Temporary Food Permit Application

Temporary Food Permit Application

Complete this form to apply for a temporary food permit.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Event Name*
Event Date and Time you will be set up*

MonthDayYear
Date
Hour MinutesAM/PM Option
Event End Date

MonthDayYear
Date
Name of organization or stand
Event Location (Address)*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address-If you are submitting well in advance of event and we have time to mail your permit.

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Types of Food/Drink to be Served*
Where will the food be prepared*

Food that needs to be held hot or cold vended to the public must be prepared in an approved facility