Food Service Allergen Training Acknowledgment Form

Training acknowledgment form for in-store café or food service associates confirming completion of allergen awareness training and understanding of cross-contact prevention protocols.

Associate Information

• Full Name
• Employee ID
  Enter your company-issued employee ID number.
• Store / Location
• Department
• Job Title
• Date Training Was Completed
  Enter the date you finished the allergen awareness training module or session.
• Training Format
  Select how you completed the allergen training.

The Big 9 Allergens — Knowledge Check

• I can correctly identify all nine major food allergens recognized under the FASTER Act (2023): milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, soybeans, and sesame.
• I know how to read an ingredient label to identify allergen declarations, including 'Contains' statements and 'May contain' advisory statements.
• I can recognize signs of an allergic reaction (e.g., hives, swelling, difficulty breathing) and know to call 911 and notify a manager immediately if a customer reports a reaction.

Cross-Contact Prevention Protocols

• I understand the difference between cross-contact (allergen transfer) and cross-contamination (pathogen transfer), and why both require separate prevention strategies.
• Which of the following cross-contact prevention practices are you trained to follow? (Select all that apply)
  Select every practice covered in your training.
• When a customer requests an allergen-sensitive order, I know to:
• I understand that cleaning (removing visible debris) alone is NOT sufficient to eliminate allergen residue — sanitizing with an approved solution is also required.

Customer Interaction and Escalation

• When a customer asks whether a menu item contains a specific allergen, my correct first action is:
  Select the response that reflects your training.
• I know who to contact in my location if I am unsure about an allergen ingredient or if a customer reports an allergic reaction.
• I know where the allergen reference guide / ingredient binder is located in my department.

Additional Notes and Accommodations

• Do you need additional training or clarification on any allergen topic before you feel confident in your role?
• Please describe the topic(s) where you need additional support
• Do you require any reasonable accommodation (e.g., translated materials, accessible format) to complete this training? (ADA / Title I)
• Additional Comments (Optional)

Attestation and Signature

• I confirm that I have completed the allergen awareness training, I understand the Big 9 allergens and cross-contact prevention protocols, and I agree to follow all allergen safety procedures in my role.
• I understand that my name, employee ID, and training completion data will be stored in the company's training management system for compliance and audit purposes.
• Associate Signature
  Sign using your finger, stylus, or mouse to confirm your acknowledgment.
• Date of Signature