Mobile Food Vendor Registration
Vendor name or sponsoring business
*
Date
*
-
Month
-
Day
Year
Date
First Time Registration or Renewal
*
First Time Registration
Renewal
Address
*
Mailing Address
Street Address Line 2
City
State
Zip Code
Relationship to the Mobile Food Vehicle
*
Phone
*
Cell
*
Email
*
example@example.com
State of Illinois Sales Tax Registration
*
Emergency Contact
*
Relationship to the Mobile Food Vehicle
*
Contact Mailing Address
*
Contact City
*
Contact State
*
Contact Zip
*
Contact Phone
*
Contact Email
*
Contact Cell
*
Name of Mobile Food Vehicle
*
Detailed Description of Mobile Food Vehicle (include Mobile Food Vehicle year, make and model and attach photo of Mobile Food Vehicle)
*
Mobile Food Vehicle Identification Number (VIN)
*
Description of the types of items to be sold from the Mobile Food Vehicle
*
Upload Required Mobile Food Vendor Items to be Attached to Application
Photo of the Mobile Food Vehicle.
*
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Copy of Vehicle Insurance and Registration for the Mobile Food Vehicle.
*
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of
Valid copy of the operating permit issued by the Will County Health Department for the Mobile Food Vehicle.
*
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of
Upload photo of the Mobile Food Vehicle
*
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Choose a file
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of
Checklist of Required Mobile Food Vendor Items to be Attached to Application
*
Photo of the Mobile Food Vehicle.
Copy of Vehicle Insurance and Registration for the Mobile Food Vehicle.
Valid copy of the operating permit issued by the Will County Health Department for the Mobile Food Vehicle
Copy of the current State of Illinois Sales Tax Registration.
Certificate of General Liability Insurance in the amount of one million dollars ($1,000,000.00) and listing the Village of Crete as additionally insured. No cancellation or reduction in coverage may occur during the effective period of the Mobile Food Vendor Registration.
Payment of the $50 Mobile Food Vendor Registration Fee (check made payable to the Village of Crete).
Signature of Applicant
Date
/
Month
/
Day
Year
Date
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