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Commissary verification form

Commissary form 2026

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The document is a Commissary or Permitted Kitchen Verification Form for caterers issued by the San Francisco Department of Public Health. It outlines the responsibilities of both the caterer and the commissary owner, requiring the commissary owner to verify that their facility meets health and safety standards and grants permission for the caterer to use their kitchen. The form includes sections for contact information, operational details, and compliance with health regulations.

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Click ‘Get Form’ to open the commissary form in the editor.
Begin by filling out the 'Caterer' section. Enter your name(s), phone number(s), home address, billing address, and DBA (Doing Business As) name.
Next, move to the 'Commissary Owner' section. The commissary owner should provide their name(s), DBA, Board of Equalization number, address, business license number, and the agency issuing the permit.
In this section, the commissary owner must declare permission for the caterer to use their facility. Fill in the caterer's name and address along with the duration of usage.
Check all applicable facilities and services provided by the commissary in section three. Ensure that each box is marked according to what is available.
Finally, have the commissary owner print their name, sign, and date at the bottom of the form to complete it.

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2012	4.8 Satisfied (132 Votes)

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