Type Full Name :
Sign With Hand
A copy of your ServSafe certificate (if applicable)
Name
Certification
Business Owner Information
Vendor Information
State
Phone Number
Email
State
Name
{[PNAME]}
City
Business Owner Same as Vendor?
Emergency Contact
Expiration Date
Licensing Town
Application Type
City
Will you use propane tanks or cook on an open flame/fire pit/grill at this event?
Name of Event
Email
Business Name
City
Website
Event Information
{[PNAME]} are assessed at the fixed rate of $25.00 per license.
Email
Are you a Cottage Food Vendor?
Commissary Information
A copy of your Sanitary Inspection Certificate
License Fee
Applicant Signature
A menu of the food to be served
Phone Number
Setup Type
State
ZIP
Address
Fee
A copy of your food business license from the township where you are located
Contact Person
Phone Number
Name
License Number
Contact Person
The undersigned do hereby apply for a license to operate a food business in the Township of Maplewood. I/We agree to abide by the regulations and ordinances of the Township and the State of New Jersey.
Email
Phone Number
Name of Event Coordinator
Contact Person
Phone Number
ZIP
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://www.maplewoodnj.gov/
Please Confirm The Following Are Attached
Location of the Event
Address
Email
Phone Number
Address
Date and Time of the Event
Business Name
ZIP
Is a Commissary (or Commercial Kitchen) Used in Food Preparation?