Stall Holders Application Form

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Print Form

Application for a Stallholders or Street Traders license

All fields are required except where indicated
 
I would apply for the following license:
EG: size, colour
Where there is more than one vehicle, details for all vehicles must be provided.
Where food is sold, approval under the Food Act 2008 is also required
Are any of these attendants employees?:

For the sale of food the following additional information is required. (food includes ice-creams, drinks, confectionary, fruit and vegetables)

Does the food require preparation or handling within the stall or vehicle: * NB: Applications will not be accepted without an existing approval or exemption

Additional documentation

NB: If you employ staff
Declaration:
  • This form is accompanied by a Certificate of Currency of Public Liability Insurance to the value of $10,000,000 and Products Liability to the value of $10,000,000 for the license period;
  • Where the license holder employs another person, a Certificate of Currency for Workers Compensation Insurance;
  • In the case of a renewal, there have been no changes made to the stall/vehicle since the last assessment by the City

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Contact

Address

City of Cockburn
Whadjuk Boodjar
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaditj boodjar kep wer kaadidjiny kalyakool yoodaniny, wer koora wer yeyi ngalak Birdiya koota-djinanginy.

The City of Cockburn acknowledges the Nyungar people of Beeliar Boodjar. Long ago, now and in the future they care for Country.
We acknowledge a continuing connection to Land, Waters and Culture and pay our respects to Elders, past and present.