Cecil County Health Department

401 Bow Street
Elkton, MD 21921

8.00am – 5.00pm
Monday to Friday

(410) 996-5550
[email protected]
Covid-19: (410)-996-1005

Home
About
- Accreditation
- Strategic Plan
Services
How Do I?
Resources
Contact
COVID-19
- Vaccines
- FAQs

Search

Food Service Facility Application

Food Service Facility Application

Application is hereby made for License to Operate a Food Service Facility in accordance with COMAR 10.15.03 Regulations Governing Food Service Facilities, Health-General, Section 21-306.

"*" indicates required fields

Facility Name:*

Facility Address:*

Street Address Address Line 2 City State ZIP Code

Facility Phone:*

Name of Business Owner:*

First Last

Mailing Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owner Phone:*

Owner Email:*

Inside Seating Capacity:

Outside Seating Capacity:

Is the Facility a Mobile Unit?*

(Van, Truck, etc.)

Yes

No

State:*

Tag #:*

VIN #:*

Name of Base of Operations:

Address of Base of Operations:

Street Address Address Line 2 City State ZIP Code

Source of Food:*

(Name supplier, Grocery, Restaurant, Caterer or Commercial Distributor)

Water Supply:*

Private

Public | Community

Public | Non-Community

Other

Number of Wells*

Sewage Disposal:*

Public

On-Site

Other

Digital Signature of Applicant*

09/21/2023

I am the...*

Agent

Owner

Phone

This field is for validation purposes and should be left unchanged.

Δ

community-health-education-resources

Cecil County Health Department

We serve the residents and business owners of Cecil County, Maryland by providing health and wellness information and services.

LOCATION

We are located in the John M. Byers Center in Elkton, Maryland.
401 Bow Street,
Elkton, MD 21921

CONTACT

Telephone: (410) 996-5550
Fax: (410) 996-5179
Public Health Emergency: (410) 392-2008
Maryland Relay TTY (800) 201-7165
Covid-19: (410)-996-1005
En Español (410) 996-5550 Ext. 4680
Email: [email protected]

Copyright © 2023 Cecil County Health Department. All Rights Reserved.
Website Design by D3 Ocean City, Maryland

Terms & Conditions | Privacy Policy
Sitemap | Accessibility