Retail Food Safety Advisory Council Issue Submission Form Food Code Section/Reference Date Submitted Issue Number: Date Received: Contact Information Name Agency or Organization (if applicable) Phone Email Issues must be submitted at least 30 days before the next meeting in order to be considered. Issue Information Issue/Concern Description Recommended Solution (if any) Other Comments Contact the Food Safety Advisory Council Coordinator at 360-236-3330 or with questions. Submit this form by: Email FAX Mail Open the online Word form and 360-236-2261 Washington State Department of Health complete it, save the form to your Food Safety Program computer, and then attach the PO Box 47824 form to an email addressed to: Olympia, WA 98504
Retail Food Safety Advisory Council Issue Submission Form Food Code Section/Reference Date Submitted Issue Number: Date Received: Contact Information Name Agency or Organization (if applicable) Phone Email Issues must be submitted at least 30 days before the next meeting in order to be considered. Issue Information Issue/Concern Description Recommended Solution (if any) Other Comments Contact the Food Safety Advisory Council Coordinator at 360-236-3330 or with questions. Submit this form by: Email Open the online Word form and complete it, save the form to your computer, and then attach the form to an email addressed to: FAX 360-236-2261 Mail Washington State Department of Health Food Safety Program PO Box 47824 Olympia, WA 98504
FSAC-IssueSubmissionForm.docx