Restaurant Licensing Application Checklist Form

Restaurant Licensing Application Checklist Form
Complete this checklist to ensure your restaurant meets all application requirements for licensing.
Restaurant Name
Contact Person Full Name
First NameLast Name
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email
example@example.com
Copy of Health Inspection Certificate
Copy of Fire Safety Compliance Certificate
Proof of Food Handler Permits
Proof of Insurance (General Liability)
Upload Floor Plan of Restaurant
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Additional Comments or Notes
Should be Empty: