TEMPORARY FOOD
DENVILLE DIVISION OF HEALTH
ESTABLISHMENT
1 St. Mary’s Place
APPLICATION FOR
Denville, NJ 07834
VENDORS
(973) 625‐8300, Ext. 261
A complete application packet must be received at least 10 days prior to the event. Incomplete
applications will be returned. The fee for each vendor is $20 payable to the Denville Division of
Health. Payment is accepted via cash, check or money order. License fees are not refundable.
Event Name: __________________________________________________________________
Date(s)/Time/Rain Date of Event: _________________________________________________
Event Street Address: ___________________________________________________________
Name/Phone # of Event Coordinator: ______________________________________________
Vendor: ________________________________________ Phone: _______________________
Vendor Mailing Address: ________________________________________________________
Person in Charge: ____________________________________ Phone: ___________________
Email: ___________________________________ Fax: _______________________________
Food service begins at _____________ AM/PM & ends at ______________ AM/PM
Commissary Name & Address (All food preparation including cooking, reheating, storage,
holding and assembly must be done on the premises of the event or at an approved facility.
FOOD PREPARATION/STORAGE IS NOT PERMITTED IN A PRIVATE HOME):
Checklist for Temporary Events:
Completed Temporary Food Establishment Application
Copy of Commissary Health Department License & Inspection Cover Sheet or Placard
List of all Food Handlers
Drawing of booth/stand layout (if applicable) including all equipment, work tables, food
storage and hand washing facilities
Commissary Agreement (see last page for directions – licensed restaurants excluded)
NOTE: Any farmer’s market participant wishing to participate in a Township temporary food
event must have an approved Farmer’s Market Vendor application on file.
For Health Department Use Only
______________________________________________________________________________
Health Department Approval: Yes _________ No _________ Date: __________________
REHS/Health Officer Signature: ___________________________________________________
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