Temporary wayne allen 2025

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The document is a Temporary Food Establishment Permit Application from the Fort Wayne-Allen County Department of Health. It outlines the requirements for food establishments to comply with local health codes, including submission deadlines, fees based on the duration of operation, and necessary information about the applicant and event. It emphasizes the importance of timely inspections and penalties for non-compliance.

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Click ‘Get Form’ to open the temporary wayne allen application in the editor.
Begin by filling out the 'Applicant Information' section. Enter the date of application, your name, establishment or organization name, address, telephone number, email, and contact person.
Next, move to the 'Event Information' section. Provide the name of the event, dates of operation, organizer's contact details, exact location of the event, total days of operation, and times for food preparation and service.
In the 'Facility Information' section, select the type of structure and water service you will use. Indicate if you have a backflow prevention device and specify your power source and handwashing/dishwashing methods.
Complete the 'Food Product Information' by listing all foods and beverages to be prepared or served. Include any menu items prepared elsewhere along with their preparation location.
Review the fee structure based on your operational days and ensure payment is made as instructed. Remember that this fee is non-refundable.
Finally, sign at the bottom to agree to all terms and conditions before submitting your application for processing.

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Versions	Form popularity	Fillable & printable
2015	4.9 Satisfied (50 Votes)

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