Food Service Employee Health Forms

Food service employees must complete the following forms (or similar forms developed by the restaurant) upon being offered a position in a food service establishment:

• Form 1-A: Conditional Employee and Food Employee Interview
• Form 1-B: Conditional Employee or Food Employee Reporting Agreement
• Form 1-C: Conditional Employee or Food Employee Medical Referral

For more information, please contact the Department of Planning & Environment at (734) 222-3800.