Food Hygiene Rating Scheme: Appeal Form

Notes for businesses:

As the food business operator of the establishment you have a right to appeal the food hygiene rating given following your inspection if you do not agree that the rating reflects the hygiene standards and management controls found at the time of the inspection.
You have 21 days (including weekends and bank holidays) from the date of receipt of the notification letter to lodge an appeal.
Please complete the form below.
The Lead Officer for Food will review your rating and communicate the outcome of your appeal to you within 21 days.

Fields marked with * are required
Are you completing this form on behalf of someone else?*
1. Yes
2. No
Assisted service details
1. In what capacity are you completing this form?
  
  CC Staff
  
  Agent/Solicitor
  
  Relative/Friend
  
  Carer
  
  Other
2. Name of person completing this online form
3. Email of person completing this form
Business Details
1. Food business operator/proprietor:*
2. Business name:*
3. Business address:*
4. Business tel.number:*
5. Business email:*
Inspection Details
1. Date of Inspection (DD/MM/YYYY):*
2. Food hygiene rating given:*
3. Date notified of rating (DD/MM/YYYY):*
Appeal
1. I do not agree with the food hygiene rating given by the food safety officer because (please explain below under each of the three headings)
2. Compliance with food hygiene and safety procedures:
3. Compliance with structural requirements:
4. Confidence in management/control procedures
Client details
1. Name of person completing form:*
2. Title:*
  
  Mr
  
  Mrs
  
  Ms
  
  Miss
3. Position in company:*
4. Contact email:*
5. Contact tel.number:*
Privacy statement

Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.

In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.

The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.

More detailed information about the Council's handling of your personal data can be found in our privacy policy.

Last updated: 02/03/2022 10:10:36

This website uses cookies

Food Hygiene Rating Scheme: Appeal Form

Privacy statement