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- Click ‘Get Form’ to open the CG 719K in the editor.
- Begin with Section I: Applicant Information. Fill in your legal name, date of birth, and contact details. Ensure that your home address is accurate, as this will be used for correspondence.
- Proceed to Section II: Food Handler Certification. This section must be completed by your Medical Practitioner, who will attest to your health status regarding communicable diseases.
- In Section III: Medical Conditions, report any relevant medical history. Check 'YES' for conditions you have been diagnosed with or treated for. Your Medical Practitioner will review this information.
- Complete Section IV: Medications by listing all medications you are currently taking. Your Medical Practitioner will verify this information.
- Sections V through IX require input from your Medical Practitioner regarding physical examinations and assessments. Ensure they initial and date each page as required.
- Finally, review Sections X and XI for applicant certification and optional consent forms before submitting the completed document.
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