Mobile Food Establishments & Food Caterers Operating at Special Events (If not operating within permit guidelines, you must apply for a Temporary Permit) (Web Form)

2. 

3. Mobile Food Establishments & Food Caterers Operating at Special Events

   Maricopa County Environmental Services Department <br>Environmental Health Division<br>Permitting Services Program <br>Phone: (602)506-6872<br>specialevents@mail.maricopa.gov

   Maricopa County Environmental Services Department
   Environmental Health Division
   Permitting Services Program
   Phone: (602)506-6872
   specialevents@mail.maricopa.gov

5. If not operating within permit guidelines, you must apply for a Temporary Permit.

7. Business Information

9. Permit # *

11. Business Name*

13. Contact Name*

14. Contact Phone*

16. Email Address*

18. Event Information

20. Event Name

22. Event Address*

24. Coordinator Name*

25. Coordinator Phone*

27. Coordinator Email Address*

29. Event Start Date*
    Event Start Date

30. Event End Date*
    Event End Date

34. Food Caterers Booth Information

    All Food Caterers must provide information on each booth that is set up at the Special Event.

    All Food Caterers must provide information on each booth that is set up at the Special Event.

36. Booth 1 - Booth Name

37. Booth 1 - Menu

39. Booth 2 - Booth Name

40. Booth 2 - Menu

42. Booth 3 - Booth Name

43. Booth 3 - Menu

45. Booth 4 - Booth Name

46. Booth 4 - Menu

48. Booth 5 - Booth Name

49. Booth 5 - Menu

51. Booth 6 - Booth Name

52. Booth 6 - Menu

54. Booth 7 - Booth Name

55. Booth 7 - Menu

57. Booth 8 - Booth Name

58. Booth 8 - Menu

60. If you have additional booths, please attach a separate sheet

Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field