Orange County, NY · Orange County
Mobile Food Service Establishment Permit Application
Mobile food operators use this application to request a permit, renew one, or report a new unit or name change to the Orange County Department of Health.
At a glance
- Issued by
- City of Orange County · Orange County, Orange County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- orangecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Orange County Department of Health application is for new mobile food service operators, new units, permit renewals, and name changes. It asks for business and contact details, vehicle and food information, service locations, and insurance documentation. Applicants must include the applicable commissary letter and, when the commissary is outside Orange County, a copy of its permit; the form also lists application and optional expedited review fees.
Who needs it
Mobile food service operators applying for a new permit, adding a unit, renewing a permit, or changing the permit name need this application.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details. Non-commercial applications and supporting documents can be emailed to [email protected]; commercial applications are not accepted by email.
About notarization
This application is signed and dated without a notary; the commissary operator also signs and dates the attached commissary letter.
How to submit this form
- 1
Download the Application
Download the Mobile Food Service Establishment Permit Application and its commissary letter.
- 2
Complete the Application
Provide operator, business, vehicle, food, commissary, and operating location details, then sign and date the application.
- 3
Gather Required Attachments
Include insurance or exemption documentation and the commissary letter; include a copy of the permit for an out-of-county commissary.
- 4
Submit to the County
Submit the application with payment to the county department named on the form. Non-commercial applications and supporting documents can be emailed; commercial applications cannot.
Frequently asked questions
- Do I need a notary for the Mobile Food Service Establishment Permit Application?
- No. The application and commissary letter provide signature and date fields, but no notary block.
- How do I submit the mobile food permit application?
- Non-commercial applications and supporting documents can be emailed to [email protected]. Commercial applications are not accepted by email; check the county website for current submission details.
- What attachments does the application require?
- The application requires workers' compensation and disability insurance documentation or applicable exemption forms. It also calls for a commissary letter; an out-of-county commissary requires a copy of its permit as well.
- What information does the application ask for?
- It asks for operator and business details, vehicle type, foods served, commissary information, locations and dates of operation, and required insurance documentation.