Required fields are marked with asterisks (*)

Daily / Special Event Lunch Wagon/Cart - Permit Application

As per Town of Ingersoll By-Law No. 95-3668

This permit application must be completed by food vendors who wish to operate at an event held on Town property where food will be handled, prepared, and sold or distributed.

All approvals are conditional and will be subject to a satisfactory fire and hazard inspection by Ingersoll Fire Services on the day of the event. Failure to pass the fire and hazard inspection will result in the permit being revoked.

Payment of the $25.00 application fee is required prior to issuing the permit. The application fee is payable by cash, cheque, or debit.

Payment may be made in person at Ingersoll Town Hall located at 130 Oxford St. 2^nd Floor, Ingersoll ON. Payment via cash or cheque may be mailed to Town Hall or deposited in the secure drop box located at 130 Oxford St.

Applicant Information

Name of Business

Name of Applicant

Address

Postal Code

Phone Number

Email Address

Have you applied for a daily food vendor permit for an event this calendar year?

Yes

Event Information

Name of Event

Name of Event Organizer:

Date of Event

Location of Event:

Event Organizer's Phone Number:

Are you Part of the Official Vendor Plan?

Yes

Food Preparation/Distribution Information

List of Vendor's Menu Items:

Food will be (choose one):

Pre-packaged

Handled or prepared on site (unpackaged)

Public Health Approval (Mandatory)

Please complete and submit the SWPH form from the link below to receive mandatory public health approval for the event

https://app.swpublichealth.ca/Forms/SpecialEventVendorNotificationForm

Full Name on Food Handlers Certificate:

Upload a copy of your Food Handlers Certificate:

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

Do you have other employees with Food Handlers Certificates?

Yes

By signing in the following box, the applicant confirms that all information provided on this application is accurate and understands that any misrepresentation or false information will result in denial of a permit or its cancellation:

Clear

This permit is conditional upon:

Payment of the $25 application fee upon pick up.
A Fire & Hazard inspection by the Ingersoll Fire Department on the day of the event once set up, with an “approved” outcome.

Personal information on this form is collected under the authority of the Municipal Act, SO 2001, c. 25 and Town of Ingersoll By-Law 953668. The information will be used to administer the permit process for the Special Event Food Vendor Permit. Questions about this collection should be directed to the Clerk’s Department at clerks@ingersoll.ca or (519) 485-0120.

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