Napa County, CA · Napa County
Commissary Verification
This form records the commissary services offered to a proposed food business and is completed by the commissary owner or operator.
At a glance
- Issued by
- City of Napa County · Napa County, Napa County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- napacounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Commissary Verification form documents the facilities and services a commissary can provide for a proposed food business’s vehicle, such as food storage, utilities, handwashing, and parking. The commissary owner or operator lists the business and site details and signs the form. If the food establishment is outside Napa County, an authorized County REHS must complete the health department section, and a copy of the most recent inspection report must be provided.
Who needs it
A commissary owner or operator completes this form for a proposed food business, with additional health department information required for establishments outside Napa County.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the commissary owner or operator and owner or authorized agent sign and date it, and an authorized REHS signs the health department section when required.
How to submit this form
- 1
Download the Form
Download the Commissary Verification PDF.
- 2
Complete the Business Details
Enter the proposed business, commissary, owner, site address, and phone number.
- 3
List Commissary Services
Check the services the commissary can provide and have its owner or operator sign and date the form.
- 4
Gather Required Health Information
If the establishment is outside Napa County, have an authorized County REHS complete the health department section and provide the latest inspection report.
- 5
Submit to the County
Submit the form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What does the Commissary Verification form document?
- It records the facilities and services a commissary can provide for a proposed food business’s vehicle, along with business, commissary, owner, and site information.
- Do I need a notary for Commissary Verification?
- No. The commissary owner or operator and owner or authorized agent sign and date the form; an authorized REHS signs the health department section when required.
- How do I submit Commissary Verification?
- Submit it to the county department named on the form; check the county website for current contact details.
- What is needed if the commissary is outside Napa County?
- An authorized County REHS must complete the health department section, and a copy of the most recent inspection report must be provided.