Jay County Health Department Food Permit Application 504 W Arch 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of your establishment in the 'Name of Establishment' field. This should reflect your business's commonly used name.
3. Fill in the 'Location of Establishment' with the physical address where your business operates, ensuring it matches local records.
4. Provide your 'Establishment Mailing Address' for official correspondence, including city, state, and zip code.
5. Complete the 'Business Owner's Name' and their contact information. This is crucial for any follow-up communications.
6. Indicate the number of employees working at your establishment in the designated field.
7. Attach a detailed menu of proposed items, as this is mandatory for permit approval. Use our platform’s upload feature for convenience.
8. Review all entries for accuracy before signing and submitting the form along with the required fee to ensure compliance with regulations.

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