This site requires Javascript be enabled.
To continue, please enable Javascript by following instructions specific to the browser you are using.
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
www.tooelehealth.org
Application For Food Handler Permit
Please put N/A for any fields that are not applicable
Applicant's Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Date of Birth
Phone Number
Place of Employment
If you have additional documents to send, please email them to eh@tooelehealth.org.
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
Date
Food Handler Permit:
$20.00
Select:
Item Subtotal:
$0.00
Food Handler Re-Issue (for lost permits):
$5.00
Select:
Item Subtotal:
$0.00
Total:
$0.00
'Please Select Method of Payment to Continue'
Payment Information:
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
Submitting ...
Cancel
SIP
© 2023
CORE Business Technologies
DBA Secure Instant Payments. All rights reserved.
~
Our Solutions
~
Privacy Policy
~
Contact Us
~
SIP Version 3.30.16805; (API: 2.22)