What is the Mobile Food Facilities Application Checklist for?

It helps owners and operators of new or remodeled mobile food facilities organize the plans, facility details, and supporting materials required for Siskiyou County Environmental Health review.

What should I submit with the checklist?

Submit one set of plans and the $240 plan check fee. The checklist also identifies required plan details and supporting items, including equipment specifications and commissary and restroom agreement letters.

Do I need a notary for this checklist?

No. The checklist has a signature and date line but no notary block; it identifies no notarized or sworn attachment or related step.

Siskiyou County, CA · Siskiyou County

No notary required

Mobile Food Facilities Application Checklist for New Remodeled Units

Siskiyou County’s checklist helps mobile food facility owners and operators prepare plans and supporting materials for Environmental Health review.

At a glance

Issued by: City of Siskiyou County · Siskiyou County, Siskiyou County, California
Notarization: Not required: file this form without a notary.
Official source: siskiyoucounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this checklist when applying to Siskiyou County Environmental Health for a new or remodeled mobile food facility. It asks for facility, owner, commissary, water, and sewage details, and lists plans, agreements, equipment, and operational requirements. Submit one set of plans with the plan check fee; the department reviews complete plans and inspects the unit before it opens.

Who needs it

Owners or operators of new or remodeled mobile food facilities should complete this checklist and submit it with the required plans for county review.

How to submit it

Submit one set of plans with the $240 plan check fee to Siskiyou County Environmental Health Division, 806 South Main Street, Yreka, CA 96097. Include the items listed on the checklist.

About notarization

This checklist is signed and dated without a notary; it identifies no notarized or sworn attachment or related step.

How to submit this form

1
Download the Checklist
Download the Mobile Food Facilities Application Checklist for a new or remodeled unit.
2
Complete the Checklist
Fill in facility, owner, commissary, water, sewage, and location details. Check each applicable item or mark it N/A.
3
Gather Plans and Attachments
Prepare one set of plans and the listed supporting materials, including equipment specifications and agreement letters.
4
Submit to the County
Send the plans and $240 plan check fee to Siskiyou County Environmental Health Division at 806 South Main Street, Yreka, CA 96097.

Frequently asked questions

What is the Mobile Food Facilities Application Checklist for?: It helps owners and operators of new or remodeled mobile food facilities organize the plans, facility details, and supporting materials required for Siskiyou County Environmental Health review.
What should I submit with the checklist?: Submit one set of plans and the $240 plan check fee. The checklist also identifies required plan details and supporting items, including equipment specifications and commissary and restroom agreement letters.
Do I need a notary for this checklist?: No. The checklist has a signature and date line but no notary block; it identifies no notarized or sworn attachment or related step.
How do I submit the mobile food facility checklist?: Submit one set of plans with the $240 plan check fee to Siskiyou County Environmental Health Division, 806 South Main Street, Yreka, CA 96097.

Need something notarized?

This Mobile Food Facilities Application Checklist for New Remodeled Units doesn’t need a notary, but if you have another Siskiyou County form that does, a commissioned online notary can help.