Special Events Food Vendor Application Form

This application must be submitted in full a minimum of 14 days prior to the event.  Completion of this form in detail is essential to the efficient processing of your application.

Section A
Please choose if applicable

Date(s) of event

Order
Section B
Describe the set-up of your food booth/stand/premises (i.e. cold and hot holding equipment, hand washing set-up). If you will be preparing food off-site, give the name of the location where the food is to be made.
Section C
Provide a complete list of all foods to be prepared or served and make note of whether hazardous foods are pre-cooked OR raw.
I have also read and understood the guidelines provided.
Office Use Only
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Personal information on this form is collected under the authority of the Health Protection and Promotion Act, R.S.O. 1990, as amended and in accordance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990. This information will be used to determine approval to operate. Questions regarding the collection of this information should be directed to the Environmental Health Programs, Thunder Bay District Health Unit, 999 Balmoral Street, Thunder Bay, ON P7B 6E7. Telephone (807) 625-5930 or 1-888-294-6630, ext. 5930.