A Public Health Inspector may contact you prior to your event to discuss your application. If you have any questions, call 905-799-7700 to speak with a Public Health Inspector.

All food vendors MUST submit their completed Vendor application form at least 15 days prior to your event.
Events MUST comply with the Food Safety Guidelines for Special Events and with applicable sections of the Food Premises Regulation, under the Health Protection and Promotion Act, R.S.O., 1990.
All food must be obtained from an approved and inspected commercial source.
Print this form before Submitting

Event Information
Name of Event:
Street of Event:
City of Event:
Postal Code of Event:	* No spaces needed
Date(s) of Event:
Time(s) of Operation:
Event Organizer/ Chairperson/Contact:
Organizer’s name:
Organizer’s phone:
Organizer’s email address:

Vendor Information
Name of Temporary Food Premises at Event:
Operator Name(s):
Operator Street:
Operator City:
Operator Postal Code:	* No spaces needed
Phone/Fax Number(s):
Operator Email:
Vendor Set Up:	Food Booth/Tent Hot Dog Mobile Truck/Car Indoor Facility Outdoor
Have you ever participated in Special Event(s) in the Region of Peel?:	No Yes, name the event(s):

Event:	Date:

+ Add New Event

Food Handling Information
Food Vendor MUST complete sections A – I

A. Food Preparation
Where will food(s) be prepared?	On-site Off-site, complete below
Name of Premises:
Address:
Phone Number:
Food Handler Certified?	Yes No
Is the food offered for sale? (May be for sampling only)	Yes No

B. Menu
Menu Item	Type of Food Preparation (eg. Grilling, Frying, BBQ, etc)	Food Pre-cooked		Food Cooked On-site		Food Storage On-site
		Yes	No	Yes	No	60°C (140°F) or hotter	4°C (40°F) or colder

+ Add New Menu Item

C. Food Suppliers
Name	Address	Phone Number

+ Add New Food Suppliers

E. Handwashing
Is there a separate hand washing basin provided in the food handling/food preparation area?	Yes – fixed sink Yes – portable sink No, please explain:
How many handwashing sinks are provided?
Do you have a supply of liquid hand soap and paper towels for hand washing sink(s) in the food handling/food preparation areas of the event?	Yes No, please explain:

F. Cleaning/Sanitizing of Utensils
Type of sink provided for the cleaning and sanitizing of utensils?	two-compartment sink three-compartment sink None, please explain:
What type of sanitizer is used for sanitizing utensils?	Bleach Other, please specify:
Sanitizing test kits available?	Yes No N/A

G. Water Supply
Municipal Supply
Well
Hauled Municipal Water	Name & Phone #:

H. Solid Waste Disposal
Do you have durable, waterproof and rodent proof garbage bins to adequately store food waste until final disposal?	Yes No

Disclosure Statement
Neither the Region of Peel nor any of its employees shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection or failure to inspect.

Use of Collected Information
Personal Information contained on this form is collected pursuant to the Freedom of Information and Protection of Privacy Act/Municipal Freedom of Information and Protection of Privacy Act. This information is collected and used for the purpose of preventing, eliminating and/or decreasing the effects of a health hazard. Questions about this collection should be directed to the Regional Municipality of Peel, Clerk's Division, 10 Peel Centre Drive, 5th Floor, Brampton, ON L6T 4B9, 905-791-7800, ext. 4325

I. ACKNOWLEDGEMENT
	I have received and read the Special Events information provided. I understand the requirements for food vendors at Special Events.

Revised:

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