Regulations 1995 (as amended)

PART 2 - PREMISES FOR WHICH APPROVAL IS SOUGHT (THE PREMISES)

Trading name of The Premises

Full postal Address:

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode