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Planning a temporary food event in Hawaii? The Temporary Food Permit Hawaii form is an essential step in ensuring that your event runs smoothly and safely. This application, managed by the Sanitation Branch of the Department of Health, requires specific details about your organization, the event's location, and the food items you plan to serve. You will need to provide the name of your organization, the exact address of the event, and contact information for the person overseeing the food distribution. Furthermore, the form asks for the date and time of your event, along with details about the approved kitchen where food preparation will take place, emphasizing that home kitchens are not permitted. A comprehensive list of food items must be included, ensuring that no home-prepared foods are served. To comply with health regulations, a site plan detailing the booth layout and handwashing facilities must also be submitted. Remember, the application must be completed and submitted at least ten working days prior to your event, along with a non-refundable fee of $25. This permit is valid for a maximum of twenty dates within a 120-day period, so careful planning is crucial. By following these guidelines, you can help ensure a successful and compliant food event.

Sample - Temporary Food Permit Hawaii Form

SANITATION BRANCH

 

 

 

 

 

 

 

 

 

 

 

STATE OF HAWAII

54 HIGH STREET, ROOM 300

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF HEALTH

WAILUKU, HAWAII 96793

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER: (808) 984-8230 FAX: (808) 984-8237

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FOR TEMPORARY FOOD ESTABLISHMENT PERMIT

 

 

 

 

 

(Please type or print in black or blue ink)

 

 

 

 

(A)

NAME OF ORGANIZATION OR ESTABLISHMENT

 

(B)

LOCATION OR ADDRESS OF EVENT (ONLY ONE) Whale Day Celebration

 

 

 

 

 

 

 

 

 

Kalama Park: 1900 S. Kihei Road, Kihei, HI 96753

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(C)

CONTACT PERSON

 

 

 

(D)

CONTACT PERSON PHONE #

FAX PHONE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY

 

(E) DATE OF EVENT

(F) TIME OF EVENT

 

DAY

(E) DATE OF EVENT

 

(F) TIME OF EVENT

1.

 

 

2/21/2009

9:00 a.m. - 5:30 p.m.

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(G) NAME OF APPROVED KITCHEN (COMMISSARY)

(H) STREET ADDRESS OF KITCHEN

 

 

(I) PERMIT NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

KITCHEN USE AUTHORIZED BY: (J) (OR ATTACH LETTER OF AUTHORIZATION)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(K) SIGNATURE OF AUTHORIZED PERSON

 

 

 

 

 

 

(L) KITCHEN PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(M) PRINT NAME OF AUTHORIZED PERSON

 

 

 

 

 

 

(N) TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(O)

LIST FOOD ITEMS. NO HOME PREPARED FOOD.

REMINDER: KEEP HOT FOOD ABOVE 140° F. KEEP COLD FOOD BELOW 45 °F.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CONTINUE FOOD ITEMS ON A SEPARATE PAPER IF NEEDED)

(P) ATTACH: SITE PLAN – INCLUDE HAND WASHING FACILITIES, BOOTH LAYOUT

The Sanitation Branch, Department of Health reserves the right to deny your Temporary Food Establishment Permit or revoke the permit for failure to comply with the sanitary requirements of Hawaii Administrative Rules, Title 11, Department of Health, Chapter 12, Food Establishment Sanitation. The permit applicant may be required to submit a complete menu and schematic plan of the proposed operation.

THIS PERMIT IS ONLY VALID FOR TWENTY (20) DATES IN ANY 120 DAY PERIOD

 

(Q) DATE

(R) SIGNATURE OF APPLICANT

 

 

 

 

 

 

(S) TITLE

(T) PRINT NAME OF APPLICANT

FEE $25.00 NON REFUNDABLE

SUBMIT APPLICATION AND FEE AT LEAST TEN WORKING DAYS PRIOR TO EVENT

MAKE CHECKS PAYABLE TO:

STATE OF HAWAII

(BANK ACCOUNT NAME AND ADDRESS MUST BE ON THE CHECK)

SUBMIT COMPLETED APPLICATION AND FEE TO:

 

SANITATION BRANCH

 

 

 

 

 

54 HIGH STREET, RM. 300

 

 

 

 

 

WAILUKU, HI 96793

THERE WILL BE A SERVICE FEE OF $25.00 FOR ANY CHECK DISHONORED BY THE BANK.

