Merced County, CA · Merced County
Commissary Approval Form
Mobile food facility operators and commissary representatives use this form to document approval for the vehicle to use a commissary in Merced County.
At a glance
- Issued by
- City of Merced County · Merced County, Merced County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- countyofmerced.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form documents the commissary approval for a mobile food facility and the services the commissary will provide. It asks for facility, operator, vehicle, and commissary details, including the foods offered and services provided. The form states that a vehicle must operate from an approved commissary and visit it at least once each operating day; attach the commissary’s health permit for facilities outside Merced County.
Who needs it
Mobile food facility operators and authorized commissary representatives complete the form to verify the facility’s commissary arrangement.
How to submit it
The form identifies the Merced County Division of Environmental Health at 2222 M Street, Merced, CA 95340. It lists a telephone number and fax number but does not specify a submission method.
About notarization
This document is signed without a notary; the commissary representative and mobile food facility owner or operator sign and date it.
How to submit this form
- 1
Download the Form
Download the Commissary Approval Form.
- 2
Complete Facility Details
Enter the mobile food facility, operator, vehicle, foods offered, and commissary information.
- 3
Gather the Attachment
For a commissary outside Merced County, attach a copy of its health permit.
- 4
Sign and Date
Have the authorized commissary representative and mobile food facility owner or operator sign and date the form.
- 5
Contact the County Department
Use the Merced County Division of Environmental Health contact information listed on the form to ask about submitting it.
Frequently asked questions
- What does the Commissary Approval Form document?
- It records mobile food facility and commissary information, the services the commissary will provide, and signatures verifying the facility’s commissary arrangement.
- Do I need a notary for the Commissary Approval Form?
- No. The form is signed and dated by the commissary representative and mobile food facility owner or operator; no notary is indicated.
- How do I submit the Commissary Approval Form?
- The form lists the Merced County Division of Environmental Health at 2222 M Street, Merced, CA 95340, and provides a fax number, but does not state how to submit it.