Georges River Council - Online Forms

You are here: Council > Online Forms > Temporary Food Premises Permit Application Form

Temporary Food Premises Permit Application Form

Advisory Notes

- Temporary Food Premises include temporary food stalls and mobile food vending vehicles.

- Fill in 1 form per Temporary Food Premises.

- An incomplete form may delay the assessment process.

- Approval is subject to compliance with legislative requirements.

- Application Form must be submitted at least 28 days prior to first trading.

- Please refer to “Application Checklist” of this form to ensure all required documents are provided with your application. Failure to do so

may delay the assessment process.

- Fee for this application is listed in Council’s Fees and Charges. An invoice will be sent to you via e-mail provide in this application.

For advice please contact Customer Service on (02) 9330 6400 (8.30am-5.00pm Monday to Friday)

You can download a PDF version of Temporary Food Stall Application form.

Section 1 - Applicant's Details

Title:

MrMrsMsOther

Title_other:

(Please specify)

Given Name:*

Surname:*

Unit / Street No.:*

Street Name:*

Suburb:*

Postcode:*

Phone No.:*

Mobile No.:*

Email Address:*

Trading Name:*

Company Name / Sole Trader Name:*

ABN / ACN:*

Contact Name on the Event Day:*

Contact Mobile No:*

Section 2 - Food Safety Supervisor (FSS)

Food Safety Supervisor (FSS):

(if one is not required, please insert “Not Required”)

FSS Name:*

If one is not required, please insert N/A

FSS Contact No:

FSS No:

Attach Copy of the current Food Safety Supervisor Certificate :

Section 3 - Approval Type

Tick the type of approval you wish to apply for:

Approval Type:*

Temporary Food Stall
A Mobile Food Vending Vehicle

Temporary Food Stall: This includes the setup of a temporary structure and equipment used for the sale of food such as marque, tent or stand.

A Mobile Food Vending Vehicle: Any means of transport whether self-propelled or not or otherwise designed to be movable from place to place.

Section 3A - Mobile Food Vending Vehicle

Trading Name on Vehicle:

Vehicle Registration Number:

Address where vehicle is garaged at the end of the day:

Shop / Unit / Street No.:

Street Name:

Suburb:

Postcode:

Attach copy of approval to operate mobile food vending vehicle from your home Council:

Attach copy of the latest food inspection report from your home Council:

Section 4 – Food Source

List types of food to be sold (including beverages):*

Please tick the following box alongside the type of food / beverages that you will be selling (you may tick more than one box):

Please tick the following box alongside the type of food / beverages that you will be selling (you may tick more than one box):

All foods/beverages sold are pre-packaged by other manufacturers/distributors.
Some foods/beverages are brought from distributors.
Some foods/beverages sold are *handled by food retailers/manufacturer prior to selling at the event.
Some or all foods / beverages sold are *handled from a home or premises other than a retail /manufacturing premises prior to finishing the end product or selling as is at the event.

Note: Retailer / Manufacturer / distributors details and proof of purchase is required with your application: Details including name, address and phone number of retailer, manufacturer and distributors of the food you have purchased must be made available upon request at any time, including during trade period. Copies of the receipts of food/beverage purchased must made available upon request at any time, including trade period. To lessen paperwork, photos of the receipts on electronic devices are acceptable.

Attach copy of latest food inspection report. (1):

Attach copy of latest food inspection report. (2):

Definition of “handling of food” under the Food Act 2003 states: “includes the making, manufacturing, producing, collecting, extracting, processing, storing, transporting, delivering, preparing, treating, preserving, packing, cooking, thawing, serving or displaying of food.”

Section 5 - Preparation of food from home or premises other than retail / manufacturing premises:

All handling of food off site must be disclosed below. (see definition of “handling of food” in Section 4)

If the home or premises where food is prepared takes place is not within Georges River Council area, evidence of registration with the local Council, and a copy of a satisfactory Council or NSW Food Authority inspection carried out in the last 12 months must be submitted with this application.

Evidence of Registration:

LOCATION 1

Location 1:

Address:

Describe the type of food:

Describe the type of food preparation conducted in this location

LOCATION 2

Location 2:

Address:

Describe the type of food:

Describe the type of food preparation conducted in this location

LOCATION 3

Location 3:

Address:

Describe the type of food:

Describe the type of food preparation conducted in this location

Section 6 – Potentially Hazardous Food, Transportation of Food and Waste Management

Section 6A – Raw Egg Products

1. Does the food you want to sell contain raw egg:*

Yes
No

such as sauces and spread (i.e. mayonnaise, aioli, hollandaise and egg butter), dessert made without cooking step (i.e. cheesecake, tiramisu and mousse), lightly cooked foods (i.e. custard, fried ice-cream, ice-cream) or drinks (i.e. eggnog and egg flip)

2. If yes, are pasteurised eggs used to make it?:

Yes
No

compliance documentation:

If the answer is “No” – attach documentation demonstrating compliance with the Raw Eggs Guidelines published by NSW food Authority

Section 6B – Transportation of Food and Other Products

When transporting food, the Food Act 2003 requires all food to be protected from possible contamination. This includes storing food in food grade containers with tight fitting lids or bags that are sealed to stop foreign matter or vermin from contaminating the food. Containers must be suitable for their use and able to be easily cleaned. Bags are sometimes one use only.

