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revised May 22, 2009

Arrow BulletSpecial Event Information Form (Co-ordinator)

This form is to be completed by the coordinator, organizer or chairperson of the special event. Once completed, please call Peel Health at 905-799-7700 to arrange for inspection or further assistance. Please note for events requiring inspection, the Vendor Information form is to be completed.

Special Event Information Form (Co-ordinator)
(dd/mm/yyyy) (dd/mm/yyyy)
Nr. of People Expected Type of Function Food to be Offered
Private
Public		 Yes
No
Types of Food to be Provided by Vendor (s)
Hamburgers
Hot Dogs
Sausages		 Other Cooked Meat
Eggs
Cut Vegetables 		Cut Fruit
Pastas
Dairy Products
Other
Setting for Vendor(s) Type of Population Served
Outdoors
Indoors		 General
The Elderly 		Children
Water Supply Washrooms and Handwash Basins
Private
Public 		Permanent
Portable 		 
(Water samples may be required)
For the Public Health Inspector Use Only
Risk Assessment: Event to be inspected Yes
No
If Yes - complete Vendor Information form
- provide Health Inspection Guidelines for Food Vendors
- provide Event Checklist. Did you Forget Anything?
If No, provide Health Inspection Guidelines for Food Vendors
Will vendors exempt from FPR be present at special event?
Is special event classified as farmer's market?
 
List ALL Food Vendors/places where the food will be prepared
Operator Name
Phone Number
Print this form before Submitting?

 

[ Back to Guidelines for Food Vendors at Special Events ]

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Revised: May 22, 2009

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