Type Full Name :
Sign With Hand
Phone # *
Food Truck License Plate # *
State *
Out of State
Mobile Food Details
Registration Type *
Name of Establishment
First Name *
Are foods prepared at another location? * If so, provide details below
Food Truck Type *
Is the Owner the only employee? * If No, provide details of every employee below
Business Name *
Last Name *
If establishment is owned by an out of state entity, please provide details.
Food Truck Model *
Address *
Contact Person
Fee Schedule
Contact Number
Establishment provides catering or delivery? *
Phone # *
Amount Due
{[CITY]}, {[STATE]} {[ZIP]}
Food Truck Make *
Required Documents
Applicant Signature *
Mobile Food Owner Details
City, State, ZIP
Description of goods to be sold *
  • Two passport sized pictures of each person selling food
  • Proof of insurance Accord Form
    • Personal Injury - $100,000 per person
    • Personal Injury - $300,000 per occurrence
    • Property Damage - $50,000
  • Board of Health "Satisfactory" Inspection Certificate
    • (call to arrange for inspection 732-341-9700 x 7475)
  • Permission letter from the property owner where you are selling from. The property must be at least 500' from an existing food store or food vendor. Does not apply to ice cream vendors traveling on roadways.
City *
Email *
Regional Office Name