Orange County, NY · Orange County
Temporary Food Service Establishment Permit Application
This application is for event organizers or food operators seeking a permit to operate a temporary food service establishment in Orange County.
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
Use this application to request a permit for a temporary food service establishment at an event. It asks for event and operator details, dates, booth information, foods to be served, food preparation and transport plans, and water and ice sources. The form also requests workers’ compensation and disability insurance documentation and states that applications require payment, except for non-commercial applications submitted by email.
Who needs it
Event organizers or food operators planning to serve food at a temporary event in Orange County need this application.
How to submit it
The form lists the Orange County Department of Health, Division of Environmental Health, at 124 Main Street, Goshen, NY 10924. It says only non-commercial applications without fees are accepted by email.
About notarization
This application does not require a notary; the operator signs and dates it, and the form does not identify a notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Temporary Food Service Establishment Permit Application.
- 2
Complete the Application
Enter event, operator, booth, food, preparation, transport, and food-safety details.
- 3
Gather Required Documents
Include the requested workers’ compensation and disability insurance documentation. Attach a facility permit, license, or authorization if food is prepared off-site.
- 4
Sign and Date
Have the operator sign and date the application.
- 5
Submit to the County
Use the Orange County Department of Health contact information on the form; only non-commercial applications without fees are accepted by email.
Frequently asked questions
- Who uses the Temporary Food Service Establishment Permit Application?
- Event organizers or food operators use it to apply for a permit to serve food at a temporary event in Orange County.
- What information does the application request?
- It asks for event, operator, booth, and food details, as well as food preparation, transport, temperature control, water, and ice information.
- How do I submit the application?
- The form lists the Orange County Department of Health, Division of Environmental Health, at 124 Main Street, Goshen, NY 10924. Only non-commercial applications without fees are accepted by email.
- Do I need a notary for this application?
- No. The operator signs and dates the application; the form does not identify a notarized or sworn attachment.