Lenawee County, MI · Lenawee County

No notary required

Temporary Food Establishment License Application

Organizations and individuals use this application to request a license to serve food at a temporary public event in Lenawee County.

At a glance

Issued by
City of Lenawee County · Lenawee County, Lenawee County, Michigan
Notarization
Not required: file this form without a notary.
Official source
lenawee.mi.us
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application requests a temporary food establishment license and collects business and contact details, public event information, equipment selections, and food preparation and menu details. It asks applicants to list food sources and handling methods; only listed food and beverage items will be approved. If food is prepared off-site, complete Addendum A for the commissary agreement; contact the inspector to discuss planned food cooling.

Who needs it

Organizations or individuals planning to serve food at a public event in Lenawee County should complete this application.

How to submit it

The form identifies local health department use but gives no submission address or method. 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; if off-site kitchen use applies, the licensed facility owner or operator also signs and dates Addendum A.

How to submit this form

  1. 1

    Download the Application

    Download the Temporary Food Establishment License Application.

  2. 2

    Complete the Application

    Fill in applicant, event, equipment, food source, menu, and food handling information.

  3. 3

    Gather Any Attachment

    If food is made off-site, complete Addendum A, the commissary agreement.

  4. 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

Do I need a notary for the Temporary Food Establishment License Application?
No. The application requires the applicant's signature and date, not notarization. If off-site kitchen use applies, the licensed facility owner or operator also signs and dates Addendum A.
Who should use this application?
Organizations or individuals planning to serve food at a public event can use this application to request a temporary food establishment license.
What information does the application ask for?
It asks for applicant and event details, equipment, food sources, menu items, and food preparation and handling methods.
How do I submit the application?
The form identifies local health department use but does not give a submission address or method. Submit it to the county department named on the form and check the county website for current contact details.

Need something notarized?

This Temporary Food Establishment License Application doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.