Region of Waterloo Form

Required fields are marked with asterisks (*)

Special Event Form for Food Vendors

Please complete and submit this form at least 30 days prior to the event. Notifications may not be accepted/reviewed after this time.

Mobile vendors already licenced by the local municipality and inspected by Region of Waterloo Public Health are not required to submit a Special Event Vendor Form.

Event Details

Is this an annual event?
 

Vendor Information



Type of set up at event (check all that apply)
 
Will a certified food handler be on-site?
 

Food menu items

Please list what you will be serving at the event


How will food be transported to the event (check all that apply)
 

Food Safety Details

How are you keeping food cold and/or hot during the event (check all that apply)
 

A probe thermometer must be available on site to ensure proper internal food temperatures

Please ensure you have the following: potable water, liquid soap, paper towel, waste bucket.

Please describe your handwashing station set-up
 


How will you ensure a clean supply of service utensils? (check all that apply)
 
What method of sanitizing will you be using for utensils and/or food contact surfaces (ie. tables)?
 
Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif



Contact Us