APPROVED:

DATE

SIGNATURE OF AGENT/DEPARTMENT OF HEALTH

R.S. LIC. NO.

Department of Health Seal

 

SECTION BELOW FOR OFFICIAL HEALTH DEPARTMENT USE ONLY

 

FEE

$25.00

DATE PAID

METHOD OF PAYMENT

RECEIPT NO.

RECEIVED BY

SAN APP TFE MAUI 11/07

INSTRUCTIONS FOR

TEMPORARY FOOD PERMIT APPLICATIONS

•All establishments, organizations, or individuals distributing or selling food to the public for a limited period of time (not exceeding 20 dates within a 120 day period) are required to submit a Temporary Food Establishment Permit Application to the Department of Health, Sanitation Branch. Applications will not be processed if the form is incomplete.

•Applications and $25.00 fee should be submitted at least ten (10) working days prior to event.

•All exemptions will be decided by the Department of Health Sanitation Branch.

•Approved permit may be picked-up OR faxed OR mailed to you (include a self-addressed, stamped envelope with the application).

A.NAME OF ORGANIZATION OR ESTABLISHMENT: Name of organization or establishment administering the food operation. Each permit applies to one (1) organization or establishment only.

B.LOCATION OR ADDRESS OF EVENT: Site of food distribution. Each permit applies to one (1) location.

C.CONTACT PERSON: Name of person(s) representing the organization or establishment.

D.CONTACT PHONE OR FAX NUMBER: Phone number of person(s) representing the organization or establishment.

E.DATE OF EVENT: One date per line (Maximum of 20 dates within a 120 day period, starting from the date of the first event).

F.TIME OF EVENT: Start to end time of event.

G.NAME OF APPROVED KITCHEN (COMMISSARY): Name of approved commercial kitchen (commissary) where food preparation, food storage, utensil washing, etc. will be done.

The proposed approved kitchen (commissary) must still be approved by the Department of Health for the temporary food event. Home kitchens are not acceptable for use.

H.STREET ADDRESS OF KITCHEN: Street address of approved commercial kitchen (commissary) where food preparation, food storage, utensil washing, etc. will be done.

I.PERMIT NO.*: Permit number of the approved commercial kitchen (commissary) where food preparation, food storage, utensil washing, etc. will be done.

*Permit number issued by the State Department of Health.

J.(OR ATTACH LETTER OF AUTHORIZATION): Instead of having the Authorized Person sign the application, a letter of authorization from the person in charge of the kitchen may be submitted which must include information G, H, I, K, L, M, and N.

K.SIGNATURE OF AUTHORIZED PERSON: Signature of person giving permission to use the approved commercial kitchen (commissary).

L.KITCHEN PHONE NUMBER: Phone number of approved commercial kitchen (commissary).

M.PRINT NAME OF AUTHORIZED PERSON: Print name of “(K) Signature of Authorized Person.”

N.TITLE: Title of “(K) Signature of Authorized Person.”

O.LIST OF FOOD ITEMS: All food and drink items being sold or distributed at the event (in the case of “BBQ” chicken sales, include the number of pieces of half or whole chickens to be sold).

P.SITE PLAN, BOOTH LAYOUT: On a separate paper draw a site plan and indicate the booth where food will be distributed including handwashing facilities, warmers, burners, cookers, etc.

Q.DATE: Date submitting application.

R.SIGNATURE OF APPLICANT: (Applicant and contact person need not be the same person).

S.TITLE: Title of “(R) Signature of Applicant.”

T.PRINT NAME OF APPLICANT: Print name of “(R) Signature of Applicant.”

