Commissary "Food Headquarters" Verification Form for Mobile Food Facilities (MFFs) (San Francisco, California)

This is the official Commissary "Food Headquarters" Verification Form for Mobile Food Facilities (MFFs) from San Francisco Department of Public Health, Environmental Health Branch. 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.

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Form details

Issuer: San Francisco Department of Public Health, Environmental Health Branch
Jurisdiction: San Francisco, California
Type: Food truck and mobile vending permits
Questions: 23
Last mapping review: 2026-10-02

Official blank PDF from San Francisco Department of Public Health, Environmental Health Branch ↗

What this form asks

MFF Business Owner: DBA
MFF Business Owner: Registered Owner Name(s)
MFF Business Owner: Owner Address
MFF Business Owner: License Plate Number
MFF Business Owner: Vehicle Make/Model
MFF Business Owner: Mobile Phone
Commissary: Commissary DBA
Commissary: Commissary Address
Commissary: Commissary Owner Name(s)
Commissary: Commissary Owner Business Phone Number
Commissary Owner (Print Name)
Registered Owner/Officer Printed Name
Commissary Owner: Date Signed (date)
Registered Owner: Date Signed (date)
Commissary service: Space for onsite storage of this MFF/MSU at all times it is not conducting business (choose one)
Commissary service: Adequate and protected space to store food, utensils, equipment and other supplies (choose one)
Commissary service: Adequate facilities for sanitary disposal of garbage, refuse and liquid wastes (choose one)
Commissary service: Adequate and approved space for food preparation (choose one)
Commissary service: Dedicated electrical outlets and hook-ups for MFFs that require electrical service (choose one)
Commissary service: Potable water with quick disconnect features for filling water supply tanks (choose one)
Commissary service: Hot and cold water under pressure and approved drainage for cleaning MFF/MSU (choose one)
Commissary service: NSF approved equipment for food prep, cleaning, and storage of supplies (choose one)
Commissary service: Approved janitorial sink, toilet, utensil washing and hand washing facilities (choose one)

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 San Francisco Department of Public Health, Environmental Health Branch.

Other San Francisco forms

Mobile Food Facility (MFF) Application Checklist / Mobile Food Facilities (MFF) Health Permit to Operate Application San Francisco Department of Public Health, Environmental Health Branch
Affidavit of Public Notification Submittal San Francisco Public Works, Bureau of Street-Use and Mapping
Mobile Food Facility (MFF) on Public Property Application Checklist / Health Permit Application for Mobile Food Facilities (MFF) San Francisco Department of Public Health, Environmental Health Branch
Application for Revocable Mobile Food Facility Permit San Francisco Public Works, Bureau of Street-Use and Mapping

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 San Francisco Department of Public Health, Environmental Health Branch 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.