Is this form applicable to me? Type of food/business Low risk My food business sells low risk food only. Low risk food includes whole fruit/veg/eggs, low risk packaged jams/sauces, bread, confectionery, coffee etc. Medium risk food My food business sells medium to high risk food, and have a current approval from another NSW local government. Medium risk food includes cooking/reheating, ready to eat meals, sushi, burgers, hot/cold displays, multi-step food processing. Charitable Community Organisation I work for a charitable community organisation. Charitable Community Organisation includes organisations that been established solely for a charitable purpose under the Collections Act 1966 and the Organisation is registered as a charity with the Australian Taxation Office; or the organisation operates for the general welfare of the community. Other If your business does not fall under these three categories, you should complete an application to operate a temporary food business/mobile food vehicle. Food Business Details New application or renewal New Application Renewal Renewal rederence Type of application Temporary food stall Mobile food vehicle Vehicle registration Business Details Trade name ABN Entity name Legal name of business - relates to ABN Entity type - Select - Sole trader Company Postal Address Email Email Confirm Email Phone Number First name Last name Event Details Events Expected to Attend (if known) Aroma Bitter & Twisted Maitland Showground Steamfest Riverlights Taste Tocal Field Days Other Other Event Stall/Vehicle Details Hand washing facilities Please provide details of handwashing facilities, including the location, equipment details, and how you will supply warm water, soap, paper towels. If hand washing facilities do not apply to your business, please enter N/A below. Cleaning and sanitising equipment Please provide details of how you will be washing and sanitising utensils, and what type of chemical sanitiser you will be using. If cleaning and sanitising equipment doesn't apply to your business, please enter N/A below. Hot/cold storage facilities Please provide details of the number and type of thermometers available, and the number and type of refrigeration unit, eskies and reheating equipment. If hot/cold storage facilities do not apply to your business, please enter N/A below. Floor, walls and roof Please provide details of the flooring, walls and roof of food handling areas. Note: Food stalls are required to have 3 side walls. If floor, walls and roof do not apply to your business, please enter N/A below. Waste water disposal Please provide details of how you will be collecting, storing and disposing of waste water from handwashing and utensil washing activities. If waste water disposal does not apply to your business, please enter N/A below. Food Details List foods prepared, handled and sold Offsite Food Preparation Area(s) The location(s) of any offsite food preparation areas, and/or food storage including partial preparation such as chopping and cutting of ingredients, must be listed below. Each preparation area must meet food hygiene requirements. Is your food prepared off-site? Yes No Business name Business address Relevant Council Approval/Reference Food Safety Supervisor Details Does your business require a Food safety supervisor (FSS)? Food Safety Supervisor (FSS) is required if you process and sell food that is ready-to-eat, potentially hazardous (requires temperature control) or not sold and served in the supplier’s original packaging. Examples include food that requires cooking, reheating and ready-to-eat meals e.g. sushi, burgers, hot/cold displays, multi-step food processing. Coffee vendors that only heat milk, and not-for profit community and charitable causes are exempt from these requirements. Please note: A copy of the FSS certificate must be available at the temporary food premises when in operation. Yes No FSS Name FSS Certificate No. FSS Issue Date FSS certificate upload If applicable, please upload a copy of your Food Safety Supervisor Certificate with your application.One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx. Additional documents If your food business sells medium to high risk food, and has a current approval from another NSW local government, you must submit the following: Approval to operate Please upload a copy of your current Approval to Operate and/or current confirmation from your ‘Home Council’ that your mobile / temporary food business complies with the Food Act 2003 and Food Safety Standards Code.One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx. Inspection report Please upload a copy of your most recent inspection report.One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx. 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