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Online Form - Application for Trading in Streets and Public Places or Temporary Food Premises

Please fill out all sections of this form. Applications need to be submitted to the Town’s Environmental Health services at least 2 weeks before the event or licences may not be granted.

Full name*

Address*

Phone number*

Email*

Business/Organisation name

Business / organisation address

Event name

Event location*

Dates of trading*

Times of trading*

Decription of goods to sold / supplied*

Description of vehicle/stall etc used for trading (e.g. serving table, eskies, rego No. etc)*

What hand washing facilities will you provide?*

How will food be maintained under temperature control? (i.e. hot food kept hot and cold food kept cold)*

How will food products be protected from contamination during transportation and preparation?*

Full name of applicant*

Date*

Attachments

Please attach your public liability insurance*

Maximum size of ALL attachments is 976.56 MB

Please attached a detailed site plan*

Maximum size of ALL attachments is 976.56 MB

Declaration

Name of Applicant*

Contact Number*

Signature of Applicant*

Date*

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