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Form Information

Fact Name Details
Governing Law The Temporary Food Permit in Hawaii is governed by the Hawaii Administrative Rules, Title 11, Department of Health, Chapter 12, which outlines food establishment sanitation requirements.
Application Fee A non-refundable fee of $25.00 is required for the application. This fee must accompany the completed form when submitted.
Submission Timeline Applications must be submitted at least ten working days prior to the event to ensure processing and approval.
Validity Period The permit is valid for a maximum of twenty event dates within any 120-day period, starting from the date of the first event.

Detailed Guide for Filling Out Temporary Food Permit Hawaii

Completing the Temporary Food Permit Hawaii form requires careful attention to detail to ensure all necessary information is provided. This process is essential for those looking to distribute or sell food at events in Hawaii. Follow the steps below to accurately fill out the form.

  1. Obtain the form: Download or print the Temporary Food Permit Hawaii form from the appropriate source.
  2. Fill in the organization name: In section (A), write the name of your organization or establishment.
  3. Provide the event location: In section (B), enter the address of the event where food will be distributed.
  4. Enter contact information: In section (C), list the name of the contact person. In section (D), provide their phone number and fax number.
  5. Specify event details: In section (E), write the date of the event. In section (F), include the start and end time of the event.
  6. List the approved kitchen: In section (G), write the name of the approved kitchen (commissary) where food will be prepared. In section (H), provide the kitchen's street address.
  7. Include the kitchen permit number: In section (I), enter the permit number of the approved kitchen.
  8. Authorize kitchen use: In section (K), obtain the signature of the authorized person from the kitchen. In section (L), provide the kitchen's phone number.
  9. Print the authorized person's name: In section (M), print the name of the authorized person. In section (N), enter their title.
  10. List food items: In section (O), detail all food and drink items to be sold or distributed. Ensure no home-prepared food is included.
  11. Attach a site plan: In section (P), include a site plan showing the booth layout and handwashing facilities on a separate paper.
  12. Complete the application: In section (Q), write the date you are submitting the application. In section (R), sign the application. In section (S), provide your title. In section (T), print your name.
  13. Submit the application: Include a $25.00 non-refundable fee. Send the completed application and fee to the Sanitation Branch at the address provided.

After submitting the application, it will be reviewed by the Department of Health. If approved, you may receive your permit by mail, fax, or in person. Be sure to allow sufficient time for processing, as applications should be submitted at least ten working days prior to the event.

Obtain Answers on Temporary Food Permit Hawaii

  1. What is the Temporary Food Permit Hawaii form?

    The Temporary Food Permit Hawaii form is an application required for organizations or individuals planning to sell or distribute food to the public for a limited time. This permit is necessary for events lasting up to 20 days within a 120-day period.

  2. Who needs to apply for this permit?

    Any establishment, organization, or individual that intends to serve food to the public for a temporary event must apply. This includes food trucks, pop-up restaurants, and community events.

  3. What information is required on the application?

    • Name of the organization or establishment
    • Location of the event
    • Contact person and their phone number
    • Date and time of the event
    • Name and address of the approved kitchen (commissary)
    • List of food items being served
    • Site plan showing booth layout and handwashing facilities

  4. How much does it cost to apply?

    The application fee for the Temporary Food Permit is $25.00. This fee is non-refundable and must be submitted with the application.

  5. When should I submit my application?

    Applications should be submitted at least ten working days before the event. This allows the Sanitation Branch enough time to process your application.

  6. Can I use a home kitchen for food preparation?

    No, home kitchens are not allowed. Food must be prepared in an approved commercial kitchen (commissary) that meets health department standards.

  7. What happens if my application is incomplete?

    If the application is incomplete, it will not be processed. It is important to ensure all sections are filled out accurately before submission.

  8. How will I receive my permit once it is approved?

    You can receive your approved permit in several ways: you may pick it up in person, have it faxed, or mailed to you. If you choose to have it mailed, include a self-addressed, stamped envelope with your application.

  9. What are the food safety requirements I should know?

    It is essential to keep hot food above 140°F and cold food below 45°F. Adhering to these temperature guidelines helps ensure food safety during your event.

