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
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
Food establishments without seating such as convenience stores; delis; bakeries; liquor stores; and other take-out establishments not otherwise listed $150
Restaurants; catering halls; cafeterias; bars and any other food establishments that have seating (1-25 Seats $150)
(26-50 Seats $200)
(51-100 Seats $250)
(101 Seats And above $300)
Supermarkets; Groceries; Food Warehouses Maximum selling area 5000 square feet. $150
Supermarkets; Groceries; Food Warehouses selling area more than 5000 square feet. (Each additional 5,000 square feet or fraction thereof $50)
(Maximum Fee $500)
Establishments that only sell prepackaged or unpackaged non-potentially hazardous food; coffee or pre-packaged ice cream as a supplement to the primary business $50
Religious, Civic, Non-Profit Organizations Fee Exempt
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.
Certification
Applicant Signature