Retail Annual Food Permit Online Application Establishment Name * date_range access_time Establishment Address * date_range access_time Establishment Telephone # * XXX-XXX-XXXX date_range access_time Owner’s Name: * date_range access_time Owner's Mailing Address * date_range access_time Owner's E-Mail Address * date_range access_time Owner's Telephone # * XXX-XXX-XXXX date_range access_time Owner's Fax # date_range access_time Operator * date_range access_time Operator's Mailing Address * date_range access_time District Manager (if applicable) date_range access_time District Manager Mailing Address date_range access_time District Manager Telephone XXX-XXX-XXXX date_range access_time Certified Food Handler * date_range access_time Food Handler Certificate # * date_range access_time Food Handler Certificate Expiration Date: * date_range access_time Is this application for the current year? * Please select an option Yes No navigate_nextContinue Your Session Is About To Expire Click continue to extend your session. Your Session Has Expired Close your browser or click OK to begin a new session.