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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Date of Birth
Place of Employment
If you have additional documents to send, please email them to firstname.lastname@example.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
Food Handler Permit:
Food Handler Re-Issue (for lost permits):
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Method of Payment:
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Name on Card:
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