Registration for health licence Application for registration or licence of premises Health (Registration of Premises) regulations 1966 This application is for* New Renewal registration If renewal, current licence number NB: Mobile licensees and health licensees cannot transfer ownership. New owner must apply for new licence. Applicant details Name of applicant* First Last Name of company Address of applicant* Street Address Address Line 2 City State / Province / Region Business phone Home phone Mobile phone Email* Fax Premises details Trading name of Premises* Address of premises/location* Street Address Address Line 2 City State / Province / Region Contact person* First Last Position held Business phone* Mobile phone Email* Fax Commencement date (for new premises/transfer only) DD slash MM slash YYYY Important privacy information The personal information that you provide in this form will be held and protected by Invercargill Council in accordance with our privacy policy and with the privacy Act 1993. Type of premises CommercialHome occupation Type of registration applied for* Hairdressers Barber Temporary health and hygiene licence (events/festivals) Camping ground Funeral director/Mortuary Offensive trade Health and hygiene Supporting information required Mobile shop operators - remember to check whether you need a licence as required by the Trading and Events in Public Places bylaw 2015 or private land owner's written consent for the location(s) at which you wish to trade from. All types of business - remember to check whether resource consent is required to operate from your chosen site. Note: the issuing of a mobile shop/market licence or certificate alone does not mean the activity is permitted under the district plan. Category applied for* Please indicate the category of your premises. (Select more than one if applicable). Tattooing Electrolysis Red vein treatment (needle) Acupuncture Traditional tattooing Body piercing Other Other (Please describe) For the applicable fee, see the environmental health fee schedule available at the Invercargill City Council service centres. CAPTCHA
