Jackson County, MI · Jackson County
Notification of Intent to Operate a Special Transitory Food Unit
Special Transitory Food Unit license holders use this form to notify the local health department about event locations and food service dates and hours.
At a glance
- Issued by
- City of Jackson County · Jackson County, Jackson County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- mijackson.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form notifies the local health department of a Special Transitory Food Unit’s event location and the dates and hours it will serve or prepare food. The license holder must notify the health department in writing at least four business days before food service. The form asks for operator, business, license, event, operation, location, and licensing health department details.
Who needs it
A Special Transitory Food Unit license holder must complete this form before serving or preparing food at a location within a local health department’s jurisdiction.
How to submit it
Send the notice to the local health department by first-class mail, fax, email, or hand delivery at least four business days before food is served or prepared. For Jackson County, the form lists 1715 Lansing Avenue, email [email protected], and fax 517-788-4616.
About notarization
This document is signed without a notary; the form contains no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Special Transitory Food Unit operation notification form.
- 2
Complete the Form
Enter the operator, license, business, event, operating dates and hours, location, and health department details.
- 3
Gather Attachments
The form does not list required attachments.
- 4
Submit to the Health Department
Send the notice by first-class mail, fax, email, or hand delivery at least four business days before food service.
Frequently asked questions
- Who uses the STFU operation notification form?
- A Special Transitory Food Unit license holder uses it to notify the local health department about where and when the unit will serve or prepare food.
- When must I send the notification?
- The form says the notice must be received at least four business days before food is served or prepared within the local health department’s jurisdiction.
- How do I submit the STFU notification?
- The form allows notice by first-class mail, fax, email, or hand delivery. It lists Jackson County Health Department at 1715 Lansing Avenue, [email protected], and fax 517-788-4616.
- Do I need a notary for the STFU notification?
- No. This document has no notary block or notarized attachment; the signer just signs and dates it.