Do I need a notary for the Temporary Event Application?

No. The document has an applicant signature and date line and a declaration under penalty of perjury, but it does not require notarization.

How do I submit the Temporary Event Application?

Send the application and money order payment to the West New York Health Department at 428 60th Street, Room 30, West New York, NJ 07093.

What information does the application ask for?

It asks for business and contact details, event name, location, date and time, menu and food-source information, and the number of requested operating dates.

What is the application fee?

The form lists a $50 fee per day and says payment must be submitted with the application. Payment is by money order only; the form says fees are nonrefundable.

West New York, MT · Hudson County

No notary required

Temporary Event Application

West New York businesses and vendors use this application to request a Health Department license for temporary events involving food or other business operations.

What this form is

The application requests a temporary event license from the West New York Health Department for specified locations and dates. It asks for business and contact details, event location and schedule, menu and food-source information, and the number of operating dates; food vendors must attach a menu. The document lists a $50-per-day fee, requires payment with the application, and includes a vendor food-safety checklist.

Who needs it

Businesses and vendors seeking to operate at a temporary event in West New York should complete this application and provide the required event and business information.

How to submit it

Send the application and payment by money order to the West New York Health Department, 428 60th Street, Room 30, West New York, NJ 07093. The form lists a fee of $50 per day and says payment must accompany the application.

About notarization

This document does not require a notary; the applicant signs and dates the application, including its declaration under penalty of perjury.

How to submit this form

1
Download The Application
Download the Temporary Event Application and review its instructions and food-vendor checklist.
2
Complete The Application
Provide business, event, menu, food-source, and requested operating-date information; sign and date the application.
3
Gather Required Materials
Attach a copy of the menu. If you are not a West New York business owner, the form requests proof of operation and lists examples.
4
Prepare Payment
Calculate the $50-per-day fee and prepare payment by money order payable to the West New York Health Department.
5
Send It To The City
Mail the application and payment to the West New York Health Department, 428 60th Street, Room 30, West New York, NJ 07093.

Frequently asked questions

Do I need a notary for the Temporary Event Application?: No. The document has an applicant signature and date line and a declaration under penalty of perjury, but it does not require notarization.
How do I submit the Temporary Event Application?: Send the application and money order payment to the West New York Health Department at 428 60th Street, Room 30, West New York, NJ 07093.
What information does the application ask for?: It asks for business and contact details, event name, location, date and time, menu and food-source information, and the number of requested operating dates.
What is the application fee?: The form lists a $50 fee per day and says payment must be submitted with the application. Payment is by money order only; the form says fees are nonrefundable.

Need something notarized?

This Temporary Event Application doesn’t need a notary — but if you have another West New York form that does, a commissioned online notary can help.