Application Forms for New Owners

All forms are in Adobe Acrobat (pdf) format.

STATE OF KANSAS FORMS

Kansas Department of Health and Environment
Form for all food service types except those located in a grocery or convenience store
Application for State Food Service Establishment License (110K)
(To be submitted to the inspector at the pre-opening)

Kansas Department of Agriculture
Form for food service in a grocery or convenience store
Application for Food Safety License (62K)
(To be submitted to the inspector at the pre-opening)

JCED FORMS

Plan Review Form #1
Facility Construction and Equipment Layout (24K)

Plan Review Form #2
Food Handling, Procedures, and Flow of Food (22K)

Grease Interceptor Review Form (223K)

WASTEWATER FORMS