Food Alert Electronic Notification Signup
This form is used to capture a facility's information to add to the Environmental Health Department's electronic notification system.
Email address *
Facility Name *
Your answer
Facility Street Address *
Your answer
Facility City
Your answer
Facility State
Facility Zip Code *
Your answer
Facility ID Number (e.g. FA0000123 - found on permit)
Your answer
Phone *
Your answer
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