Madison, MT · Morris County
Food Establishment Removal of Refuse Agreement
Madison food establishments submit this agreement with a food license application or renewal to document refuse, garbage, and recycling collection service.
What this form is
This agreement documents a food establishment’s current service arrangement for collecting or removing refuse, garbage, and recyclables. Madison asks establishments to return it with a Food Establishment License Application or renewal. It requests establishment and waste company contact details, and the owner or manager signs and dates a certification about service during the licensing year and notifying the Health Department of provider changes.
Who needs it
Food establishment owners or managers submitting a Madison food license application or renewal need to provide this refuse removal agreement.
How to submit it
Return this form with your Food Establishment License Application or Renewal to the Madison Health Department, Borough of Madison, 50 Kings Road, Madison, NJ 07940.
About notarization
This document is signed without a notary; the owner or manager just signs and dates the agreement.
How to submit this form
- 1
Download The Agreement
Download the Food Establishment Removal of Refuse Agreement PDF.
- 2
Complete The Form
Enter the establishment and refuse company details, then have the owner or manager sign and date the certification.
- 3
Gather Related Forms
Complete the Food Establishment License Application or renewal that this agreement accompanies.
- 4
Submit To The Health Department
Return the agreement with the application or renewal to the Madison Health Department at 50 Kings Road, Madison, NJ 07940.
Frequently asked questions
- Do I need a notary for the Food Establishment Removal of Refuse Agreement?
- No. The agreement is signed and dated by the owner or manager without a notary.
- Who completes this refuse removal agreement?
- The owner or manager of a food establishment completes the form and certifies that the establishment has a current agreement for refuse, garbage, and recycling collection or removal.
- How do I submit the refuse removal agreement?
- Return it with the Food Establishment License Application or renewal to the Madison Health Department at 50 Kings Road, Madison, NJ 07940.
- What information does the agreement ask for?
- It asks for the establishment’s name, phone, and address; the refuse company’s contact details; and the owner or manager’s signature and date.
Need something notarized?
This Food Establishment Removal of Refuse Agreement doesn’t need a notary — but if you have another Madison form that does, a commissioned online notary can help.