Fillable Childminder Food Registration Form

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Childminder Food Registration Form

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The Childminder Food Registration Form form is 2 pages long and contains:

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  • 15 check-boxes
  • 30 other fields

Country of origin: UK
File type: PDF

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FOOD BUSINESS REGISTRATION FORM
FOR CHILDMINDERS OPERATING FROM DOMESTIC PREMISES
(Regulation (EC) No 852/2004 on the Hygiene of Foodstuffs, Article 6 (2))
Webprint v1 Nov 11
Dear Childminder,
Food Safety Act 1990
Food Hygiene (Scotland) Regulations 2006
I am writing to you because we have been made aware that you are operating as a
childminder at this address. If you are providing food for the children you are minding you
might be considered to be a “food business”.
You may be aware that Midlothian Council Environmental Health team inspect food
premises on a regular basis. However, we do not visit premises where the risks involving
food are very low. To find out if your childminding business is also a food business I
would be grateful if you could read the notes below
What to do
Please read the information on the form. All Childminders are required to complete
Section A of the form. If you believe your food activities are limited to those on the list in
Section B then all you need to do is sign the declaration at the bottom of Section B and
return it to us. We may use your details to contact you with information about matters of
food safety. If your business changes in the future so that you are providing more food
you need to let us know.
If you provide more food than that stated in Section B then fill out Section C. Sign the
declaration at the bottom of this Section and return this to us. We will use the information
provided by you to register your premises as a food business. We may then come to
inspect your business. You will be contacted by one of our officers who will arrange an
appointment with you.
Please return your form to
Environmental Health
Midlothian Council
Fairfield House
8 Lothian Road
Dalkeith
EH22 3ZH
Thank you for your assistance with this matter. If you have any questions, please contact
us on tel. 0131 271 3559 or by email foodandsafety@midlothian.gov.uk
FOOD BUSINESS REGISTRATION FORM
FOR CHILDMINDERS OPERATING FROM DOMESTIC PREMISES
(Regulation (EC) No 852/2004 on the Hygiene of Foodstuffs, Article 6 (2))
Webprint v1 Nov 11
INSTRUCTIONS FOR COMPLETION OF THE FORM
1. Read all of the form first. Then complete SECTION A.
2. Consider if your food activities are limited to those included in SECTION B. If they are please sign
below SECTION B and return the form in the envelope provided
3. If your food activities are more extensive than those in SECTION B please complete SECTION C,
sign below Section C and return the form to our offices.
SECTION A
Name of the food business operator
(owner)
Address of the food business
Post Code
SECTION B
a.
Provision of mains drinking water
b.
Provision of crockery and cutlery for use by children to eat there own packed lunches.
c.
Provision of chilled storage for packed lunches that belong to the children
d.
Occasional assistance to children with cutting up their own food in response to individual need rather
than as an established service.
e.
Occasional provision of food that is not part of the normal service (e.g. A cake to celebrate a child’s
birthday or provision of food where a parent/guardian has been delayed).
f.
Operating in the child’s own home and serving food that belongs to the child’s parent/guardian e.g.
Nannies and home child carers.
I confirm that the food related activities carried out by my childminding business are restricted to those in Section B
Signature of owner …………………………………………………. Date……………………………..
Name (Block Capitals) ……………………………………………………………………….
SECTION C TO BE COMPLETED BY CHILDMINDERS WITH MORE EXTENSIVE FOOD ACTIVITIES
Contact Telephone Number
E-mail address (if applicable)
Average
per day
Maximum at
one time
MAINS
PRIVATE
YES
NO
Additional information
YES
NO
YES
NO
Please tick any of the following foods you either prepare or provide
Formula Milk
Any other foods? (please list)
Sandwiches
Dairy Products
Salads
Cooked Meats
Raw Meat/Poultry
Eggs
Signature of the food business operator (owner)…………………………………………Date..………………….
Name (Block Capitals) ……………………………………………………………………….
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Childminder Food Registration Form

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Completed 14 November 2019

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