Campus Operations Bldg., Rm 112
777Glades Rd Boca Raton, FL 33431
P: (561) 297-3129
F: (561) 297-2210
E:
ehs@fau.edu
FAU TEMPORARY FOOD SERVICE EVENT
PERMIT APPLICATION
A permit is required for all events serving food to the public (faculty, staff, student body, visitors) on FAU campuses
For questions or assistance, please contact EH&S
Name of Event:
Date(s) of Event:
Department or Organization for Event:
Time of Event:
Name of Organization/Sponsor:
Phone:
Fax:
Email:
Description of Event:
Location of Event:
List Food or Menu served at the event:
Drinks served at the event:
Caterer(s) for the Event:
Food Service Vendors for Event (i.e. Grocery stores, Deli, Convenience Stores, Bakery, Pizzeria)
Caterer/Vendor's
Food Service Permit #: (Please provide copy of Food Service Permit)
Caterer/Vendor's
Indemnity Insurance Provider:
(Please provide copy of Liability Insurance Certificate if food provider is serving food at the event)
Names of food servers if caterer/vendor is not serving food:
List items to be used to keep food safe and at the appropriate tempuratures: (i.e. sneeze guards, chafing dishes, cooler)