Food Business Variation or Transfer Form

About this form

This form is to be used to apply for a variation to a registration or to transfer ownership of a registration under the Food Act 2001.

Instructions for completion and important information

No fees apply to this application.

If varying the registration, this application form must be completed by the registration holder.

If transferring the registration, this application form must be completed by both the current registration holder and the new owner.

All registered food businesses require at least one trained Food Safety Supervisor.

Required documents

To complete this application you may be required to upload copies of certain documents. The documents you require will depend on what is being varied:

All applications:

A copy of your current registration certificate.

Change of ownership
  • Individuals: A certified copy of photographic identification
  • Companies: ASIC extract and a certified copy of photographic identification of the agent completing the form.
  • Incorporated associations: Certificate of incorporation and a certified copy of photographic identification of the agent completing the form.
  • Fee exempt registrations: Evidence of fee exemption.
Refurbishments and new premises
  • Plans with elevations, specifications and details of all fixtures, fittings, equipment and surface finishes.

Contact

Health Protection Service

Howard Florey Centenary House
25 Mulley Street
HOLDER  ACT  2611

Locked Bag 5005
WESTON CREEK  ACT  2611

Email: hps@act.gov.au
Phone: (02) 6205 1700

Your personal information

Access Canberra uses this form to collect information which is necessary to allow the ACT Government to provide services to you. Personal Information may be used or disclosed in accordance with the Information Privacy Act 2014.

For details on the collection of personal information in this form please refer to the Access Canberra Information Collection Notice. If you have questions about how your information will be handled please see the Access Canberra Privacy Policy and the ACT Health Privacy Notice or contact us.