Pop-Up Commissary Verification Form - sfdph.org 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your details as the Pop-Up Owner. Enter your name, phone number, email, and DBA (Doing Business As) name. Ensure that the commissary address is accurately provided where food will be prepared.
3. Indicate whether you currently hold a food permit with SFDPH or any other city/county by selecting 'Yes' or 'No'. If 'Yes', provide the name and address of the facility along with the permitting city/county.
4. The host facility owner must complete the section for Pop-Up Vending Location. Fill in their name, DBA, contact information, and address. Confirm permission for the pop-up vendor to operate from their licensed food facility.
5. Circle all applicable facilities and services that your permitted facility will provide to the pop-up vendor, ensuring compliance with health and safety requirements.
6. Both the Pop-Up Owner and Food Facility Owner must print their names, sign, and date at the bottom of the form to validate it.

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