Public Health Permit/License Application (Los Angeles, California)

This is the official Public Health Permit/License Application from Los Angeles County Department of Public Health, Environmental Health. You can fill it in its original layout in your browser or with an AI assistant, then download it to review, sign and submit to the agency.

Fill this form Use your assistant

Form details

Issuer: Los Angeles County Department of Public Health, Environmental Health
Jurisdiction: Los Angeles, California
Type: Food truck and mobile vending permits
Questions: 47
Last mapping review: 2026-10-02

Official blank PDF from Los Angeles County Department of Public Health, Environmental Health ↗

What this form asks

Date of Application (date)
First Date of Operation (date)
Select One (choose one)
Business Type (choose one)
Business Type: Other (specify)
Legal Name of Business (DBA)
Business: Street Address
Business: Unit
Business: City
Business: Zip
Business: Phone
Business: Email Address (for Reports & Communications)
Business: Website Address
Hours of Operation: 24 Hrs. (checkbox)
Hours of Operation: Monday Open
Hours of Operation: Tuesday Open
Hours of Operation: Wednesday Open
Hours of Operation: Thursday Open
Hours of Operation: Friday Open
Hours of Operation: Saturday Open
Hours of Operation: Sunday Open
Hours of Operation: Monday Closed
Hours of Operation: Tuesday Closed
Hours of Operation: Wednesday Closed
Hours of Operation: Thursday Closed
Hours of Operation: Friday Closed
Hours of Operation: Saturday Closed
Hours of Operation: Sunday Closed
Ownership Type (choose one)
Owner 1: Name
Owner 1: Phone
Owner 1: Email
Owner 2: Name
Owner 2: Phone
Owner 2: Email
Emergency Contact: Name
Emergency Contact: Phone
Emergency Contact: Email
Billing Information (choose one)
Billing: Street Address
Billing: Unit
Billing: City
Billing: State
Billing: Zip
Print Name
Title
Date Signed (date)

Review, sign and submit

PaperPorter fills the form but does not submit it or approve anything. Signatures, initials and staff-only areas are left for the right person. Confirm current fees, attachments and filing instructions with Los Angeles County Department of Public Health, Environmental Health.

Other Los Angeles forms

Plan Check Service Request: Mobile Food Facility (MFF) / Commissary Los Angeles County Department of Public Health, Environmental Health Plan Check Program
Mobile Food Facility Route Information Los Angeles County Department of Public Health, Environmental Health

Food truck and mobile vending permits in other places

Frequently asked questions

Does PaperPorter submit this form?

No. You download the completed PDF, then review, sign and submit it to Los Angeles County Department of Public Health, Environmental Health yourself.

Can I fill it without an AI assistant?

Yes. Fill it in your browser and download the completed PDF. An assistant such as ChatGPT or Claude can also ask you the questions and fill it for you.