Food Handler Card Replacement Request Form

Please select:

Select One I lost or damaged my food handler card and need a replacement.
I never received my card in the mail.

* Your name:

* Your date of birth:

* Your mailing street address:

* Your city:

* Your ZIP code:

* Your telephone number:

Your email address:

* Organization that provided your food handler training:

* Date you received food handler training:

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