FoodPremisesChangeDetails.docx / Building and Environmental Health Unit/ Nov-21 Page 1 of 3
Customer Service | 1300 292 872 | (02) 6670 2400
PO Box 816 Murwillumbah NSW 2484
ABN 90 178 732 496 | firstname.lastname@example.org | www.tweed.nsw.gov.au
Application for Food Premises Registration/Change of
Application is hereby made for:
Permanent Food Premise (restaurant, cafes, clubs, supermarkets and others)
Mobile Food Van (van is housed within the Tweed Shire)
New businesses which have not had a ‘fit out approval’ may be required to complete an
“Application for Approval of Food Premises Fit-out Plan” or “Application for Home Based Food
Business (Home Occupation)” form.
New Business (not currently registered with Tweed Shire Council).
Existing Business changing ownership
Existing Business changing details (business name, contact details etc.)
Existing Business proposing minor changes of the premises fit out. Please specify the proposed
minor changes to the fit out:
Major changes to the premises fit-out (including. layout changes, mechanical ventilation etc.)
will require an “Application for Approval of Food Premises Fit-out Plan” to be lodged.
Business Trading Name
Contact No. Email
Driver Licence No. State of Issue