Temporary food event: Coordinator's checklist

Available in alternative format upon request

TEMPORARY FOOD EVENT – COORDINATOR’S CHECKLIST

RETURN TO HEALTH DEPARTMENT DISTRICT OFFICE THIRTY (30) DAYS BEFORE EVENT

(Submittal of checklist not required for single day events or events with five or fewer food vendors. There is no fee associated with this

application.)

Providing the following information will help to ensure that you have a successful event.

Be sure to notify all food booth participants of the Health Department requirement to apply for a Temporary Food Permit at least TWO (2) WEEKS

PRIOR TO THE EVENT.

1. NAME OF EVENT: _________________________________________________________ EVENT DATES: _______________________

2. EVENT ADDRESS OR LOCATION: ___________________________________________________________________________________

3. NAMES OF EVENT COORDINATORS/RESPONSIBLE INDIVIDUALS:

Name: Email: Phone:

4. NUMBER OF ANTICIPATED FOOD BOOTHS:

Attach a list of anticipated vendors.

5. EVENT SET UP: Set up date: Time:

6. TIME OF EVENT: Opening time: Closing time:

7. Restrooms must be located within 200 feet of food booths with hot water for handwash. Where are the food worker restrooms located?

8. WILL ELECTRICITY BE PROVIDED TO THE FOOD BOOTHS? Yes No

9. WILL REFRIGERATED TRUCKS OR OTHER SHARED REFRIGERATION BE PROVIDED? Yes No

11. WILL WAREWASHING FACILITIES BE PROVIDED FOR FOOD BOOTH OPERATORS? Yes No

(Dishwashing facilities are required if event is two or more days)

 If yes, describe:

 How will water be supplied?

 How will waste water be disposed?

___________________________________________________________ ____________________

(Signature) (Date)

Please submit your application to:

EASTGATE

DOWNTOWN SEATTLE

14350 S.E. Eastgate Way, Bellevue, WA 98007

401 - 5

Avenue, Suite 1100, Seattle, WA 98104

(206) 477-8050

(206) 263-9566

For Office Use Only:

Temporary Event ID:

Coordinator ID#:

Temporary Event Coordinator PE: 6230

District Code: