Certified Food Service Manager License Application - Transfer From A New Renewal Replacement Of Lost Card Jurisdiction In Maryland

Sep 22, 2026

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Certified Food Service Manager License Application for Montgomery County, Maryland, covering walk-in submission hours and appointment-only timing after noon. Collects applicant identity, address, contact details, and company or certificate issuing information, including exam date and certification program options. Supports new, renewal, or transfer, plus replacement of lost or stolen cards, with explicit fee schedules. Includes required in-person presentation, certification statement, payment method instructions, and office-use fields for issuance, expiration, receipts, and staff processing.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Certified Food Service Manager License Application

Submission Instructions and In-Person Requirements

Applicant Information and Certification Type

Fees

Payment Method and Card Details

Office Use Only

Montgomery County Department of Health and Human Services Licensure & Regulatory Services 2425 Reedie Drive, 9th Floor, Wheaton, Maryland 20902 Phone: 240-777-3986 / Fax: 240-777-3088 or 240-777-4531 [www.montgomerycountymd.gov/licensure](www.montgomerycountymd.gov/licensure) CERTIFIED FOOD SERVICE MANAGER LICENSE APPLICATION Walk-in between Monday-Friday – 8:00 AM to 12:00 PM (After 12:00 PM – By Appointment Only) Application and Certified Food Manager Certification print-out MUST be presented in person by the applicant Today’s Date: TRANSFER FROM A NEW RENEWAL REPLACEMENT OF LOST CARD JURISDICTION IN MARYLAND Name of Applicant: Home Address of Applicant: Street \#: Street Name: Apt : City: State: Zip Code: Cell Phone \#: ---OR--- Home Telephone \#: NEW OR RENEWAL: Name of Company Issuing Certificate (choose one below) Exam Date: 360Training AAA Food Safety Always Food Safe FSP Prometric Servsafe State Food Safety Other: -----OR----- - Transferring Certified Food Manager’s card from an approved jurisdiction: Issued By: Card Expiration Date: I hereby certify that the above information is accurate and complete. In addition, I understand that providing false information may result in revocation of my Montgomery County Certified Food Service Manager’s License. Printed Name of Signatory: Signature of Applicant: FEES | New, Renewal, or Transfer Card: $50 | Replacement of Lost or Stolen Card: $10 | | --- | --- | Please complete Page 2 of the Certified Food Service Manager License Application Last Update: 4/1/2026 Page 1 of 2 PAYMENT METHOD Submit completed application and fee to: Licensure & Regulatory Services, 2425 Reedie Drive, 9th Floor, Wheaton, Maryland 20902. Checks/Money Orders payable to “Montgomery County, Maryland” or pay by Mastercard, VISA or Checking Card. CASH IS NOT ACCEPTED. SELECT TYPE OF PAYMENT METHOD BELOW Check Money Order Mastercard VISA CREDIT CARD PAYMENT SECTION Cardholder’s Name: Credit Card \#: Exp Date: 3-Digit Security Code: Amount: I agree to pay the above total amount according to the card issuer agreement: Cardholder’s Signature: OFFICE USE ONLY Date Issued: Date Expires: ID No. Receipt \#: Date Received: Amount Paid: Staff Initials: Check/Money Order \#: Credit Card Approval Code: Last Update: 4/1/2026 Page 2 of 2

FAQs

What are the submission hours for the Certified Food Service Manager License application?

Walk-in is available Monday–Friday from 8:00 AM to 12:00 PM. After 12:00 PM, submission is by appointment only.

What documents must be presented in person?

The application and the Certified Food Manager Certification print-out must be presented in person by the applicant.

What are the fees for a new, renewal, transfer, or replacement card?

New/Renewal/Transfer cards cost $50, and replacement of a lost or stolen card costs $10.

Sep 22, 2026

Upload by Ophelia