Steps to Writing Temporary Food Permit Hawaii
Completing the Temporary Food Permit form requires accurate and thorough information to ensure compliance with state regulations. Follow the steps outlined below to fill out the form correctly.
- Name of Organization or Establishment: Enter the name of the organization or establishment that will administer the food operation.
- Location or Address of Event: Provide the specific location where the food distribution will take place. Note that each permit applies to only one location.
- Contact Person: Write the name of the individual representing the organization or establishment.
- Contact Person Phone Number: Include the phone number of the contact person. You may also provide a fax number if applicable.
- Date of Event: List the date of the event. You can include up to 20 dates, each on a separate line.
- Time of Event: Indicate the start and end time of the event.
- Name of Approved Kitchen (Commissary): Enter the name of the approved commercial kitchen where food preparation and storage will occur. Home kitchens are not allowed.
- Street Address of Kitchen: Provide the street address of the approved kitchen.
- Permit No: Write the permit number issued by the State Department of Health for the approved kitchen.
- Authorized Person Signature: The authorized person must sign the application. Alternatively, a letter of authorization may be attached.
- Kitchen Phone Number: Include the phone number of the approved kitchen.
- Print Name of Authorized Person: Clearly print the name of the authorized person who signed the application.
- Title: Provide the title of the authorized person.
- List Food Items: List all food and drink items that will be sold or distributed at the event. Ensure no home-prepared food is included.
- Site Plan: Attach a site plan that includes the booth layout and handwashing facilities.
- Date: Write the date you are submitting the application.
- Signature of Applicant: The applicant must sign the form. The applicant and the contact person do not have to be the same individual.
- Title: Provide the title of the applicant.
- Print Name of Applicant: Clearly print the name of the applicant who signed the form.
After completing the form, submit it along with the non-refundable fee of $25. Make sure to do this at least ten working days prior to the event. The application can be submitted via mail, fax, or in person to the Sanitation Branch in Wailuku, Hawaii.