Food Service Establishment Operating Permit - Mobile Establishment

Before starting the application process review the mobile push cart guidelines and checklist.

(*) asterisk indicates a required field

Owner Information:

Owner Information:





Is owner an:* REQUIRED

Local Contact:

If owner lives out of town, give name, address and phone number of a local contact below:

Local Contact: If owner lives out of town, give name, address and phone number of a local contact below:



Establishment Information:

Establishment Information:



Type of construction:* REQUIRED



Will potentially hazardous foods be prepared or sold in this establishment?* REQUIRED
Has an application for a business license been submitted to the city/county?* REQUIRED

Mobile Food Establishment Information:

Mobile Food Establishment Information:





Type of MFE (please check one):* REQUIRED

Commissary Information:

Commissary Information:






Any changes to the menu must be approved by the Health Department prior to their service.



Will ALL foods be prepared and stored at the MFE?* REQUIRED

















Drawing should identify and describe all equipment including cooking equipment, hot/cold-holding equipment, handwashing facilities, work tables, dishwashing facilities, areas for food and utensil storage, garbage containers, potable water supply, and wastewater disposal system.   A plan lay-out may be submitted as a substitute for a sketch.

Drawing should identify and describe all equipment including cooking equipment, hot/cold-holding equipment, handwashing facilities, work tables, dishwashing facilities, areas for food and utensil storage, garbage containers, potable water supply, and wastewater disposal system.   A plan lay-out may be submitted as a substitute for a sketch.

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