Event Hours
Temporary Food Establishment
({[PNAME]}) Permit Application
Permit Type
Registration Type

Applications must be submitted at least 14 days prior to an event. Applications received after that may be rejected. Applications received 1 week prior will not be accepted – no exceptions.

Complete your application in full. This includes sketch sheet & all attachments. Incomplete applications will be denied, and you will have to start over.

Submittal of an application does not constitute an approval. You will be notified once it’s approved or denied.

Once approved, a mandatory inspection is required.

For morning and daytime events, they are normally done 3 hours prior. Evening events vary. You will be notified via email with your inspection time within 3 days of the event.

Your permit will be issued on site once you pass this inspection.

Please contact the Middletown Township Fire Prevention office (732) 615-2270 to determine if a fire permit is needed. Any trucks cooking with an open flame must have a fire permit.

Applicant Information
Does the applicant possess a Current Middletown Food Handlers License?
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(732) 615-2095
{[AWEBSITE]}
  • Contacts
  • Food
  • Workers
  • Sanitization
  • Food Preparation at TFE
  • Food Preparation at the Licensed PFE
  • Attachments & Fees
  • Certification
Establishment Information
State
Phone #
Email
Phone #
City
Event Information
Event Name
Event Coordinator Information
Address
Is the Establishment Address Same as Applicant?
ZIP
Applicant Information
Date Event Ends
Email
ZIP
State
Name
Phone #
Location of the Event
Address
Email
Time Event Ends
Date Event Starts
Time Event Starts
Name
Name
City
Describe how each food will be transported to the Temporary Food Establishment
Be specific
Ice
Identify the sources for each meat, poultry, seafood, and shellfish item.
Include the source of the ice
# of Beverage Items
Meat
Seafood and shellfish
Food Source and Transportation
Frozen Food
Hot Food
How will food temperatures be monitored during the event?
Cold Food
Total # of Food and Beverage Items
List all food and beverage items to be prepared and served
Poultry
Will all Foods Be Prepared at The TFE Site?
Food Information
# of Food Items
Any changes to the menu must be submitted at least 10 days prior to the event.
Total # of Workers
Workers Information
Record the names, shifts and the assigned duties of all Temporary Food Establishment workers (paid & volunteer) that will be working the event
# of Paid Workers
# of Volunteer Workers
# of Facilities
Please add any additional information about your Temporary Food Establishment that should be considered
Method of Water Storage
How and Where is Wastewater Stored?
Potable Water Information
Sanitization and Hygiene Information
General Information
Utensil Washing and Sanitization Information
How and Where is Wastewater Disposed?
# of Garbage Containers at Event Site
Describe set-up and disinfectant to be used
Describe how utensil washing and sanitizing will take place
Garbage Disposal Information
Wastewater Information
Describe the location and set up of handwashing facilities to be used by the Temporary Food Establishment workers
(Hand Sanitizer alone is NOT PERMITTED A Hand wash station is MANDATORY)
Method Water Distribution at The Event
# of Garbage Containers at Establishment Site
Describe the floors, walls and ceiling surfaces, and lighting within the Temporary Food Establishment
Describe how electricity will be provided to the Temporary Food Establishment
Additional Information need to be provided?
Water Source
How and Where is Wastewater Collected?
Food Preparation at the Temporary Food Establishment
List each food item and identify where each preparation procedure will take
# of Food Items
List each food item and identify the preparation procedure which will take place
# of Food Items
Food Preparation at the Licensed Permanent Food Establishment
A copy of your ServSafe certificate (if applicable).
(Optional) A drawing of the entire Temporary Event Area including locations of the toilet facilities, garbage facilities, common use dishwashing facilities, the potable water supply, electrical sources, the waste water disposal area, and all food preparation and service areas on the grounds/site of the Temporary Food Event.
If a non-public water supply is to be used, provide the results of the most recent water tests.
Late Fee
A copy of your Sanitary Inspection Certificate.
License Fee
A menu of the food to be served.
Fee
A copy of your food business license from the township where you are located.
Please Confirm The Following Are Attached
Provide a drawing of the Temporary Food Establishment. Identify and describe all equipment including cooking and cold holding equipment, handwashing facilities, work tables, dishwashing facilities, food and single service storage, garbage containers, and customer service areas.

Fees are listed below. Electronic payment is not currently available. You will receive an email with regards to payment instructions once your application is approved.

  BUSINESS HOURS AFTER HOURS
TEMP Food Event (TFE)
NORMAL BUSINESS HOURS		 Hazardous Non-Hazardous Hazardous Non-Hazardous
More than 2 weeks from event $75.00 $25.00 $100.00 $35.00
Less than 2 weeks from event $100.00 $50.00 $150.00 $75.00
With a Middletown License MORE than 2 weeks from event No Fee No Fee $50.00 $25.00
With a Middletown License LESS than 2 weeks from event $10.00 $10.00 $50.00 $25.00
Type Full Name :
Sign With Hand
Certification
Do you agree to the above Statement?
Approval of these plans and specifications by the Middletown Township Health Department does not indicate compliance with any other code, law or regulation that may be required (i.e., federal, state, or local). Furthermore, it does not constitute endorsement or acceptance of the completed establishment (structure or equipment). A pre-opening inspection of the establishment with equipment in place and operational will be necessary to determine if it complies with the local and state laws governing food service establishments.
Applicant Signature
I hereby certify that the above information is correct, and I fully understand that any deviation from the above without prior permission from the Middletown Township Health Department may nullify final approval.
Please be advised that application fees are non-refundable.