Renewal Application for Permit to Operate a Food Establishment

All portions of this application must be completed and the applicable fee paid before a Food Permit will be issued.

• The food permit holder shall be the PIC or shall designate a PIC and shall ensure that a PIC is present at the food establishment during all hours of operation.
• Upon request the PIC shall demonstrate to the Regulatory Authority knowledge of foodborne disease prevention, employee health requirements, application of the Hazard Analysis and Critical Control Point (HACCP) principles, and the requirements of the Illinois Food Code.
• The PIC monitors employee actions, food storage, and delivery operations; maintains and implements required written procedures and plans; and ensures staff training and knowledge.

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.

Certified Food Protection Manager (CFPM) Requirements:
• All Person-In-Charge (PIC) employees that have supervisory or management responsibilities and the authority to direct and control food preparation and service shall be a CFPM who has shown proficiency in required information through passing a test that is part of an accredited program.
• All food establishments (except Category III establishments) are required to have CFPMs.
Allergen Awareness Training:
• Only CFPMs working in a Category I “restaurant” must complete additional allergen awareness training using an accredited allergen awareness training program. Non-restaurants are exempt.
• All Certified Food Handlers and CFPMs of risk Category II or III food establishments are exempt.

• “Food employee” or “food handler” means an individual working with unpackaged food, food equipment or utensil, or food-contact surfaces. Does not include unpaid volunteers.
• New employees shall receive training within 30 days after employment, CFPMs are exempt.
• Proof that food handlers have been trained and certified shall be provided during inspections.

Completed menus are required to be uploaded.

By signing this application you are stating that you will comply with the CFPM, Allergy Awareness Training, PIC and Food Handler Training requirements and that all of the information provided on this form is true and correct, and that if there are any changes to this information you are responsible for notifying the Clinton County Health Department of the changes in a timely manner.

Application is hereby made for a permit to operate a food establishment within Clinton County, Illinois. By this application it is agreed that the enterprise will comply with the provisions of the Illinois Food Code [77 Ill. Adm. Code 750] and the Clinton County Food Service Sanitation Code. It is further agreed that said food establishment shall be open for inspection to the Clinton County Health Department.

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.