APPLICATION FOR MOBILE FOOD ESTABLISHMENT

Establishment Information

Establishment name is required.

Establishment name is too long.

Street Number is required.

Street Number is too long.

Street Number must be numerical.

Street Name is required.

Street Name is too long.

City is required.

Zipcode is required.

Phone type is required.

Phone number is required.

Tax ID is required.

Tax ID is too long.

License Plate is too long.

Type of mobile unit is required.

VIN is too long.

Owner Information

Owner name is required.

Owner name is too long.

Street number is required.

Street number is too long.

Street number must be numerical.

Street name is required.

Street name is too long.

City is required.

City is too long.

State is required.

Zipcode is required.

Phone type is required.

Phone number is required.

Enter a valid email.

Enter a matching email.

Identification type is required.

Identification number is required.

Identification expiration date is invalid format.

Date of birth is invalid format.

Documentation Agreements

Please submit the following documents in person if it cannot be submitted via email.