Create an Account - Increase your productivity, customize your experience, and engage in information you care about.
Use this application for: Food Service with Seats (Restaurant), Seasonal Mobile Food Unit, Seasonal Food Permit, Mobile Food Permit, Food Pantry Service, Frozen Dessert, Ice Cream, Yogurt (Mfg'ers Only), Limited Retail Food Service Only (Less than 10 SqFt, only wrapped pre-packaged items), Limited Food Service (Stationary) - (Heating wrapped pre-packaged items only)
No permits will be issued until payment has been received in full and processed by the staff of the City of Gardner Health Department.
Owner, person in charge, supervisor, manager, etc
Required as of 10/1/2001 in accordance with 105 CMR 590.003(A)
Time/ Temperature Controls Required
No Time/Temperature Controls required
Sandwiches, Salads, Muffins, etc., which need no further processing
Check all that apply
I, the undersigned, attest to the accuracy of the information provided in this application and I affirm that the food establishment operation will comply with 105 CMR 590.000 and all other applicable law. I have been instructed by the Board of Health on how to obtain copies of 105 CMR 590.000 and the Federal Code
Pursuant to MGL Ch 62C, Sec 49A, I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid state taxes required by law.
A social security number or federal identification number is required for the completion of this application. Someone from the Health Department will contact you via phone to get this information. Please do not send this information via email.
This field is not part of the form submission.
* indicates a required field