  10. What if my permit is denied?

    The Sanitation Branch reserves the right to deny or revoke your permit if you fail to comply with sanitary requirements. If denied, you may need to address the issues noted by the department before reapplying.

Common mistakes

Filling out the Temporary Food Permit Hawaii form can seem straightforward, but many people make common mistakes that can delay or even derail their application. One frequent error is leaving sections blank. Each part of the form is essential, and omitting information can lead to processing delays. Always ensure that every required field is filled out completely.

Another common mistake is failing to provide accurate contact information. The contact person’s name and phone number are crucial for communication. If there’s an issue with your application, the health department needs to reach you quickly. Double-check that the contact details are correct and up to date.

Some applicants overlook the requirement to submit the application at least ten working days prior to the event. This timeline is critical. If you submit your application too late, you risk missing the opportunity to receive your permit in time. Plan ahead and give yourself ample time to complete the form and gather any necessary documents.

Additionally, many people forget to include the required fee. The application fee of $25 is non-refundable, and without it, your application will not be processed. Ensure that your payment method is clear and that you include the fee with your submission.

Another mistake is not specifying the correct location for the event. Each permit is valid for only one location, so be precise when filling out this section. Double-check the address to avoid any confusion.

Some applicants mistakenly assume that a home kitchen can be used for food preparation. This is not allowed. Only approved commercial kitchens can be listed on the form. Make sure to verify that your kitchen is approved by the Department of Health.

When listing food items, applicants sometimes forget to include all the necessary details. It’s not enough to simply state “BBQ chicken.” You should specify the quantity and type of food items being sold. Providing a complete list helps the health department understand your operation better.

Another oversight involves the site plan. Many people fail to attach a proper site plan that includes handwashing facilities and booth layout. This is a critical component of the application, as it helps ensure compliance with health regulations.

Some applicants neglect to sign the application. The signature of the applicant is required for the form to be valid. Without a signature, your application may be considered incomplete.

Lastly, not keeping a copy of the submitted application can be a mistake. It’s always a good practice to retain a copy for your records. This can be helpful in case there are any questions or issues that arise after submission.

Documents used along the form

When applying for a Temporary Food Permit in Hawaii, several additional forms and documents may be required to ensure compliance with health regulations and operational standards. Below is a list of common forms that applicants might need to consider.

  • Food Safety Plan: This document outlines procedures for handling food safely, including preparation, cooking, holding, and serving practices. It helps to ensure that food is prepared in a manner that minimizes health risks.
  • Menu Plan: A detailed list of all food items that will be served or sold at the event. This helps health officials assess the safety and appropriateness of the food being offered.
  • Site Plan: A diagram that illustrates the layout of the food booth, including locations for food preparation, serving areas, and handwashing facilities. This plan is crucial for ensuring compliance with safety regulations.
  • Health Certificate: A document that certifies food handlers have completed necessary food safety training. This is often required to demonstrate that staff are knowledgeable about safe food handling practices.
  • Commissary Agreement: A written agreement between the temporary food establishment and the approved kitchen or commissary that outlines the terms of use. This document is necessary to confirm that the kitchen meets health standards.
  • Event Permit: Depending on the location and nature of the event, an additional permit may be required from local authorities. This ensures that the event complies with city or county regulations.
  • Insurance Certificate: Proof of liability insurance may be needed to protect against potential claims arising from food-related incidents. This document provides coverage for the food establishment during the event.
  • Employee Health Policy: A policy that outlines health and hygiene requirements for employees handling food. This document is important for ensuring that all staff understand their responsibilities in maintaining food safety.

Gathering these documents in advance can facilitate a smoother application process for the Temporary Food Permit. Being prepared not only helps in meeting regulatory requirements but also contributes to the overall safety and success of the food event.

