Isle of Wight Council

Food Hygiene Rating Scheme Appeal form

	Notes for businesses
	As the food business operator of the establishment you have a right to appeal the food hygiene rating given following your inspection if you do not agree that the rating reflects the hygiene standards and management controls found at the time of the inspection. You have 14 days (including weekends and bank holidays) from the date of receipt of the inspection letter to lodge an appeal. Please either submit this form online or print it and return to the Lead Officer for Food for the Isle of Wight Council - contact details are provided at the end of this form. The Lead Officer for Food will review your rating and communicate the outcome of your appeal to you within seven days.

Details of Food Business

*	Food business operator/proprietor
*	Business name
*	Business addresses
*	Business tel no
*	Business email

Inspection Details

*	Date of inspection	dd/mm/yyyy
*	Food hygiene rating given
*	Date notified of rating	dd/mm/yyyy

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

Declaration

*	Your name
*	Position
	Date

DECLARATION To the best of my knowledge, the details in this application are correct. Signed:.................................................. PRINT NAME............................................. Date:......................................................

If not submitting online, please print this form and return it to: Environmental Health, Jubilee Stores, The Quay, Newport Isle of Wight PO30 2EH.

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

	Reference number:
	Date of submission:

Date printed: 08/03/2013