An application shall include the name, birth date, mailing address, telephone number, and signature of the person applying for the license and the name, mailing address, and location of the food establishment.
An application shall include information specifying whether an association, corporation, individual, partnership, or other legal entity owns the food establishment.
An application shall include a statement specifying whether the food establishment is mobile or stationary and temporary or permanent.
An application shall include a statement specifying whether the food establishment prepares, offers for sale, or serves potentially hazardous food:
An application shall include a statement specifying whether the food establishment prepares potentially hazardous food (time/temperature control for safety food) in advance using a food preparation method that involves two (2) or more steps which may include combining potentially hazardous (time/temperature control for safety food) ingredients, cooking, cooling, reheating, hot or cold holding, freezing, or thawing.
An application shall include a statement specifying whether the food establishment prepares food as specified in § 4304.5 for delivery to and consumption at a location off the premises of the food establishment where it is prepared.
An application shall include a statement specifying whether the food establishment prepares food under § 4304.5 for service to a highly susceptible population.
An application shall include a statement specifying whether the food establishment prepares only food that is not potentially hazardous (time/temperature control for safety food).
An application shall include a statement specifying whether the food establishment does not prepare, but offers for sale only prepackaged food that is not potentially hazardous (time/temperature control for safety food).
An application shall include the name, title, address, and telephone number of the person directly responsible for the food establishment.
An application shall include the name, title, address, and telephone number of the person who functions as the immediate supervisor of the person specified in § 4304.10 such as the zone, district, or regional supervisor.
An application shall include the names, titles, and addresses of:
including the owners and officers; and
An application shall include a statement signed by the applicant that attests to the accuracy of the information provided in the application, and affirms that the applicant will:
D.C. Mun. Regs. tit. 25, r. 25-A4304