The Florida Commissary Letter Of Agreement form is a document required by the Florida Department of Agriculture and Consumer Services for mobile food establishments and self-vending ice units. This form must be completed and submitted to an FDACS inspector as part of the permit application process, ensuring compliance with food safety regulations. To begin the process, fill out the form by clicking the button below.
The Florida Commissary Letter of Agreement form is an essential document for mobile food establishments and self-vending ice units seeking to operate legally within the state. This form must be completed and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of the permit application process. It serves to establish a formal relationship between the mobile food vendor and the primary commissary, which is a licensed facility that provides necessary support services. Key sections of the form require detailed information about the owner of the mobile food establishment, including their contact details and permit number, as well as specifics about the commissary itself, such as its address, license number, and the types of activities it supports, like food storage and equipment washing. By signing this agreement, the owner certifies the accuracy of the information provided and grants FDACS inspectors the right to evaluate the commissary facilities during regular business hours. The form also allows for the inclusion of additional commissaries if needed, ensuring that all operational aspects are covered. This comprehensive approach helps maintain food safety standards and ensures that mobile vendors can operate smoothly and legally.
Florida Department of Agriculture and Consumer Services
Division of Food Safety
COMMISSARY LETTER OF AGREEMENT
Bureau of Food and Meat Inspection 3125 Conner Boulevard C-26 Tallahassee, FL 32399-1620 (850) 245-5520
ADAM H. PUTNAM
COMMISSIONER
This form is to be filled out and given to the FDACS inspector in the field and submitted as part of a mobile food establishment permit application or with a package ice plant self-vending permit application that requires a commissary.
SECTION 1– MOBILE FOOD ESTABLISHMENT (MFE) OR SELF VENDING ICE UNIT (SVIU) INFORMATION
Owner Name
Phone Number (include area code)
Owner Mailing Address
Permit Number
City
Zip Code (+4 optional)
County
I hereby certify the provided information is correct and understand permit approval is contingent upon verification of an approved commissary.
Print Name (Owner of MFE or SVIU)
Signature (Owner of MFE or SVIU)
Date
SECTION 2 – PRIMARY COMMISSARY INFORMATION
Primary Commissary Name
Commissary Address
Primary Phone Number (include area code)
Commissary License/Permit Number
Primary E-Mail Address
Licensed By
Department of Agriculture & Consumer
Department of Business and
Department of Health
None
(check one)
Services
Professional Regulation
Water Supply of Primary
Municipal/Utility
Supplier Name
Commissary
On-site Well
Wastewater Disposal of
Septic Tank System
Primary Commissary
Package Plant
I intend to provide the following activities at this commissary:
Dish or equipment washing
Yes
No
Storing of food and dry goods (room temperature)
Dumping wastewater
Cold Storage of food (including ice and drinks)
Receiving potable water
Cooking and/or reheating food
Washing the outside of the vehicle
Three compartment sink
Restroom facilities
Other (Describe below)
Describe other activities here:
Signing this document will allow FDACS Food Inspectors entry to my business during normal hours of operation for evaluation of facilities.
Print Name (of Person in Charge of Commissary)
Signature (of Person in Charge of Commissary)
Are additional commissaries used?
If yes use as many pages as needed.
FDACS-14223 Rev. 10/15
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Completing the Florida Commissary Letter Of Agreement form is essential for mobile food establishments or self-vending ice units. After filling out this form, you will need to submit it to the Florida Department of Agriculture and Consumer Services (FDACS) inspector as part of your permit application process. Here’s how to fill out the form step by step.
The Florida Commissary Letter of Agreement form is essential for mobile food establishments and self-vending ice units. This document must be completed and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of the permit application process. It ensures that the mobile food business has access to an approved commissary for necessary operations, such as food storage and washing equipment.
Both owners of mobile food establishments (MFE) and self-vending ice units (SVIU) are required to complete this form. It is crucial for anyone applying for a mobile food establishment permit or a package ice plant self-vending permit that necessitates a commissary. The owner must provide accurate information about themselves and the commissary they will be using.
The form requires several key pieces of information, including:
Completing all sections accurately is vital for the approval of the permit.
Various activities can be conducted at the commissary, which are essential for the operation of mobile food establishments. These activities include:
It is important to indicate which of these activities will be performed by checking the appropriate boxes on the form.
