Phone #
Fax #
Square ft
Establishment Name
Establishment Details
Address
Registration Type
Borough of Bergenfield
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.bergenfield.com/
Address 2
Establishment Type
Email
# of Seats (Including Bar)
Is It Non Profit Organization?
{[PNAME]}
Type the street number and name to select the Address
  • Owner Details
  • Fee Schedule
  • Attachments
  • Certification
State
Food Manager
Name
Corporation (if applicable)
ZIP
Ownership Type
Address
Cell #
Retail Food Owner Details
Food Manager Certificate Expiration Date
City
Email
Application Fee
Fee Schedule
Establishment Type Fees
Restaurants; catering halls; cafeterias; bars and any other food establishments that have seating (1-25 Seats: $200)
(26-50 Seats: $275)
(51-100 Seats: $325)
(101 Seats and above: $375)
Supermarkets; Groceries; Food Warehouses (up to 2,500 sq ft) $175
Supermarkets; Groceries; Food Warehouses (more than 2,500 sq ft) (2,501–5,000 sq ft: $175)
(5,001–10,000 sq ft: $200)
(Each additional 5,000 sq ft or part thereof: $75)
Fish Markets, Meat Markets or Butcheries $250
Mobile Food Vendors $150
Mobile Ice Cream, Italian Ice, or frozen confectionary product vendors $150
Senior Day Cares, Assisted Living $250
Temporary Food License $40
Snack bars within another business (for on-site patron use) $100
Seasonal Food Operators $175
Special Event Food Permit $35
Establishments selling only non-potentially hazardous food, coffee, or pre-packaged ice cream $75
Water Bottle Establishments $200
Religious, Civic, Non-Profit Organizations Fee Exempt
Food establishments without seating (convenience stores, delis, bakeries, liquor stores, take-out) $200
Please submit a copy of your valid food handling or manager certification (if applicable).
Attachments
Type Full Name :
Sign With Hand

Your signature below attests that you have read and agree to the following conditions:

  1. You will use only properly licensed wholesalers or reputable distributors as food suppliers.
  2. You will not sell any potentially hazardous foods prepared in a home kitchen or otherwise in an unlicensed facility or which is not in accordance with the NJ Chapter 24 Cottage Food Operator Regulations.
  3. You will not transfer, sell or copy your given license to any other business, establishment or entity.
  4. You will comply with all applicable Federal, State & Local Regulations.
  5. This license is VOID upon change in ownership of the business and the new owner must apply for a new license.You will permit access to a health authority to all parts of the establishment to conduct inspections as often as it deems necessary.
  6. You will permit access to a health authority to all parts of the establishment to conduct inspections as often as it deems necessary.

Please Note: Any licensed retail food establishment where a conditionally satisfactory evaluation is posted, a reinspection fee of $75 must submitted to the Bergenfield Health Department within 30 days of the reinspection to be conducted.

This license must be renewed by the Expiration date MAY 31, 2025. All checks can be made payable to “Borough of Bergenfield”.

Applicants are required to print the application and mail it along with all required documentation and payment. Incomplete submissions may delay processing.
Certification
Applicant Signature