Type Full Name :
Sign With Hand
Email
State
Address
  • Submitting an application that is incomplete or submitted less than 10 business days prior to start of the event can result in Permit Denial. Permits will be issued after inspection.
  • Signed Commissary/Serving Area Documentation must be attached before submitting the Application
Method used to Wash Utensils
Site of Preparation
Zip
End Date
Permit Type
Method used to maintain Hot Food at 135° F or Above:
Event Coordinator Details
Name
Name
Email
Email
Phone #
{[CNAME]}Division of Health
2100 Greenwood Avenue
Hamilton, NJ 08609
Office (609) 890-3828
Fax (609) 890-6093
Address
Name
General Instructions
Phone #
Applicant Details (Business/Organization)
Menu and Food Preparation
Method used to Wash Hands
Please provide the following documents (If Applicable):
  • Driver's License
  • Proof of Insurance
  • Vehicle Registration
  • Copy of NJDOH Cottage Food Operator
  • Signed Commissary/Serving Area Documentation
  • Comissary Related Documents:
    • Copy of latest Inspection Report
    • Copy of Retail Food License
    • Copy of Latest Evaluation Placard
Is the TFE a Mobile Vehicle?
Method used to maintain Cold Food at 41° F or Lower:
By signing this Mobile/Temporary Food Establishment (M/TFE) application, I understand that my M/TFE may be inspected at any time during the event, including during setup. Failure to comply with NJAC 8:24 and requirements for operating a M/TFE may result in suspension of my operating permit, at which time I must immediately cease all food establishment operations.
Issuing State
Zip
License Plate #
Application Fee
Menu
Application Type
Certification
{[PNAME]}
Application
State
City
Source of Water
State
Address
Name of Preparation Site
Phone #
Source of Food
Source of Ice
The Fee for this Application is:
Start Date
Name
Zip
Is the TFE operating from a Tent or MFU?
City
City
Required Documents
Primary Contact Person/Person in Charge
Event Details