Genesee and Orleans County Health Departments
Addendum for a Permit to Operate Temporary Food Service
Before a Department of Health permit can be issued, you must prove
compliance with New York State COVID-19 directives.
As part of New York State’s novel coronavirus (COVID-19) response, all Temporary Food Service operators must
follow all applicable COVID-19 guidance at https://coronavirus.health.ny.gov/home and https://esd.ny.gov/, in
addition to complying with all NYS permit conditions and requirements. Please continue to monitor these websites
to ensure that your facility is operating in compliance with these important social distancing directives, which are
designed to prevent the spread of this virus. Thank you for your cooperation.
Name of Operation (Event):
Person
in Charge:
Phone #: Email:
Event Date: ________________ Event Time: ______________ Event Location: ______________________________
Please specify the methods you will be using to satisfy compliance of
New York State guidelines and directives to prevent virus spread.
Signature of Operator Date
Genesee County Event - Mail to: 3837 West Main Street, Building II
Batavia, NY 14020 or Email to: Health@co.genesee.ny.us
Orleans County Event - Mail to: 14016 Route 31 West, Suite 101
Albion, NY 14411 or Email to: OCPublicHealth@OrleansCountyNY.Gov
04/2020 MB
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