The Temporary Food Permit Hawaii form is a necessary application for organizations or individuals looking to sell food at events for a limited time. This permit ensures that food distribution meets health and safety standards set by the Department of Health. To get started, fill out the form by clicking the button below.
When planning a temporary food event in Hawaii, obtaining a Temporary Food Permit is essential. This application form serves as the gateway for organizations and individuals looking to sell or distribute food to the public for a limited time. The form requires specific details, such as the name of the organization, the event's location, and the contact person's information. Additionally, applicants must provide the date and time of the event, as well as the name and address of an approved commercial kitchen where food preparation will take place. It's important to note that home kitchens cannot be used for this purpose. The application also mandates a list of food items to be served, ensuring that no home-prepared food is included. Along with the application, a $25 non-refundable fee is required, and submissions should be made at least ten working days before the event. The Department of Health reserves the right to deny or revoke permits if sanitary requirements are not met. By following these guidelines, applicants can help ensure a smooth process for their temporary food establishment.
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
1.
2/21/2009
9:00 a.m. - 5:30 p.m.
11.
2.
12.
3.
13.
4.
14.
5.
15.
6.
16.
7.
17.
8.
18.
9.
19.
10.
20.
(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:
(BANK ACCOUNT NAME AND ADDRESS MUST BE ON THE CHECK)
SUBMIT COMPLETED APPLICATION AND FEE TO:
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.”
Completing the Temporary Food Permit Hawaii form is essential for those planning to sell or distribute food at events in Hawaii. Once you have filled out the form correctly, you can submit it along with the required fee to the appropriate department. Make sure to follow the guidelines closely to avoid any delays in processing your application.
A Temporary Food Permit allows organizations, establishments, or individuals to distribute or sell food to the public for a limited time in Hawaii. This permit is essential for any food operation that lasts up to 20 dates within a 120-day period. It ensures that food safety and sanitation standards are met, protecting both vendors and consumers.
To apply for a Temporary Food Permit, you must complete the application form and submit it along with a non-refundable fee of $25. The application must be submitted at least ten working days before your event. Incomplete applications will not be processed. Ensure you provide details such as the name of your organization, the event location, and a list of food items you plan to sell. Additionally, you must include a site plan that shows your booth layout and handwashing facilities.
The kitchen used for food preparation must be an approved commercial kitchen, also known as a commissary. Home kitchens are not permitted. You need to provide the name, address, and permit number of this kitchen in your application. If you do not have direct access to an approved kitchen, you may submit a letter of authorization from the kitchen’s authorized person. This letter must include specific details about the kitchen and the person giving permission.
If you fail to comply with the sanitary requirements outlined by the Hawaii Department of Health, your Temporary Food Permit may be denied or revoked. It is crucial to adhere to food safety guidelines, such as keeping hot food above 140°F and cold food below 45°F. The Department of Health reserves the right to request additional information, such as a complete menu and schematic plan, to ensure compliance.
Incomplete Information: One of the most common mistakes is leaving sections blank. Each part of the form must be filled out completely. Omitting details can lead to delays or denial of your application.
Incorrect Kitchen Information: Ensure that the name and address of the approved kitchen are accurate. Using a home kitchen or providing incorrect details can result in immediate rejection of your permit.
Missing Signature: Forgetting to sign the application is a frequent oversight. Your signature is crucial as it confirms that you agree to comply with all regulations.
Not Submitting on Time: Applications must be submitted at least ten working days prior to the event. Late submissions will not be processed, so plan ahead to avoid this mistake.
Improper Payment: Ensure that the fee is paid correctly. The application will not be processed without the $25.00 fee. Double-check that your payment method is acceptable and that you include it with your application.
When applying for a Temporary Food Permit in Hawaii, several other forms and documents may be necessary to ensure compliance with local health regulations. Each document serves a specific purpose in the permitting process. Here’s a brief overview of some commonly required forms.
