Farmers Market Permit Application

Farmers Market Permit Application

Complete this form to apply for a farmers' market permit.
Full Name*

First NameLast Name
Name of Organization or Stand*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address of farm where food is grown or home where food is prepared*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Food to be sold*
Location of Farmers Market & Date/Time
Upload Required Documents (e.g., business license, insurance) If selling Eggs, please attach a copy of your Missouri Department of Agriculture Egg License.

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Describe how your eggs will be stored at or below 45°F
If selling Jams or Jellies, please read the Jams and Jellies Requirements. Please read and adhere to the Marion County Health Department Farmers Market Requirements.
The permit fee is $10.00, Missouri check, cashier's check, credit card, or cash. The application and fee shall be submitted at least 48 hours before the event. Not-for-profit groups are not charged a fee but are still required to fill out an application and adhere to all Marion County Temporary Food Stand Requirements. Please submit the permit fee (if required) to: Marion County Health Department, PO Box 1378, Hannibal, MO 63401, or call to make payment 573-221-1166. **The Permit must be posted for public viewing. Permit fees are NOT refundable** An inspection of the food stand may be conducted at any time before or during the event.
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