Food Hygiene Rating Scheme: Request for Revisit
Business Details
 Food business operator/proprietor
 Business name
 Business address
 Business telephone
 Business email
 Date of inspection
 Food hygiene rating given
Revisit Reasons
Please describe the remedial action you have taken with reference to the issues identified in the inspection letter/report provided to you by your local authority with your score:
 Compliance with food hygiene and safety procedures
 Compliance with structural requirements
 Confidence in management/control procedures
Please provide any other supplementary evidence (e.g. photographs, invoices, copies of relevant HACCP documentation etc.): 
 (i) Supplementary evidence
 (ii) Supplementary evidence
 (iii) Supplementary evidence
Declaration
 I declare that the details stated on this form are true and accurate to the best of my knowledge and should any details change I will notify Gedling Borough Council immediately.
 Your name
 Your position
Data Protection
We will use the information provided by you for food hygiene rating. The basis under which the Council uses personal data for this purpose is that this is necessary for the performance of a task carried out in the public interest by the Council or in the exercise of official authority vested in the Council.
The Data Controller is Gedling Borough Council, Civic Centre, Arnot Hill Park, Arnold, Nottingham, NG5 6LU. You can contact the data protection officer at the above address or by email at dataprotectionofficer@gedling.gov.uk
The information provided by you may also be used for the purpose of any other function carried out by the Council. Information about these functions and further information including how long we retain your data, who we share with and your rights can be found in our privacy notice.