Tooele Health Department
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444

Application For Food Handler Permit

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Applicant's Information
First Name: Last Name:
City: State/Province: ZIP/Postal Code:
Date of Birth
Phone Number
Place of Employment
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I agree to abide by all local ordinances and laws of the State of Utah governing the service of food and beverage and I understand that failure to do so may result in revocation of my food service worker’s permit and/or other action as the law req

Signature of Applicant

Food Handler Permit:   $20.00   Select:   Item Subtotal:  
Food Handler Re-Issue (for lost permits):   $5.00   Select:   Item Subtotal:  
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