Food Business Declaration of cease to trade - Page 1 of 3 - Staffordshire County Council

Declaration of cease to trade

Former business details

Trading Name (Required)

Owners name/s (Required)

Contact name (Required)

Trading address (Required)

Post code (Required)

Telephone (Required)

E-mail (Required)

Website (Required)

Status (Required)

Other

Companies House number (or N/A) (Required)

Date business ceased operation (Required)

Has any new business been established? (Required)

If Yes, please complete the Food Self-Assessment Form AES1 after first completing this declaration.

Name of person completing form (Required)

Thank you for notifying us that the business is no longer trading. This information may be shared with the local Environmental Health team for your area in order that their records may also be updated.