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Temporary / Seasonal Permit Application (Web Form)

  1. Temporary / Seasonal Food Establishment Permit Application

    Maricopa County Environmental Services Department
    Environmental Health Permitting Services Program
    Phone: (602)506-6978
    specialevents@maricopa.gov

  2. Temporary Permit Fees: For events lasting 14 days or less

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

  3. Seasonal Permit Fees: For events lasting 15 to 120 days

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

  4. Make checks payable to MCESD or payment can be made online once the application is accepted and reviewed.

  5. Reviewing the following information is required for submitting and obtaining this permit.

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

  7. Event Information

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

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

  10. Please provide complete, unabbreviated event name.

  11. Business - Name on Booth

  12. Entity Type*

  13. Commissary - Where Food is Prepared

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

  15. 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.

  16. Food/Beverage Booth Information

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

  18. Booth and Type of Food / Beverage

  19. Delivery of Inspection Reports

    Pursuant to A.R.S. § 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.

  20. I hereby certify that the above information is correct, agree to comply with the Maricopa County Environmental Health Code, agree to allow the regulatory authority access to the establishment as specified under 8-402.11 and to the records specified under 3-203.12 and 5-205.13 and Subparagraph 8-201.14(D)(6), and I fully understand that any deviation from the above without prior permission from the Maricopa County Environmental Services Department may nullify final approval. By checking the check box and typing your name you have digitally signed this application.

  21. I agree the application is true and correct.

  22. Disclaimer

    Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

  23. Once the application has been submitted, you should receive a confirmation email from the Special Events Program.

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

  24. Leave This Blank:

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