Please describe how your food will be transported to the event:*

Note: If water is required for the production of food, you are required to provide details of where you get your water from and how it will be transported or delivered to your site.

Section 6C – Potentially Hazardous Food

It is a requirement under the Food Act 2003 that potentially hazardous food is kept under temperature control during storage, transportation and display. Temperature control means:

Hot food being kept or held at 60?C or above;
Cold food being kept or held at 5?C or below;
Frozen food being kept or held frozen.

Potentially hazardous food includes meat, eggs, seafood and dairy products
If you are selling potentially hazardous food, please describe how you will maintain temperature control:

1. How will potentially hazardous food be stored prior to the event?:*

2. Will potentially hazardous food be displayed before sale?:

Yes
No

3. If ‘yes’, how will potentially hazardous food be displayed?:

4. Will you have a digital probe thermometer accurate to +/-1⁰C available onsite at all times?:*

Yes
No

Section 6D – Waste Management

Please provide the following details:

1. How will liquid waste be disposed of? :*

2. How will liquid oil be disposed of? :*

If oil is not used, please fill in N/A.

3. How will general waste be disposed of? :*

4. How will recycled material be disposed of?:*

Note:: It is a breach of the Protection of the Environment Operations Act 1997 to dispose of any material into the stormwater drainage system. Fines up to $8,000 may be issued for such a breach.

Section 7 - Basic structure, fittings and equipment are required to comply with food legislation.

Section 7A – Temporary Food Stall Structure

Structure of temporary food stalls must comply with:
Guidelines for Food Businesses at Temporary Events

Provide the following for your temporary food stall:

Overview of stall showing sneeze guard (if applicable) and 3 sided walls (if open food is served), flooring and how the stall is secured i.e. weights?
Provision of hand wash basin including liquid soap and single use paper towels.
Provision of wash up facility including cleaning and sanitising products. This facility to be in addition to the hand washing basin.
Storage areas and preparation benches including equipment used.

Note: Please ensure provide exactly how you would normally set up for trade, as Council’s assessment will be based on photos and the layout plan provided.

insert stall photo:

insert stall layout plan:

Note: Please ensure provide exactly how you would normally set up for trade, as Council’s assessment will be based on photos and the layout plan provided.

Section 7B – Mobile Vehicle Structure

Structure of temporary mobile food vending vehicle must comply with:
Guidelines for Mobile Food Vending Vehicles

Provide the following for your mobile food vending vehicle:

Overview of vehicle front and back (showing the registration plate) and floor layout plan.
Provision of hand wash basin including liquid soap and single use paper towels.
Provision of wash up facility including cleaning and sanitising products. This facility to be in addition to the hand washing basin.
Storage areas and preparation benches including equipment used.

insert vehicle's front photo:

insert vehicle's back photo:

insert vehicle's layout plan:

Section 8 - Application Checklist

Section 8A - Temporary Food Stall Application Checklist

To avoid any delays with the assessment of your application, please ensure the following are completed or provided (as required):

Temporary Food Stall Application Checklist:

All relevant sections of this application have been completed.
Copy of the current Food Safety Supervisor Certificate (if applicable).
Photo of your food stall and the floor layout plan.
Copy of the home business registration with your local Council (if applicable).
Copy of the latest inspection report from your local Council (if applicable).

Section 8B - Mobile Food Vending Vehicle Application Checklist

To avoid any delays with the assessment of your application, please ensure the following are completed or provided (as required):

Mobile Food Vending Vehicle Application Checklist:

All relevant sections of this application have been completed.
Copy of the current Food Safety Supervisor Certificate (if applicable)
Photos of your mobile food vending vehicle and the floor layout plan.
Copy of Food Vehicle registration with your local Council.
Copy of the latest inspection report of the Food Vehicle from your local Council.
Copy of the home business registration with your local Council (if applicable).
Copy of the latest inspection report from your local Council (if applicable).

Section 9 - Declaration

I agree that all information that I have supplied is true and accurate to the best of my knowledge.*

Security code:*

Privacy Disclaimer

Your personal information is being collected by Council in accordance with applicable legislation.

The provision of your personal information is voluntary, however the information assists Council in the delivery and management of the subject request, and / or as required by law.

Your personal information will be used and disclosed for the Council’s purposes, or a directly related purpose, unless you consent to another use or disclosure, in emergencies or as otherwise required or authorised by law.

Should you wish to access or amend your personal information please make a written request to Council by:

Post: PO Box 205, Hurstville BC NSW 1481
Email: mail@georgesriver.nsw.gov.au

For more information please refer to Council’s Privacy Management Plan.

Did you find this content useful?

Your feedback allows us to measure our customers' satisfaction with our website content.

If you wish to raise a particular issue with us, we recommend you raise a Customer Service Request. This will ensure your matter is scheduled with the appropriate teams and will allow you to track the progress of the issue.

Yes

Thank you for your feedback.