Similar forms

  • Food Truck Permit: Similar to the Temporary Food Permit, this document allows food trucks to operate at specific locations for a limited time. Both require details about food items and adherence to health standards.
  • Special Event Permit: This permit is necessary for any public event where food is served. Like the Temporary Food Permit, it ensures compliance with health regulations and includes information about the event's location and timing.
  • Farmers Market Permit: Vendors at farmers markets must obtain this permit to sell food products. It shares similarities with the Temporary Food Permit in that it focuses on food safety and vendor identification.
  • Catering Permit: When catering food for events, this permit is required. It is akin to the Temporary Food Permit as it also mandates a list of food items and ensures that food is prepared in an approved kitchen.
  • Concession Stand Permit: For temporary food sales at fairs or festivals, this permit is essential. It parallels the Temporary Food Permit by requiring a layout plan and a list of food items being sold.
  • Community Event Food Permit: Organizations hosting community events must apply for this permit. Similar to the Temporary Food Permit, it ensures that food safety standards are maintained during the event.
  • Non-Profit Food Service Permit: Non-profit organizations providing food services for events need this permit. It is similar in purpose to the Temporary Food Permit, focusing on food safety and operational details.
  • Mobile Food Vendor Permit: This document is for vendors who sell food from a mobile unit. Like the Temporary Food Permit, it requires compliance with health regulations and a detailed description of food items.
  • Temporary Alcohol Permit: While focused on alcohol, this permit is similar in that it is issued for specific events and requires adherence to regulations. Both permits ensure the safety and legality of food and drink distribution.

Dos and Don'ts

When filling out the Temporary Food Permit Hawaii form, there are important dos and don'ts to keep in mind. Following these guidelines will help ensure your application is processed smoothly.

  • Do fill out the form completely. Incomplete forms will not be processed.
  • Do submit your application at least ten working days before the event.
  • Do provide a detailed list of all food items you plan to serve.
  • Do ensure that the kitchen you plan to use is approved by the Department of Health.
  • Don't use a home kitchen for food preparation. Only approved commercial kitchens are allowed.
  • Don't forget to include your contact information. This is crucial for communication.
  • Don't assume your permit will be approved without a complete application. The Department of Health has strict requirements.
  • Don't overlook the importance of a site plan. It should include handwashing facilities and booth layout.

Misconceptions

There are several misconceptions regarding the Temporary Food Permit Hawaii form that can lead to confusion. Here are four common misunderstandings:

  • Only restaurants can apply for the permit. This is not true. Any organization or individual planning to distribute or sell food to the public for a limited time must apply for a Temporary Food Establishment Permit.
  • Home kitchens are acceptable for food preparation. In fact, home kitchens cannot be used for this permit. Food must be prepared in an approved commercial kitchen (commissary) that meets the Department of Health's standards.
  • The application can be submitted at any time. It is essential to submit the application and the $25 fee at least ten working days before the event. Late submissions may not be processed in time.
  • One permit covers multiple events at different locations. Each permit is specific to one organization and one location. If you plan to hold events at different sites, separate permits are required for each location.

Understanding these points can help ensure a smoother application process and compliance with health regulations.

Key takeaways

Filling out the Temporary Food Permit Hawaii form is an important step for anyone planning to sell or distribute food at events. Here are some key takeaways to keep in mind:

  • Understand the Purpose: This permit is required for establishments or individuals distributing food to the public for a limited period, not exceeding 20 dates within a 120-day period.
  • Submit Early: Applications, along with the $25 fee, must be submitted at least ten working days prior to the event to ensure processing.
  • Complete the Form: Ensure all sections of the application are filled out completely. Incomplete forms will not be processed.
  • Single Event Location: Each permit is valid for only one event location. Be specific about the address where food will be distributed.
  • Approved Kitchen Requirement: Food must be prepared in an approved commercial kitchen. Home kitchens are not permitted for use.
  • List Food Items: Clearly list all food and drink items that will be sold or distributed. This includes specific quantities if applicable.
  • Attach Necessary Documents: Include a site plan that shows the booth layout and handwashing facilities. This helps ensure compliance with health regulations.
  • Check for Exemptions: Any exemptions regarding the permit will be determined by the Department of Health Sanitation Branch.

By following these guidelines, applicants can help ensure a smooth process for obtaining the Temporary Food Permit and successfully operating at their event.