Renewal Application for Permit to Operate a Food Service Establishment
Owner Phone Number
Type of Business (Select All that Apply)
Hours of Operation
Days & Hours of Operation
If a School, please Attach School Year Calendar
Manager in Charge
Manager Phone Number
Permit Renewal Fees
To determine your permit category, please refer to your current food permit that you are operating under. Your establishment's permit category is listed on last year's issued food permit. Please note below that Schools and Non-Profits have separate permit categories. Food Service Establishment permit categories are determined by menu risk and are evaluated annually by the Health Department.
The annual deadline for food permit renewal is May 30th, after which a 50% late fee will incur. Online Food Permit Applications are accepted annually from April 1st through June 30th. Once the online application and fee are received a new permit will be issued. Permits are valid from July 1st through June 30th of the following calendar year. Failure to renew a permit and pay the total fee before the expiration date, will result in an expired permit and a demand for cessation of your food establishment operation by the Clinton County Health Department.
Category II (Medium Risk)
Illinois Certified Food Service Sanitation Managers
Food Service Sanitation Manager Certification (FSSMC) Requirements:
Category I (High Risk) facilities shall have a minimum of one FSSMC on the premises at all times while potentially hazardous food is being handled.
Category II (Medium Risk) facilities shall have a minimum of one full-time FSSMC at each establishment.
Category III (Low Risk) facilities are exempt.
- New Food Service establishments, except Category III facilities, shall have a certified food service sanitation manager from the initial day of operation or shall provide documentation of enrollment in an approved course to be completed within three months.
- Original certificate of certified managers shall be maintained at the place of business and shall be made available for inspection.
Please list any significant changes to your menu, especially menu items that require complex food preparation.
Please Select this Box if no menu changes have been made
Please list where menu items & ingredients are purchased:
Please list menu items or attach copy of menu
Important Notice: Permit Fee Payment Required
Upon submission of your application you will be redirected to our Secure Online Payment System to complete your request. Please make note of your
Permit Fee Amount and any applicable late fees to ensure the correct payment amount is applied to your application.