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Application for Template Food Control Plan

Information on the Template Food Control Plan and how to apply.

  • Before you start, let's check that you have everything you need:

    • 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 the My Food Rules form on MPI's website to confirm your businesses Scope of Operations and attach to this application.

  • Read these notes before you start filling out the form:

    • This form must be used when applying to Council for registration of a Template Food Control Plan (TFCP) under section 53 of the Food Act 2014.

    • A Template Food Control Plan (TFCP) sets out what steps a business making or selling higher risk foods needs to take to make safe food. You use it to identify risks, and to show how they’re being managed. Ensure that you have the Template Food Control Plan - The Simply Safe and Suitable Template Food Control Plan and that you have tailored this to your business. It is a requirement under the Food Act on registration to use the plan in your operation. Details on downloading a plan.

    • 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. View the public register.

    • Please ensure that you are proactive and that any building you may be using complies with the Building Act 2004 and the District Plan rules. If you are using your home for your operation you will need to email:

      services@qldc.govt.nz 

      trade.waste@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.

Section 1: Details

Details of the entity/person applying for the Food Control Plan Registration - record individual premise(s) in Section 3

Please enter the details of the entity/person responsible for this Food Control Plan registration. These details will be used for all correspondance. This contact must be the Legal Contact who is responsible for the business.

*1 Multiple site business

A multiple site business is when 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.

*2 Multiple business application

A multiple business application is where there is more than one address where food is prepared, stored or traded. Each site may be run by a different business, but one business must have overall control and responsibility for all sites’ food safety.

(e.g. registered company, partnership or individual)
If you have New Zealand Business Numbers, provide them here.
Please provide a brief summary about your food business, including your scope and what you plan to sell.
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: Mobile Traders

Section 3: Site Information

Example: ABC Foods Limited
Example: Alphabet Café and Bar
If you trade at a market, this will be your home address or business address.
Tick this box if you wish the address to be withheld from the public register because it's a private dwellinghouse.
Example: ABC Foods Limited
Example: Alphabet Café and Bar
If you trade at a market, this will be your home address or shared kitchen address.
Tick this box if you wish the address to be withheld from the public register because it's a private dwellinghouse.
Example: ABC Foods Limited
Example: Alphabet Café and Bar
If you trade at a market, this will be your home address or shared kitchen address.
Tick this box if you wish the address to be withheld from the public register because it's a private dwellinghouse.
Example: ABC Foods Limited
Example: Alphabet Café and Bar
If you trade at a market, this will be your home address or shared kitchen address.
Tick this box if you wish the address to be withheld from the public register because it's a private dwellinghouse.
Example: ABC Foods Limited
Example: Alphabet Café and Bar
If you trade at a market, this will be your home address or shared kitchen address.
Tick this box if you wish the address to be withheld from the public register because it's a private dwellinghouse.

Section 4: 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 3.

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 Food Control Plan 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 Food Control Plan is able to comply with the requirements of the Food Act 2014.

5. I have read and I agree to the Food Business verification terms and conditions.

Section 5: 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 section 53 of the Food Act 2014. The provision of this information is necessary in order to process an application for registration under section 53; 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 section 54 and 57 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, MPI must consider any such request in accordance with its obligations under the Official Information Act 1982 and any other applicable legislation.