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Food Truck
Ice Cream Truck
Pre Packaged Food only-No contact with any open food
Limited Food Prep-No Seating, No Cooking
Tavern-No Food Preparation
Food Preparation, Takeout and/or seating < 25 people, and Schools/Private Cafeterias
Food Preparation, Takeout and/or seating 26-100 people, and/or <20,000 sq.ft
Food Preparation, Takeout and/or seating > 100 people, and/or >20,000 sq.ft
Supermarkets and Wholesale Clubs
Food Truck
Renewed
Not Renewed
New
Request Payment
Paid
Issued
Denied
New Registration
Renewal
Mobile Food Truck
Mobile Ice Cream Truck
Risk Type 1 as defined by N.J.A.C. 8:24
Risk Type 2 as defined by N.J.A.C. 8:24
Risk Type 3 as defined by N.J.A.C. 8:24
Risk Type 4 as defined by N.J.A.C. 8:24
Food/Beverage Vending Machine
Yes
No
Yes
No
Phone #
Does Your Establishment Have a Grease Trap?
Establishment Name
Establishment Details
Address
Are there vending machines on the premises?
Registration Type
Mailing Address different from physical address?
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Address 2
Email
Number of Seats
Establishment Category
Mailing Address
Description of Food Services/Products to Be Offered
{[PNAME]}
Type the Street Number and Name to Select the Address. (For Mobile Establishments, Please Select "Non Resident or Address Not Found")
Owner Details
Food Truck Details
Food Handler Training
Corporation or LLC Officer
Fee Schedule
Attachments & Certification
AL
AK
AZ
AR
CA
CO
CT
DE
FL
HI
ID
IL
IA
KS
KY
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
DC
FM
GU
MH
MP
PW
PR
VI
Yes
No
Address
Is Building Owner Same as Business Owner?
Address
Building Owner
Phone #
Last Name
State
Plumber Details
City, State, ZIP
First Name
Name
Last Name
First Name
Corporation (if applicable)
ZIP
Email
Address
Phone #
Emergency Contact
Retail Food Establishment Owner Details
Phone Number
Name
Phone #
City
Email
License #
Email
Food Truck Street Route
Food Truck Make
License Plate #
Food Truck Model
Food Truck Details
Add Food Handler
Food Handler Details
Please provide name(s) of person(s) who attended Food Handlers Training Course and Expiration date of certification.
Add Officer
Corporation or LLC Officer Details
Application Fee
Description
Fee
Risk Type 1 as defined by N.J.A.C. 8:24
$50.00
Risk Type 2 as defined by N.J.A.C. 8:24
$100.00
Risk Type 3 as defined by N.J.A.C. 8:24.
$150.00
Risk Type 4 as defined by N.J.A.C. 8:24
$200.00
Mobile Food Truck
$100.00
Mobile Ice Cream Truck
$75.00
Food/Beverage Vending Machine
$10.00
Late fee (after January 31st)
$25.00