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Fill out this form only when your computer has access to a printer. Once the form is complete, click "Submit and Print" so your registration is sent to our Food Safety Division, and you are sent to a print-friendly screen of your registration. As a reminder please upload a copy of your CFPM Certificate for review.
The print-friendly screen allows you to print the registration form, but does not automatically print for you. You must manually print the following screen. The print-out of this registration form acts as your registration certificate.
If you make a mistake in your registration, please email email@example.com with corrections.
Check all that apply
*Any other products not previously listed but considered a non-potentially hazardous food must submit lab test results to McLean County Health Department (200 W. Front St., Bloomington, IL 61701) prior to sale at a Farmers' Market. By selecting "other," you note that your registration is invalid without a copy of lab test results both submitted to the health department and attached to the registration certificate at all times.
** In order to sell canned tomatoes or a canned product containing tomatoes, a cottage food operator must have prior approval from the Health Department.
Please choose the "Submit and Print" option below to print your registration form for your records. This selection will bring you to a print-friendly version of your registration, which you must manually print.
This field is not part of the form submission.
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