Berrien County, MI · Berrien County
Michigan Temporary Food Establishment License Application
Food vendors use this application to request a temporary food establishment license and provide event, menu, food preparation, and equipment details.
At a glance
- Issued by
- City of Berrien County · Berrien County, Berrien County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- berriencounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests a license for a temporary food establishment at a public event. It asks for applicant and event details, food sources and preparation methods, menu items, and equipment; food and beverages must be listed for approval. If food is prepared off-site, the applicant must complete Addendum A, a commissary agreement, and the licensing agency must review and approve the facility.
Who needs it
Organizations or individuals serving food at a public event should complete this application to request a temporary food establishment license.
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 application is signed and dated without a notary; the commissary agreement addendum requires the licensed facility owner/operator’s signature and date.
How to submit this form
- 1
Download the Application
Download the temporary food establishment license application.
- 2
Complete the Application
Enter applicant and event information, list food and preparation details, and identify the equipment used.
- 3
Gather Required Addendum
If food is made off-site, complete Addendum A, the commissary agreement, for the off-site kitchen facility.
- 4
Submit to the County
Submit the application to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Who should use the temporary food establishment license application?
- Organizations or individuals serving food at a public event can use this application to request a temporary food establishment license and provide event, menu, preparation, and equipment information.
- What information does the application ask for?
- It asks for applicant and event details, food sources, menu and preparation methods, and equipment. Food and beverages must be listed for approval.
- Do I need a notary for the temporary food establishment license application?
- No. The application is signed and dated without a notary. If using an off-site kitchen, the licensed facility owner or operator signs and dates the commissary agreement addendum.
- How do I submit the temporary food establishment license application?
- Submit it to the county department named on the form; check the county website for current contact details.