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Application for National Programme

Please read our checklist below before starting your Application for National Programme.

    • A copy of the site plan for each address identifying physical boundaries.

    • An internal layout plan of all food rooms detailing layout of all fixed appliances, plumbing, ventilation, lighting etc.

    • If your business is a registered limited liability company, a copy of the company’s Certificate of Incorporation.

    • Complete Scope of Operations form and submit with application.

    • If QLDC is not your verification agency, a copy of the confirmation letter from your verification agency must be provided (independent verifier).

    • This form must be used when applying to Council for registration of a National Programme under section 83 of the Food Act 2014.

    • The National Programme is designed for lower and medium risk food businesses. It means you don’t need to use written food control plans, but you must register your business, meet food safety standards, keep some records, and get checked. Guidance documents explain what the law requires and what records must be kept and what a verifier will check.

    • Some information provided will be included on the public register, however, you can ask for certain personal information to be withheld from the published register.

    • Please ensure that you are proactive in ensuring that your new business complies with other relevant areas of legislation (if applicable), including the Building Act 2004, Trade Waste requirements and the QLDC District Plan rules. For further information on how these areas may apply to your food business, please email:

      services@qldc.govt.nz 

    • If there are any changes to the details provided in this application after the application has been sent to QLDC you must promptly inform us of the changes. There is a form on our website that must be completed to advise of these

      changes.

    • If you require any further assistance to help with understanding what is required, please contact the Environmental Health Support team on 03 441 0499.

Application for National Programme

If you're not sure, please visit the Ministry for Primary Industries (MPI) website and use the My Food Rules.

Section 1: Details

Details of the entity/person applying for the National Programme - record individual premise(s) in Section 4

Please enter the details of the entity/person responsible for this National Programme application. These details will be used for all correspondence. This contact must be the Legal Contact who is responsible for the business.

A multiple site business is where the business has more than one address where food is prepared, stored or traded, and you would like to register all sites under one application.
(e.g. registered company, partnership or individual)
If you have New Zealand Business Numbers (NZBN), provide them here.
Please provide a brief summary about the size and scope of your food business and what you plan to sell.
(DD/MM/YYYY)
See 'Checklist before starting' above this form for more information on the MPI's My Food Rules form.
An internal layout plan of all food rooms detailing the layout of all fixed appliances, plumbing, ventilation, lighting etc.
If your business is a registered limited liability company, a copy of the Company Registration Certificate.

Section 2: Verification Agency Details

QLDC may contact your Verification Agency directly to clarify any issues related to your registration.
A copy of your National Programme registration approval and certificate will be emailed to your nominated third party auditor once approved.

Verification Agreement

If different to customer name.
If different to physical address.
i.e Director, Manager

Section 3: Mobile Trader

Section 4: Site Information

Please add your site details - whether single or multi. Include all addresses where food is handled.

i.e ABC Foods Limited
i.e Alphabet Café & Bar
If you trade at a market, this will be your home address or business address.
Please enter the site day-to-day manager's full name and job position.
Select yes to add more sites.
i.e ABC Foods Limited
i.e Alphabet Café & Bar
If you trade at a market, this will be your home address or shared kitchen address.
Please enter the site day-to-day manager's full name and job position.
Select yes to add more sites.
i.e ABC Foods Limited
i.e Alphabet Café & Bar
If you trade at a market, this will be your home address or shared kitchen address.
Please enter the site day-to-day manager's full name and job position.
Select yes to add more sites.
i.e ABC Foods Limited
i.e Alphabet Café & Bar
If you trade at a market, this will be your home address or shared kitchen address.
Please enter the site day-to-day manager's full name and job position.
Select yes to add more sites.
i.e ABC Foods Limited
i.e Alphabet Café & Bar
If you trade at a market, this will be your home address or shared kitchen address.
Please enter the site day-to-day manager's full name and job position.

Section 5: Applicant Statement

I confirm that:

1. I am authorised to make this application as the operator or a person with legal authority to act on behalf of the operators listed in section 4. 2. The information supplied in this application is truthful and accurate to the best of my knowledge and belief. 3. Every operator of the food businesses covered by the National Programme is resident in New Zealand within the meaning of section YD 1 or YD 2 (excluding section YD 2(2)) of the Income Tax Act 2007. 4. Every operator of the food businesses covered by the National Programme is able to comply with therequirements of the Food Act 2014. 5. I have read and I agree to the Food Business verification terms and conditions.

Section 6: Collection of information

Collection of personal information

Pursuant to Principle 3 of the Privacy Act 1993, we advise that: • This information is being collected for the purpose of registering under the Food Act 2014; and • The recipient of this information, which is the agency that will collect and hold the information, is QLDC; and • Some of the information collected will be displayed on a public register; and • The collection of information is authorised under sections 79 and 83 of the Food Act 2014. The provision of this information is necessary in order to process an application for registration under section 83; and • The supply of this information is voluntary; however, failure to provide the requested information is likely to result in a return of this application form, and may ultimately result in a refusal to register, in accordance with sections 84, 85, 86 and 87 of the Food Act 2014; and • Under Principles 6 and 7 of the Privacy Act 1993, you have the right of access to, and correction of, any personal information that you have provided.

Collection of official information

All information provided to QLDC is official information and may be subject to a request made under the Official Information Act 1982. If a request is made under that Act for information you have provided in this application, QLDC must consider any such request in accordance with its obligations under the Official Information Act 1982 and any other applicable legislation.