Special Event Vendor Notification

Special Event Vendor Notification

Environmental Public Health
Instructions:
- Before you complete and submit this notification, please review the Special Event Food Vendor Package available at www.ahs.ca/ephevents
- To save your progress (so you may return later to finish completing this form), scroll to the bottom of any page and click SAVE.
- Completed notifications must be received at least 30 days in advance of the scheduled event.
- Edits or revisions must be receieved no later than 14 days in advance.
- If you have questions, or need assistance, please contact us at 1-833-476-4743
Please DO NOT complete this form if:
1. You are selling low-risk home prepared foods ONLY, as per this factsheet. {OR}
2. You are operating a mobile unit permitted in Alberta (i.e. a food truck, cart, or trailer)
  - with an AHS decal (e.g. EDM-###; CGY-###...)
  - with a current (valid) Food Handling Permit;
  - that you intend to operate according to the terms and conditions listed on that permit (i.e. you do not plan to add any additional menu items, equipment, or a temporary set up outside or surrounding your mobile unit for the event).
Event Details
Event Name*
Event Address*

Street Address

Street Address Line 2

CityProvince

Postal
Event Organizer Details

Please provide details about the organizer of the event that you plan to attend.
Organizer Name*

First NameLast Name
Organizer Phone Number*
Please enter a valid phone number.
Organizer Email*
example@example.com

Vendor Information

In this section, please describe who we need to contact to discuss this application with AND when you intend to operate at the event.
Vendor Name*

First NameLast Name
Vendor Trade Name*
This is the name that customers use to identify your business at the event.
Vendor Phone Number*
Please enter a valid phone number.
Vendor Email*
example@example.com
Vendor Facility Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Start Date*

YearMonthDay
Date
Event End Date*

YearMonthDay
Date
When will you set up at this event and be ready for possible inspection?*
Disclaimer: AHS does not guarantee that a Public Health Inspector will be available/on-site at the exact date and time provided. Here are some tips for you and your staff to consider:
1. Be familiar with AHS requirements. Ensure that you have everything you need to operate safely!
2. Make sure all equipment is clean and working.
  - Turn on cold and hot holding equipment and ensure they are at the appropriate temperature.
  - Ensure handwashing sinks are connected to potable water, are equipped with soap and paper towel, and are accessible to staff/volunteers.
3. Be prepared! Complete your setup in advance and be available to answer questions from organizers and AHS.
Will {vendorName} be on-site and in-charge for the duration of the event?*

YesNo
Provide the name of the person in charge during the event.

First NameLast Name
Provide the contact number for the person in charge during the event.
Please enter a valid cellphone number.
Food Safety Training
Please describe the food safety training your team members have. (Select ALL that apply)*

Food Safety Basics for Special Events (online)Food Safety Basics (online)Staff / volunteers attended a food safety presentation prior to the event.Food Safety Certification from an approved training provider (FoodSafe, ServeSafe, etc...).No staff or volunteers have food safety training.Other
Name of Certified Food Handler

First NameLast Name
IMPORTANT NOTE: Online food safety training for special events is available for free at the following link.

Submission Page
Do you have any additional comments or details you wish to share with us?
File Upload Section

Please upload up to 5 attachments you have to support this application here. There is a 1MB size limit per file.
Cancelof
Examples:
- Approval to use a licensed food establishment form
- Drawings or photos of your setup (if you have them)
- Copies of any food safety certificates
- Any other document requested by your Public Health Inspector for the event
Please select the Zone the special event is taking place. Your selection here will determine which office receives your notification*

North ZoneEdmonton ZoneCentral ZoneCalgary ZoneSouth Zone
Not sure which one to pick? Check out this Zone Map
Please verify that you are human*
IMPORTANT NOTE: Once you click SUBMIT you will receive an email confirmation.
- A copy of this completed form will be automatically sent to the event organizer, as well as the Zone office with AHS that you selected.
- Applications must be received no later than 30 days prior to an event, AND
- Edits to an application must be received no later than 14 days prior to an event.
Reminder: Vendors are responsible for being set up and ready for inspection at least one hour before the event begins.
Should be Empty:

	Food	Prepared On-Site	Prepared Off-Site	Prepackaged Food	Sampling	Transport
1
2
3
4
5
6
7
8
9
10

Special Event Vendor Notification

Event Details

Event Organizer Details

Vendor Information

Food Safety Training

Food & Beverage Menu

Food Transportation

Food Preparation Details

Food Equipment

Sinks

Utility Services / Site Information

Physical Structure

Submission Page