This application must be submitted at least two weeks prior to the event.
Thank you, your application has been received.
A public health inspector will contact you to review set-up, menu and answer any questions.
* = Required
* Name of Event
* Start Date
* End Date
* Contact Name
* Phone xxx-xxx-xxxx
* Onsite Contact Name
* Onsite Contact Phone xxx-xxx-xxxx
* Booth Name
* Business Address
* Business City
* Is this Business Inspected?
Agencies that Inspect this Facility
* Type of Business?
Is your Business Inspected?
Describe the type of food handling or preparation that will occur onsite:
How will you be transporting the food?All hazardous foods must be transported in a refrigerated vehicle or pre-approval must be given to operator if foods are being transported in coolers packed with ice.
Food Preparation Address
Food Preparation Location is the Business Address
How will your booth be set-up at the event(s)?
List the personal services you plan to offer at the event
Describe method of cleaning and disinfecting of instruments/equipment
Describe your hand washing station set-up
Describe the Animal ExhibitIncluding set-up, types and numbers of animals, hand wash stations, signage, how public access is controlled, human interaction with the animals, staffing and animal retreat areas
Describe your Method of Cleaning and Disinfection
Verify your submission by typing the 6-digits you see in the box:
Can't read it? Try a Different Code
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