HomeMy Public PortalAboutLetter To New Food Establishment Owner
Dear New Food Establishment Owner:
Please be sure to complete and return each of the following:
□ Submit a copy of your business proposal including floor plans of the bu siness and proposed menu.
□ Schedule a time to meet with a Health Agent to review the necessary licenses, paperwork and plans for your new
business.
□ Complete the Food Establishment Permit application with both sides completely filled out. Check all boxes that
apply to your establishment and sign/date.
□ Complete the Massachusetts Workmen’s Compensation Affidavit form filled out completely, signed and dated. While
such insurance is only required if you employ one or more individuals, EVERYONE must complete the affidavit. If there
are no individuals in your employment, please indicate this on the affidavit, and sign/date.
□ Submit a copy of your Workmen’s Compensation Declaration Page from your insurance company showing the
Policy number and expiration date (If you are an employer with 1 or more employees).
□ Submit a copy of your ServSafe Certificate.
□ Submit a copy of your Allergen Certificate.
□ Submit a copy of your Choke Safe or CPR Certificate (not required if establishment has less than 25 seats).
□ Complete the Frozen Food Affidavit completely filled out and sign/date (only required for Frozen Food Permit).
□ Fee (Please make check payable to Town of Brewster).
□ Schedule an appointment for a pre-opening inspection and/or a progress walk through.
Town of Brewster
2198 MAIN STREET Health Department
BREWSTER, MASSACHUSETTS 02631-1898
Amy L. von Hone, R.S., C.H.O. Director
PHONE: 508.896.3701 EXT. 1120
FAX: 508.896.4538 Sherrie McCullough, R.S.
brhealth@brewster-ma.gov Assistant Director
WWW.BREWSTER-MA.GOV Tammi Mason
Senior Department Assistant