This case study describes New Jerseys retail food establishment evaluation placard system. NACCHO interviewed representatives from the Monmouth County Health Department (MCHD) and the New Jersey Department of Health (NJDOH) to understand how the placard system is used in local jurisdictions in New Jersey. To gain historical insight on the placard system, NACCHO interviewed two additional individuals. The first individual is a member of the New Jersey Association for Food Protection who currently works as a food safety consultant. The other individual NACCHO interviewed is a forensic sanitarian with experience working at NJDOH and several local health departments during the initial implementation of the placard system and is also a Diplomate Laureate of the American Academy of Sanitarians.