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Online Form - Registered Food Business Annual Alfresco Food Stall - Venue Specific

PROPRIETOR/BUSINESS DETAILS

HAS ANY STAFF MEMBER COMPLETED FOOD SAFETY TRAINING?

EVENT DETAILS

LOCATION:

DETAILS OF THE OPERATION ON THE DAY OF EVENT


DIAGRAMMATIC LAYOUT OF STALL / VAN


DETERMINING RISK OF TEMPORARY FOOD STALLHOLDER

Medium / High Risk – Onsite preparation and/or handling of food for sale (medium risk food products)

Low Risk – Minimal handling of low risk risks foods / sale of prepackaged foods (e.g ice creams/ice poles, cupcakes and cakes and confectionary, spices/sauces, fruit and vegetables, bottled drinks, samples e.t.c)

PLEASE TICK THE APPROPRIATE RISK CATEGORY BELOW AND MAKE APPLICABLE PAYMENT ON THE FOLLOWING PAGE

CONDITIONS

I/We the applicant(s) agree to:

  • Where applicable, sell food which is appropriately labelled (ie. ingredients and use-by date marked), undamaged, re-packaged food/drink obtained from a reputable supplier/producer;
  • Ensure that the food premises is set up and operated in accordance with the requirements of relevant food legislation for both the structure and food safety practices of the stall;
  • Not to commence trading until receiving a Special Events Permit from the City of Vincent.
  • Immediately abide by the direction of an Environmental Health Officer or Event Organiser advising me to cease trading. 
  • Check that the proposed location of the food stall is appropriate so as not to adversely affect the food, safety and quality (please attach a diagrammatic layout of your temporary food premises – refer to Appendix 2 of the City of Vincent Temporary Food Premises Guidelines for further information).

I/We the applicant(s) have read AND understood the above conditions, and acknowledge that any non-compliance identified may result in approval being refused, and a Special Event Permit to trade not being issued.


PAYMENT OPTIONS

BY MAIL:

CITY OF VINCENT, PO BOX 82, LEEDERVILLE WA 6902

Do not send cash through the mail. Complete the attached Credit Card Payment details, or forward a cheque or money order made out to the City of Vincent.

IN PERSON:

244 VINCENT STREET, LEEDERVILLE WA 6007

Monday to Friday between 8:00am – 5:00pm

TELEPHONE: (08) 9273 6000