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Special Event Food Vendor Application

This form is for special event food vendors only. This application must be submitted 30 days prior to the event.

Event Details

Is this an annual event?

Vendor Information

Are you a vendor from outside of Huron and Perth Counties?

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Type of set up at event (check all that apply):
Will a certified food handler be on-site?

Food menu items

Please list what you will be serving at the event; this includes samples (e.g. vegetable soup with chicken stock base, chili with beef, cookies, cheese, bottle jams or jellies).

How will food be transported to the event (check all that apply):

Food Safety Details

How are you keeping food cold and/or hot during the event (check all that apply)
Will you have a thermometer available at the event to check the internal temperature of perishable foods?
Please describe your handwashing set-up a hand washing station must be available at your booth for food handlers). If offering only pre-packages food (e.g. pop, chips, etc.) you are exempt from this requirement, however hand sanitizer is required.
How will you ensure a clean supply of service utensils (check all that apply)?
What method of sanitizing will you be using for utensils and/or food contact surface (i.e. tables)?
Are garbage bins supplied (garbage must be disposed at least daily)?
Is storage for food provided so that it is at least 15 cm off the ground?

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Special Events' Information

Include all special events you plan to attend for the year within Huron and Perth counties. You don't need to submit a new application for each event. If you miss including an event on this form, contact Huron Perth Public Health and we will adjust your file.

Is this an annual event?
Is this an annual event?
By checking this box, I acknowledge I have read, understand, and agree that the information provided in this form is correct.

The personal information on this form is collected under the authority of The Health Protection and Promotion Act, R.S.O. 1990, c. H. 7. It will be used for ownership identification and enforcement of the Act and the applicable Regulations under the Act.

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