Gathering these documents can streamline the application process and help you avoid delays. Always check with local health authorities for specific requirements related to your event, as regulations can vary. Proper preparation ensures a successful and compliant food service experience.
The Temporary Food Permit in Hawaii shares similarities with the Food Service Establishment Permit, which is required for permanent food service operations. Both documents necessitate detailed information about the food establishment, including the name, location, and contact details. However, the Food Service Establishment Permit applies to businesses that operate year-round, while the Temporary Food Permit is specifically designed for short-term events. Each permit also requires adherence to health and sanitation regulations, ensuring that food safety standards are maintained regardless of the duration of the operation.
Another comparable document is the Catering Permit. Like the Temporary Food Permit, the Catering Permit allows for the preparation and distribution of food outside of a traditional restaurant setting. Both permits require a list of food items to be served and details about the kitchen where food is prepared. However, the Catering Permit is typically used for events that are more private and may not be open to the public, while the Temporary Food Permit is aimed at public events such as fairs or festivals.
The Farmers Market Permit is also similar in purpose and structure. This permit allows vendors to sell food items directly to consumers at designated markets. Both permits require vendors to provide information about their food items and ensure that they comply with health regulations. However, the Farmers Market Permit is specifically for sales at farmers markets, while the Temporary Food Permit covers a broader range of events.
Additionally, the Mobile Food Vendor Permit shares characteristics with the Temporary Food Permit. Both documents require vendors to provide their location, contact information, and a list of food items. The Mobile Food Vendor Permit is intended for food trucks and carts that operate in various locations, while the Temporary Food Permit is for specific events. Both types of permits emphasize compliance with health and safety standards to protect public health.
The Special Event Permit is another document that resembles the Temporary Food Permit. This permit is often required for events that involve food distribution, including festivals and community gatherings. Both permits require detailed event information, such as dates and times, and both must be submitted well in advance of the event. The Special Event Permit may cover additional aspects of event planning, such as crowd control and sanitation facilities, whereas the Temporary Food Permit focuses primarily on food safety.
The Concessionaire Permit is also similar, as it allows vendors to operate food stalls at events. Like the Temporary Food Permit, this document requires a list of food items and ensures compliance with health regulations. However, the Concessionaire Permit is often associated with larger events, such as concerts or sporting events, where multiple vendors operate simultaneously. Both permits ensure that food served to the public meets safety standards.
Lastly, the Food Handler's Permit is relevant in this context, as it is often required for individuals working in food service. While the Temporary Food Permit is focused on the establishment itself, the Food Handler's Permit ensures that those preparing and serving food have the necessary training in food safety practices. Both permits work together to ensure that food is handled safely and responsibly, protecting public health at events.
When filling out the Temporary Food Permit Hawaii form, it is important to follow certain guidelines to ensure a smooth application process. Below is a list of things you should and should not do.
Misconceptions about the Temporary Food Permit Hawaii form can lead to confusion and potential issues for applicants. Here are seven common misunderstandings:
Understanding these misconceptions can help ensure a smoother application process for those seeking a Temporary Food Permit in Hawaii.
Filling out the Temporary Food Permit Hawaii form is essential for any organization or individual planning to sell food to the public. This applies to events lasting no more than 20 days within a 120-day period.
Ensure that all sections of the form are completed. An incomplete application will not be processed, which could delay your event.
Submit your application along with the $25.00 fee at least ten working days before the event. This timeframe allows the Department of Health to review and approve your permit.
Home kitchens cannot be used for food preparation. Only approved commercial kitchens, known as commissaries, are acceptable. Make sure to include the commissary's permit number on your application.
When listing food items, remember that no home-prepared food is allowed. It's crucial to keep hot food above 140°F and cold food below 45°F to ensure safety.
After approval, your permit can be picked up, faxed, or mailed to you. If you prefer the latter, include a self-addressed, stamped envelope with your application.