Food Allergy Notice Template

You can open the Food Allergy Notice Template in multiple formats, including PDF, Word, and Google Docs.


Sample

Food Allergy Notice Template

Printable | Editable Form



Examples


Food Allergy Notice Template (1)
To:
[Name of the Customer]
[Customer’s Address]
[Customer’s Phone]
[Customer’s Email]
From:
[Name of the Restaurant/Company]
[Restaurant’s Address]
[Restaurant’s Phone]
Date:
[Date]
Subject:
Food Allergy Notice
Introduction:
Dear [Customer’s Name],
Thank you for choosing [Restaurant/Company Name]. We take food allergies very seriously and want to ensure your safety and comfort while dining with us.
Allergen Information:
This notice is to inform you about the allergens present in our menu items. Please be aware of the following common allergens:
  • Gluten
  • Nuts
  • Dairy
  • Eggs
  • Soy
  • Shellfish
  • Fish
  • Sesame
Clause 1: Disclosure of Allergens
We encourage you to inform our staff of any food allergies or dietary restrictions when placing your order. Our staff is trained to provide you with detailed information about the ingredients used in our dishes.
Clause 2: Risk of Cross-Contamination
While we do our utmost to prevent cross-contamination, our kitchen processes involve shared equipment and preparation areas. Therefore, there’s a risk that allergens may come into contact with other foods.
Clause 3: Limited Responsibility
[Restaurant/Company Name] is dedicated to accommodating dietary needs; however, we cannot guarantee a complete absence of allergens in the food served.
Clause 4: Customer Responsibility
It is the customer’s responsibility to make informed choices based on their known allergens when ordering from our menu. We are here to assist you but cannot assume liability for allergic reactions.
If you have any questions or concerns regarding allergens present in our menu, please do not hesitate to reach out to our staff.

Thank you for your understanding and cooperation!
Sincerely,
[Signature of the Restaurant Manager]
[Name of the Restaurant Manager]
Food Allergy Notice Template (2)
To:
[Name of the Customer]
[Customer’s Address]
[Customer’s Phone]
[Customer’s Email]
From:
[Name of the Restaurant/Company]
[Restaurant’s Address]
[Restaurant’s Phone]
Date:
[Date]
Subject:
Allergy Information Notice
Introduction:
Dear [Customer’s Name],
At [Restaurant/Company Name], we are committed to ensuring that our food is safe for our valued customers. We have outlined below important information regarding potential allergens in our menu items.
Allergen Alert:
Our menu may contain, or may come into contact with, the following allergens:
  • Peanuts
  • Tree Nuts
  • Dairy
  • Wheat
  • Shellfish
  • Eggs
  • Fish
  • Soy
Clause 1: Customer Communication
To help us cater to your needs, please inform us of any food allergies when ordering. This will allow us to guide you to safer menu choices.
Clause 2: Aggregate Allergens
Due to the nature of food preparation, we cannot guarantee that any menu item is 100% allergen-free.
Clause 3: Disclaimer of Liability
Though we strive to accommodate dietary needs, [Restaurant/Company Name] does not accept any liability for allergic reactions that may occur.
Clause 4: Staff Training and Awareness
Our staff is trained to manage food allergens as per regulations, and we are prepared to discuss the components of any dish and the potential risks involved.
For any inquiries related to allergens, please speak with our staff, who are eager to assist you.

Your safety is our priority, and we appreciate your partnership in ensuring a safe dining experience.
Sincerely,
[Signature of the Restaurant Manager]
[Name of the Restaurant Manager]

Format

Please complete the form below to create the Food Allergy Notice Template. All fields must be filled out to ensure a clear and complete notification. We provide examples to guide you through each step.

Food Allergy Notice Template

1. Individual Information


2. Allergy Information

3. Symptoms and Reactions

4. Emergency Contact Information


5. Dietary Preferences

6. Acknowledgment and Responsibilities

7. Consent and Agreement

8. Signature and Date


9. Acknowledgment of Receipt


PDF


WORD

Google Docs

Printable

Food Allergy Notice Template

Printable | Editable Form




Food Allergy Notice Template