Jackson County, MI · Jackson County
Food Service License New Application
Jackson County applicants use this application to request a new food service license for a fixed establishment, mobile operation, mobile commissary, or special transitory food unit.
At a glance
- Issued by
- City of Jackson County · Jackson County, Jackson County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- mijackson.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application is used to request a new food service license for a fixed establishment, mobile establishment, mobile commissary, or special transitory food unit. Applicants provide organization and contact details, license type, location information, and authorized agent certification; mobile applicants also provide vehicle and commissary details when applicable. The form directs applicants to contact the local health department about the fee.
Who needs it
A business or owner seeking a new food service license for an establishment or food service unit in Jackson County should complete this application.
How to submit it
Mail the completed application and fee to Jackson County Health Department, Environmental Health, 1715 Lansing Ave, Jackson, MI 49202. Contact the local health department for the fee and payment information.
About notarization
The authorized agent signs and dates this application without a notary; the form does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Food Service License New Application PDF.
- 2
Complete the Application
Fill in the organization, license, location, and authorized agent sections that apply to your license type.
- 3
Gather Payment Information
Contact the local health department for the fee and payment information.
- 4
Mail the Application
Mail the completed application and fee to Jackson County Health Department, Environmental Health, 1715 Lansing Ave, Jackson, MI 49202.
Frequently asked questions
- Do I need a notary for the Food Service License New Application?
- No. The authorized agent signs and dates this application without a notary. The form does not identify any notarized or sworn attachment.
- How do I submit the Food Service License New Application?
- Mail the completed application and fee to Jackson County Health Department, Environmental Health, 1715 Lansing Ave, Jackson, MI 49202. Contact the local health department for fee and payment information.
- What information does the application request?
- It requests organization and contact details, license type, location information, and an authorized agent’s certification. Mobile applicants may also need to enter vehicle and commissary details.