Event Vendor Health Permit Application

Event Vendor Health Permit Application

City of Reading, Pennsylvania
*** APPLICATION MUST BE RECEIVED NO LATER THAN 15 DAYS PRIOR TO EVENT DATE ***
EVENT NAME:
EVENT DATE:
VENDOR NAME:
LIST OF FOOD ITEMS TO BE SOLD:
VENDOR INFORMATION

First Name Last Name
Street Address (NO P.O. Boxes)

Street Address Line 2

City State

Zip Code
HOME PHONE
CELL PHONE
FAX
EMAIL ADDRESS
REQUIRED DOCUMENTATION:
- Current year health permit/license from Municipal or State agency
- Valid Pennsylvania ServSafe Certificate (if applicable)
- Certificate of business liability insurance for above stated business with minimum coverage of $100,000 per individual and $500,000 per incident
- Event Business Privilege License (obtained from Citizen Service Center, Rm 1-27)
SIGNATURE OF VENDOR
DATE
THIS APPLICATION IS NOT COMPLETE UNTIL WE HAVE RECEIVED ALL REQUIRED DOCUMENTATION!

Please use the upload link below to include the required documents. If you are not able to upload the information here, please email this information to Nicole.Fick@readingpa.gov or bring it into our offices. It can also be faxed to 610-655-6525 or mailed to: City Hall, 815 Washington St Room 1-30, Reading PA 19601.
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