APPLICATION TO OPERATE A TEMPORARY FOOD ESTABLISHMENT
Iowa law prohibits a food establishment (including a Temporary Food Establishment) from opening or operating until a license has first
been obtained from the appropriate regulatory authority. Penalty Fees will be assessed for operating without the appropriate licensure.
A Temporary Food Establishment is a food establishment that operates for a period of no more than 14 consecutive days in
conjunction with a single event. An “Event” is a significant occurrence or happening sponsored by a civic, business, governmental,
community, or veterans organization and may include an athletic contest. For example, an event does not include a single store’s
grand opening or sale.
Completed applications and documents must be submitted at least 3 days prior to the Event.
Temporary food establishments that operate simultaneously at more than one stand at an event are required to have a separate license
for each location. Once the application, other required documents and appropriate fees are received and processed, the Department will
review the information to determine if a Temporary License may be issued.
TYPE or PRINT IN INK. INCOMPLETE APPLICATIONS WILL BE RETURNED WITHOUT REVIEW.
Permit will be sent to the e-mail address provided.
FOOD ESTABLISHMENT INFORMATION
Business Address: (City/State/Zip Code)
Mailing Address(if different) (City/State/Zip Code)
Cell or Alternate #:____________________________
Address of Event (street number and city)
or Event ☐ Outdoor Event
Charitable – Not for Profit
City of Event: __________________________________________
County of Event:______________________ Zip code:_________
Anticipated Maximum Attendees at Peak Time:______________
* Event will occur regardless of the weather conditions:
☐ Yes ☐ No
On-site (Person-in-Charge) Contact (if different):
Cell phone: _________________________________
Mailing Address: ______________________________________
Secondary on-site (Person-in-Charge) Contact:
Cell phone: __________________________________
**For food i
tems that will be prepared at another location, provide the following information (must be owned by applicant):
Date and Time of preparation:
Licensed Food Establishment
☐ Licensed Mobile Food Unit