Who completes the Mobile Food Vendor License Supplemental Questionnaire?

Each person with a 10% or greater ownership interest or earnings in the business completes the questionnaire as part of a Mobile Food Vendor License application.

What information does the questionnaire request?

It asks for personal and business details, residential addresses for the past 10 years, and background information. It also requires a valid government-issued photo ID for each individual with at least 10% ownership.

Do I need a notary for the Mobile Food Vendor License Supplemental Questionnaire?

No. The document is signed and dated without a notary. It does require a government-issued photo identification card for each individual with a 10% or greater ownership interest.

Mesa, AZ · Maricopa County

No notary required

Mobile Food Vendor License Supplemental Questionnaire

This supplemental questionnaire collects ownership, residence, and background details from people with at least a 10% interest in a mobile food vendor business.

What this form is

The City of Mesa uses this questionnaire as a supplement to a Mobile Food Vendor License application. Each controlling person with a 10% or greater ownership interest or earnings must provide personal, residential, and background information, then sign and certify the answers. The form also requires a valid government-issued photo identification card for each individual with at least a 10% ownership interest.

Who needs it

Each person with a 10% or greater ownership interest or earnings in a business applying for a Mesa Mobile Food Vendor License needs to complete this questionnaire.

How to submit it

Mail it to the Licensing Office, PO Box 1466, Mesa, Arizona 85211-1466, or deliver it to 55 North Center Street, Mesa, Arizona. The form lists [email protected] for contact.

About notarization

This document is signed and dated without a notary; it requires a government-issued photo identification card for each individual with a 10% or greater ownership interest.

How to submit this form

1
Download The Questionnaire
Download the Mobile Food Vendor License Supplemental Questionnaire PDF.
2
Complete The Questionnaire
Provide the requested personal, residential, ownership, and background information, and sign and date the certification.
3
Gather Required Identification
Include a valid government-issued photo identification card for each individual with a 10% or greater ownership interest.
4
Submit To The Licensing Office
Mail the questionnaire to PO Box 1466, Mesa, Arizona 85211-1466, or deliver it to 55 North Center Street.

Frequently asked questions

Who completes the Mobile Food Vendor License Supplemental Questionnaire?: Each person with a 10% or greater ownership interest or earnings in the business completes the questionnaire as part of a Mobile Food Vendor License application.
What information does the questionnaire request?: It asks for personal and business details, residential addresses for the past 10 years, and background information. It also requires a valid government-issued photo ID for each individual with at least 10% ownership.
Do I need a notary for the Mobile Food Vendor License Supplemental Questionnaire?: No. The document is signed and dated without a notary. It does require a government-issued photo identification card for each individual with a 10% or greater ownership interest.
How do I submit the questionnaire?: Mail it to the Licensing Office at PO Box 1466, Mesa, Arizona 85211-1466, or deliver it to 55 North Center Street, Mesa, Arizona.

Need something notarized?

This Mobile Food Vendor License Supplemental Questionnaire doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.