Food Trucks Wednesdays Application
12050 W Sunrise Blvd Plantation FL 33324
Instructions
Please submit the application with all required documents. All forms uploaded will only be accepted in PDF format. Do not submit the application without all required documents and certificates as we will not be able to process incomplete submissions. Expired documents will not be considered valid. Incomplete, inaccurate, or expired documents/licenses will not be processed therefore making your application invalid. Only food trucks that have been approved will be contacted.
Full name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone number
*
-
Area Code
Phone Number
Secondary phone number
-
Area Code
Phone Number
E-mail
*
Position or title
Name of food truck
*
Social media handles
Company name, if different than food truck
Measurements of your truck or trailer (including hitch)
*
Length x Width x Height
Brief description of the food that you sell including price range.
*
Certificate of Insurance for City of Plantation. Address must read: 400 NW 73rd Avenue, Plantation FL 33317
*
Browse Files
COI must read 'The certificate holder is here by included as additional insured. 30 days cancelation notice required.
Cancel
of
Food handlers certificate. Owners must upload the manager certificate.
*
Browse Files
Cancel
of
MOBILE FOOD DISPENSING VEHICLE (MFDV) license issued by Florida Department of Business and Professional Regulations.
*
Browse Files
Cancel
of
Business Tax Receipt
*
Browse Files
Cancel
of
$100,000 Automobile Liability COI (City of Plantation 400 NW 73rd Avenue Plantation FL 33317)
*
Browse Files
Cancel
of
Worker's Comp certificate (or Worker's Comp Exemption letter)
*
Browse Files
Cancel
of
Automobile insurance declaration page.
*
Browse Files
Cancel
of
Current health department food inspection report
*
Browse Files
Cancel
of
Signature
SUBMIT
SUBMIT
Should be Empty: