Salem, IL · Marion County

No notary required

Mobile Food / Liquid Vendor Application

The application is for people seeking to operate a mobile food or liquid vending vehicle in Salem and includes a sworn statement of criminal convictions.

What this form is

The City of Salem Police Department application is for a person seeking authorization to operate a mobile food or liquid vending vehicle. It asks for applicant and vehicle details and lists supporting documents, including a retail tax registration certificate, driver’s license, health department food permit, liability insurance policy, and sworn statement of prior criminal convictions. Other drivers must also file a sworn statement.

Who needs it

People seeking to operate a mobile food or liquid vending vehicle in Salem must complete the application and provide the listed supporting documents.

How to submit it

The form names the City of Salem Department of Police at 201 South Rotan, Salem, Illinois 62881. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the attached criminal-conviction statement is signed and witnessed, and the form does not request notarization.

How to submit this form

  1. 1

    Download The Application

    Download the Mobile Food / Liquid Vendor Application.

  2. 2

    Complete Applicant And Vehicle Details

    Provide the requested applicant, business, address, and vehicle information.

  3. 3

    Gather The Listed Attachments

    Attach the listed tax registration, driver’s license, health permit, insurance policy, and criminal-conviction statement.

  4. 4

    Submit To The City

    Submit the application to the City of Salem Department of Police; check the city website for current contact details.

Frequently asked questions

Who uses the Mobile Food / Liquid Vendor Application?
People applying to operate a mobile food or liquid vending vehicle in Salem use this application and provide the supporting documents listed on it.
What attachments does the application request?
It lists a retail tax registration certificate, driver’s license, Marion County Health Department food permit, vehicle liability insurance policy, and a sworn statement of prior criminal convictions.
Do I need a notary for the Mobile Food / Liquid Vendor Application?
No. The application is signed without a notary; its criminal-conviction statement calls for a signature and witness, not notarization.
How do I submit the Mobile Food / Liquid Vendor Application?
The form names the City of Salem Department of Police at 201 South Rotan, Salem, Illinois 62881. Check the city website for current contact details.

Need something notarized?

This Mobile Food / Liquid Vendor Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.