Get Molokai Temporary Food Permit Form

Filling out the Molokai Temporary Food Permit Form is essential for anyone looking to distribute or sell food temporarily. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to fill out the Molokai Temporary Food Permit Form online

1. Click ‘Get Form’ button to obtain the Molokai Temporary Food Permit Form and open it in the editor.
2. In section (A), provide the name of your organization or establishment. Ensure it is the legal name under which you operate.
3. In section (B), enter the location or address of your event. Remember, this should be a single, precise location.
4. For section (C), input the name of the contact person who will represent your organization during the event.
5. In section (D), list the contact person's phone number. This should be a direct line where they can be reached.
6. In section (E), write down the date of your event. You can list a maximum of 20 dates, with each date on a new line.
7. In section (F), specify the time of your event, detailing the start and end times as needed.
8. For section (G), enter the name of the approved kitchen or commissary that will be utilized for food preparation.
9. In section (H), provide the street address of the approved kitchen where all related activities will occur.
10. In section (I), include the permit number of the approved kitchen. This number is issued by the State Department of Health.
11. If applicable, in section (J), a letter of authorization can be attached instead of having the authorized person sign directly.
12. Complete section (K) by having the authorized person sign the application.
13. In section (L), list the phone number for the kitchen being used.
14. In section (M), have the authorized person print their name, matching the signature in section (K).
15. In section (N), include the title of the authorized person who has signed.
16. In section (O), list all food items that will be sold or distributed. Keep in mind, no home-prepared food is allowed.
17. For section (P), if required, attach a site plan detailing the booth layout and handwashing facilities.
18. In section (Q), indicate the date you are submitting your application.
19. Complete section (R) with your signature as the applicant, noting that you do not need to be the contact person.
20. Fill in section (S) with your title, matching your signature in section (R).
21. Lastly, in section (T), print your name to finalize the application.
22. Once completed, you can save your changes, download, print, or share the form as needed.

Ready to get started? Fill out the Molokai Temporary Food Permit Form online today!