Once the form is submitted, FDACS inspectors will review the information provided. They may conduct an evaluation of the commissary during normal business hours to ensure compliance with health and safety regulations. If everything is in order, the mobile food establishment or self-vending ice unit can proceed with the permitting process.
Yes, if multiple commissaries are used, the form allows for additional documentation. Owners should indicate that more than one commissary is involved by checking the appropriate box and using additional pages as needed. Each commissary must be listed with its corresponding information to ensure proper verification and compliance.
Missing Information: One common mistake is leaving sections blank. Ensure that every field is filled out completely. This includes the owner’s name, phone number, and the commissary’s address.
Incorrect Contact Information: Providing an incorrect phone number or email can lead to delays. Double-check that all contact information is accurate and up-to-date.
Not Signing the Form: Forgetting to sign the document is a frequent oversight. Both the owner of the mobile food establishment and the person in charge of the commissary must provide their signatures.
Inaccurate Permit Numbers: Entering the wrong permit number can cause issues during the application review. Verify that the permit number is correct before submitting the form.
Ignoring Additional Commissaries: If you use more than one commissary, it’s important to indicate this on the form. Failing to disclose additional locations may result in complications with your application.
Inadequate Description of Activities: When specifying activities at the commissary, be thorough. A vague description can lead to misunderstandings about what services will be provided.
The Florida Commissary Letter of Agreement form is essential for mobile food establishments and self-vending ice units. It helps ensure that these operations comply with health and safety regulations. Alongside this form, several other documents may be needed to complete the application process. Here’s a list of some commonly used forms and documents.
Each of these documents plays a vital role in ensuring that mobile food operations comply with Florida’s health and safety regulations. Having them prepared and submitted correctly can streamline the application process and help avoid delays.
The Florida Food Establishment Permit Application is similar to the Florida Commissary Letter of Agreement form as both documents are essential for food service operations. This application is required for businesses that prepare or sell food to the public. It collects information about the food establishment, including its location, ownership, and the types of food served. Like the Commissary Letter, it ensures compliance with health and safety regulations, helping to maintain food safety standards within the state.
The Mobile Food Vendor License Application also bears similarities to the Florida Commissary Letter of Agreement form. This document is specifically for mobile food vendors, requiring details about the vendor's operation and the commissary used for food preparation and storage. Both forms necessitate verification of the commissary's approval, ensuring that mobile vendors have access to proper facilities for food safety and sanitation.
The Food Service Establishment Inspection Report is another document that aligns with the Florida Commissary Letter of Agreement. This report is generated during inspections of food establishments, including commissaries. It assesses compliance with health codes and safety regulations. Both documents emphasize the importance of maintaining sanitary conditions and proper food handling practices, serving as tools for regulatory oversight.
The Food Handler Training Certificate is related to the Florida Commissary Letter of Agreement as it emphasizes the need for food safety knowledge among staff. This certificate is awarded to individuals who complete training on safe food handling practices. While the Commissary Letter focuses on the facilities used, the Food Handler Training Certificate ensures that those working within those facilities are educated on proper food safety protocols.
The Health Department Permit is similar to the Florida Commissary Letter of Agreement because both documents are necessary for operating food-related businesses. The Health Department Permit certifies that a food establishment meets health and safety standards. Like the Commissary Letter, it requires submission of information about the business and its compliance with local regulations, ensuring a safe environment for food preparation and service.
The Ice Plant Permit Application parallels the Florida Commissary Letter of Agreement as both are used in the context of food and beverage operations. This application is specifically for businesses that produce or sell ice. It requires information about the facility and its compliance with health standards. Both documents aim to ensure that all food-related businesses adhere to safety regulations, protecting public health.
Finally, the Temporary Food Event Permit Application is akin to the Florida Commissary Letter of Agreement. This application is required for vendors participating in temporary events, such as fairs or festivals. It collects information about the vendor and their food sources, including the commissary. Both documents ensure that food served at temporary events meets health and safety standards, thereby safeguarding consumers during these occasions.
When filling out the Florida Commissary Letter Of Agreement form, it's important to ensure accuracy and compliance. Here are some key dos and don’ts to keep in mind:
Misconceptions about the Florida Commissary Letter Of Agreement form can lead to confusion and delays in the permitting process. Here are seven common misunderstandings:
Understanding these misconceptions can help streamline the application process and ensure compliance with Florida's food safety regulations.
Key Takeaways for Filling Out the Florida Commissary Letter Of Agreement Form