New Establishment Application

Establishment Application

Submission of this form serves as an affirmation that the answers provided are truthful to the best of your knowledge. This application does not entail any commitment upon the Rabbinical Council of Bergen County.
After completing this form, please call Rabbi Snow at 201-837-2056 in order to continue the application process.

FILL ALL NECESSARY FIELDS

Applicant Name

Applicant Email

Applicant Phone Number

Applicant Address

Establishment Name

Establishment Address

Name(s) and contact info of ALL active and silent partners

Type of Establishment

Are any individuals listed on this application partners in a different food establishment? If yes, under what name?

Please list if any of the aforementioned establishments are not certified kosher.

Please list the kosher certification of the aforementioned establishments.

Do any individuals listed on this application have a private label? If yes, under what name?

Are any individuals listed on this application not Jewish? (This information is relevant for Passover, and does not affect outcome of the application)

Yes No

Are any individuals listed on this application members of a synagogue? If yes, please provide name of synagogue, name of rabbi, and rabbi's contact info.

Please provide two business references with their contact information(required)

By submitting your information, you are attesting that all provided information is accurate.