Registration Type
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  • Applications received after that may be rejected.

  • APPLICATION MUST BE COMPLETED IN FULL – this includes Sketch Sheets.

  • If approved, a MANDATORY INSPECTION will be done THREE HOURS PRIOR to the event start time. The TFE site must be set-up and ready – No Exceptions!
    Your permit will be issued once you pass this inspection.

  • Submission of an application does not constitute an approval. You will be notified if there is a problem with your application or if it is denied.

  • Please contact the New Providence Township Fire Prevention office (908) 665-1400 EXT 8227 to determine if a permit is needed.
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(732) 615-2095
{[AWEBSITE]}
  • Applicant
  • Contacts & Company Information
  • Food Items & Preparation
  • Vehicle & Drivers
  • Attachments & Fees
  • Certification
Have you ever been refused a mobile food vendor permit in any municipality?
Eye Color
Place of Birth
Secondary Phone #
Driver License #
Phone #
Issuing State
If yes, report date(s), location(s), of the offense(s) and detailed nature of the offense(s)
Have you ever been convicted of a crime?
If yes, report date(s), location(s), of the offense(s) and detailed nature of the offense(s)
Weight
Address
Hair Color
SSN #
Last Name
Date of Birth
Applicant Information
Email
ZIP
First Name
Have you ever been convicted of violating a municipal ordinance in any town?
State
Height
If yes, report date(s), location(s), of the denial(s) and detailed reason(s) for the denial(s)
Gender
City
City
Address
Phone #
Phone #
Fax
Email
Business Owner Information
Full Name
State
Phone #
Name
Full Name
Supervisor Information
ZIP
Company Information
Email
State
Address
Are you selling food/beverages that is being prepared or cooked in the vehicle?
ZIP
If yes, is the pre-prepared food cooked and packaged in a commercial location?
If yes, are you the owner of the farm where products originated?
# of Beverage Items
If yes, please mention the following
City
Are you selling farm products (fruits, vegetables, eggs, milk, meats)?
Name
Food Item Information
ZIP
Location Name
Farm Information
Food Preparation Information
Phone #
Method(s) used to keep hot food above 135°F
Fax
Phone #
Total # of Food and Beverage Items
Method(s) used to keep cold food below 41°F
List all food and beverage items to be prepared and served
State
Address
City
# of Food Items
Are you selling packaged/pre-prepared food/beverages?
Year
Who is operating the vehicle?
Vehicle Information
License Plate #
Address
Operating Business Name
City
Model
Total # of Drivers
Make
Driver Information
State
License issued by any NJ Municipalities in which you currently have a Board of Health License
Valid Copy of Vehicle Registration and Insurance that will be used
License Fee
Valid Copy of the Certificate of Authority to Collect Sales Tax
Amount due
Valid Copy of Applicant’s Driver’s License
Please Attach the following
Notarized Letter from Company with Proper Signature(s) Authorizing you as the Applicant to Act as Representative. If you are the Company Owner, Provide a Notarized Letter Stating so.
Fees are not pro-rated based on date of Application
Type Full Name :
Sign With Hand
Certification
I understand that this permit is non-transferable, non-refundable and is granted only for the period designated on the permit. I further understand that this permit may be revoked upon violation of any pertinent requirements of the New Providence Board of Health and/or the laws of the State of New Jersey.
All Permits expire December 31st of the licensing year.
Approval of these plans and specifications by the New Providence 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
By signing, I do solemnly declare and certify, under penalty of law, that the foregoing information is true and correct and that the business conducted will be in accordance with the ordinances of the Borough of New Providence Board of Health and the statutes of the State of New Jersey.