Food Truck Permit Appliction

Please note: A non-refundable $25 permit fee is required to process your Food Truck Permit Application. Your application will not be reviewed until payment is received. Instructions for submitting payment will be provided after form submission.
Business Name (DBA)
Business Owner Name(s)
Business Address
Business Phone Number
Email Address
Business License Number
Federal EIN
State Tax ID Number
Food Truck Name
Health Department Permit Number
Do You Have Liability Insurance?
- Yes
- No
Do You Agree to Comply with All Local Ordinances?
- Yes
- No
Signature (type your full name)
Date
Date Format: MM slash DD slash YYYY