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Temporary / Seasonal Permit Application (Web Form)

  1. Please call Western and Eastern Regional Offices, prior to visiting, to ensure office is open.

  2. Please call first.

  3. Please call first.

  4. $85 more than 7 days before event / $135 less than 7 days before event

  5. $180 more than 7 days before event / $230 less than 7 days before event

  6. By checking the boxes below, you are acknowledging that you have received and reviewed the following:

  7. Do you currently hold a Food Catering or Mobile Food permit with our Department?

  8. If operating above the limited guidelines of the issued permit, a temporary/seasonal food establishment permit is required.

  9. Please provide complete, unabbreviated event name.

  10. Entity Type*

  11. Will food be prepared off site prior to the event?*

  12. If advanced preparation is taking place at commissary, please provide date/time when you will be at commissary. If all preparation is taking place at the event, please indicate what date/time you will be at event site.

  13. Will you be operating more than one food / beverage booth?*

  14. Pursuant to A.R.S. ┬ž 41-1009, the Department may enter your establishment to conduct inspections. You have the right to receive a copy of the Department's inspection report at the time of the inspection, within thirty (30) days after the inspection, or as otherwise provided by federal law. I agree that the Department may send me a copy of its inspection report by e-mail or by facsimile transmission to the e-mail or fax number provided under the Business Ownership Information provided above. It is the responsibility of the permit holder to update the Department if there is a change in contact information.

  15. I agree the application is true and correct.

  16. Then once our staff has received your application you will receive a follow-up email to provide details on permit fees.

  17. Leave This Blank:

  18. This field is not part of the form submission.