Type Full Name :
Sign With Hand
A copy of your ServSafe certificate (if applicable)
Name
Is a Commissary Used in Food Preperation?
Certification
Event End Date
Business Owner Information
Vendor Information
Will you use propane tanks or cook on an open flame/fire pit/grill at this event(s)?
State
Phone Number
Email
State
{[PNAME]}
City
If this is your first time this year applying for a temporary food license, please select 'New'. If you already have an existing approved license for this year and you are doing additional dates, please select 'Add Additional Days'
Emergency Contact
Expiration Date
Licensing Town
City
Name of Event
Email
Name
City
Registration Type
Event Information
New {[PNAME]} are assessed at the fixed rate of $40.00 per license for the first day then $13 for every additional day.
Business Owner Same as Vendor?
Commissary Information
A copy of your Sanitary Inspection Certificate
License Fee
Applicant Signature
A menu of the food to be served
Phone Number
State
ZIP
Address
Fee
Adding Additional Days {[PNAME]} are assessed at the fixed rate of $13 per day.
A copy of your food business license from the township where you are located
President/Manager (if applicable)
Phone Number
Are you a Cottage Food Vendor?
Name
License Number
The undersigned do hereby apply for a license to operate a food business in the {[CNAME]}. I/We agree to abide by the regulations and ordinances of the Township and the State of New Jersey.
Email
Name of Event Coordinator
Phone Number
ZIP
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Total # of Days
Number of Days Attending the Event
Please Confirm The Following Are Attached
Location of the Event
Address
Email
Phone Number
Address
Event Start Date
Attending Multiple Events?
Establishment/Business Name
ZIP