Food Hygiene Rating Scheme Appeal Form

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 use the form below and return it to the Lead Officer for Food from your local authority – contact details are provided with the written notification of your food hygiene rating.
- The Lead Officer for Food will review your rating and communicate the outcome of your appeal to you within twenty one days.
Business Details
Food Business operator/proprietor*
Business Name*
Business Address*

Street Address

Street Address Line 2

TownState / Province

Postcode
Business Telephone Number*
Please enter a valid phone number.
Business Email*
example@example.com
Inspection Details
Date of Inspection *

DayMonthYear
Food Hygiene Rating Given*
Date Notified of Rating*

DayMonthYear
Appeal Details
Please check this box to confirm you do not agree with the food hygiene rating given by the food safety officer and complete the boxes below.*

Declaration
Compliance with food hygiene and safety procedures*
Compliance with structural requirements*
Confidence in management/control procedures*
Declaration
Name*

First NameLast Name
Position*
Date*

DayMonthYear
Privacy Statement

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Food Hygiene Rating Scheme Appeal Form

Business Details

Inspection Details

Appeal Details

Declaration