Application for ABQ Temporary Food Permit

Application for City of Albuquerque Temporary Food Permit

-required of all food and beverage vendors-

Provided by Blue River Productions
Business Name/Booth Name*
Business Owner*

First NameLast Name
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Location of food preparation*

On SiteOther
List all menu items:*
Check All Equipment to be Used
Cooking/Reheating Equipment*

GasElectricNoneOther
Hot Holding*

GasElectricNoneOther
Cold Holding*

GasElectricNoneOther
Garbage/Solid Waste*

On-siteOther
Liquid Waste Disposal*

On-siteOther
Additional Equipment*

ThermometersMetal StemRefrigeratorGravity Handwash StationSanitizerTest Kit3-compartment basin set-upOther
Supporting Documents: download and view them both.

All Vendors Must Have a Handwashing Station Within Their Booth.

- Click Here For Details:

Health Department Vendor Checklist, download and review:

- Click Here to Download
I hereby agree to abide by all requirements of the Food Sanitation Ordinance as it relates to temporary food stands and understand that the enforcement authority may impose additional requirements and may prohibit the sale of some or all potentially hazardous food to protect the public. I further agree not to sell any home prepared products. I voluntarily agree to destroy any food deemed to be unfit for human consumption or hazardous to the public health. My failure to dispose of condemned food shall be grounds for immediate closure of the food operation.

I have been provided with the health department vendor guidelines and checklist.
Signature
Should be Empty: