Orange County, NY · Orange County
Vending Food Service Permit Application
Businesses and individuals use this application to request or renew an Orange County permit for food, snack, or beverage vending machines.
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
This application is for operators seeking a vending food service permit, including new operators, renewals, name changes, and added machines. It asks for operator and business details, machine locations and types, and the number of machines. Applicants must include payment and workers’ compensation and disability insurance documentation or an exemption; fees depend on the number of eligible machines.
Who needs it
A business or individual operating food, snack, or beverage vending machines in Orange County should use this application to request or renew a permit.
How to submit it
Submit the application with payment and required workers’ compensation and disability documentation to OCDOH at 124 Main Street, 3rd floor, Goshen, NY 10924. Non-commercial applications and supporting documents may be emailed to [email protected]; commercial applications are not accepted by email.
About notarization
No notary is required; the operator signs and dates this application, and applicants provide workers’ compensation and disability insurance documentation or an exemption.
How to submit this form
- 1
Download the Application
Download the Vending Food Service Permit Application for Orange County.
- 2
Complete the Application
Provide operator and business details, select the reason for applying, and list machine locations and types.
- 3
Gather Required Documents
Include workers’ compensation and disability insurance documentation or an exemption, and a machine list by email if you have more than six.
- 4
Submit to OCDOH
Submit the application with payment and required documents to the OCDOH address on the form. Non-commercial applications may be emailed.
Frequently asked questions
- What does the Vending Food Service Permit Application cover?
- It covers new permit applications, renewals, name changes, and added machines. The form requests operator and business information, machine details, and payment.
- Do I need a notary for the Vending Food Service Permit Application?
- No. The operator signs and dates this application without a notary. Applicants must provide workers’ compensation and disability insurance documentation or an exemption.
- How do I submit the vending permit application?
- Submit it with payment and required insurance or exemption documentation to OCDOH at the address on the form. Non-commercial applications and supporting documents may be emailed; commercial applications are not accepted by email.
- What supporting documents are required?
- Applicants must submit workers’ compensation and disability insurance coverage documentation or Form CE-200 for an exemption. A list of machines must be emailed if there are more than six.