Pompton Lakes, MT · Passaic County
Temporary Retail Food Establishment License Application
Event food vendors use this application to request a temporary retail food establishment license from the Pompton Lakes Health Department.
What this form is
This application requests a temporary retail food establishment license for a specific event; licenses are non-transferable and valid only for the event listed. Applicants provide event and vendor details, identify their operation type, and list all food and drinks offered. If food is prepared or stored off site before the event, the application must include a current retail food license and latest inspection report with a “Satisfactory” inspection placard for that location.
Who needs it
A vendor seeking a temporary retail food establishment license for an event in Pompton Lakes should complete this application.
How to submit it
Submit the application with a $50 non-refundable check payable to “Borough of Pompton Lakes” to the Pompton Lakes Health Department, 25 Lenox Avenue, Pompton Lakes, NJ 07442. Licenses are issued on site upon satisfactory inspection by the Wayne Health Department.
About notarization
This application is signed and dated without a notary; it lists no sworn statement or notarized attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Temporary Retail Food Establishment License Application.
- 2
Complete The Application
Fill in event and vendor information, select the operation type, and list all food and drinks offered.
- 3
Gather Required Attachments
If food is prepared or stored off site before the event, include the current retail food license and latest inspection report with a “Satisfactory” placard.
- 4
Submit The Application
Submit the application with a $50 non-refundable check payable to Borough of Pompton Lakes to the Pompton Lakes Health Department.
Frequently asked questions
- Who uses the Temporary Retail Food Establishment License Application?
- Vendors seeking a temporary retail food establishment license for an event use this application to provide event, vendor, operation, and food details.
- What attachments are required for food prepared off site?
- Include a copy of a current retail food license in the applicant’s business name and the latest inspection report with a “Satisfactory” inspection placard for the preparation location.
- Do I need a notary for the Temporary Retail Food Establishment License Application?
- No. The application is signed and dated without a notary, and it lists no sworn statement or notarized attachment.
- How do I submit the Temporary Retail Food Establishment License Application?
- Submit it with a $50 non-refundable check payable to Borough of Pompton Lakes to the Pompton Lakes Health Department at 25 Lenox Avenue, Pompton Lakes, NJ 07442.
Need something notarized?
This Temporary Retail Food Establishment License Application doesn’t need a notary — but if you have another Pompton Lakes form that does, a commissioned online notary can help.