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Food Truck Safety Application
Food Truck Application
Permit Use Date
January - June
July - December
Name of Business or Platform
Name of Owner
*
Phone #
*
Email Address
*
Street Address
Apt/Suite #
City
State
Zip Code
Event Information
Date of Event
Contact Person for Event
Event Location on Campus
Type of Platform
Trailer
Truck
License Plate #
Issuing State
Health Department License #
*
Ventilation System/Fire Supression System
Yes
No
Date of Last Cleaning/Service
Date of Last Certification of Suppression System
Does the food you cook produce grease laden vapor?
Yes
No
Identify the Fire Extinguishers
Type
Size
Date of Last Service
Type
Size
Date of Last Service
Do you use propane to heat or cook food?
Yes
No
Propane cylinder hydrostatic test date must be within 5 years
Do you use a generator?
Yes
No
Type
Size
Signature
Clear
Printed Name
While the Food Truck Application Form only needs to be submitted and approved once every six months (January-June or July-December), the Notice of Intent to Operate form must be submitted every time a STFU or Mobile Food Establishment operates at an event on campus. Please click
here
to fill out the Notice of Intent to Operate form.
If you are human, leave this field blank.
Submit
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