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Application to Sell Food from a Temporary Premises

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Application to sell food from a temporary food premises (community and charitable groups only)

All fields are mandatory unless marked as optional or if applicable. This online form is for Community/Charitable groups ONLY and must be submitted at LEAST two weeks prior to the event.

Details of food premises

Location of event

Do you have the land owner's permission to operate at this site?
Type of temporary food premises:

Public liability insurance:

Applicant details

Applicant's name

Applicant's postal address

Applicant's contact details

Details of proposed food handling activity

Does the food require preparation or handling prior to the event?:

(Please provide name of food business if you selected 'Yes, the food is prepared within an approved commercial or residential kitchen' for the above question)

PLEASE NOTE

  • Preparation in residential kitchens is only permitted for one-off fund raising events where low risk or shelf stable food is prepared, eg. jams, biscuits.
  • Please contact the City’s Health Services for further information, if you propose to prepare other foods in a residential kitchen, or for more than one event.

Details of temporary food stall

Proposed stall has the following facilities:

** A large container of sufficient volume must be provided to catch waste water after each use and store for appropriate disposal.

Power supply:
Water supply:
Waste water disposal:

There is no charge for the approval of Community or charitable groups carrying out fundraising

  • Submitting this application does not automatically result in an approval.
  • If granted - the approval will be emailed to the applicants.
  • If you do not receive your approval within two weeks, please contact the City’s Health Services on 08 9411 3589.

Please ensure that all the relevant areas of the form are completed.

Declaration

By submitting this form you declare that the above information to be true and correct.

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Contact

Address

9 Coleville Crescent,
Spearwood 6163

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

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. 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 the Elders, past, present and emerging.