Mobile Food Unit Application (Indianapolis, Indiana)

This is the official Mobile Food Unit Application from Marion County Public Health Department, Department of Food and Consumer Safety. 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: Marion County Public Health Department, Department of Food and Consumer Safety
Jurisdiction: Indianapolis, Indiana
Type: Food truck and mobile vending permits
Questions: 81
Last mapping review: 2026-10-02

Official blank PDF from Marion County Public Health Department, Department of Food and Consumer Safety ↗

What this form asks

Completed Mobile Food Unit application and questionnaire (checkbox)
Completed Commissary Agreement (checkbox)
Completed MFU Operator Attestation form (checkbox)
Detailed list of menu food and beverage items (checkbox)
Floor plan drawn to scale (include pictures of the interior including the equipment) (checkbox)
Plumbing diagram, including location and sizes of fresh and wastewater tanks (checkbox)
Copy of Retail Merchant Certificate (checkbox)
Picture of exterior of mobile unit (checkbox)
Name of Mobile Food Unit (DBA)
Name of Business (LLC, INC etc.)
Name of Owner
Owner: Mailing Address
Owner: City/State
Owner: Zip Code
Owner: Phone Number
Owner: E-mail
Commissary: Name
Commissary: Food License #
Commissary: Address
Commissary: City/State
Commissary: Zip Code
Name of Commissary Owner
Commissary Owner: Phone or E-mail
Application Type: New Application (checkbox)
Application Type: Change of Ownership (checkbox)
Previously Licensed in Marion County: Previous Name of the Mobile Unit
Previously Licensed in Marion County: Previous License #
Mobile Unit Type (choose one)
Mobile Unit Type: Other (describe)
Vehicle Description: VIN#
Vehicle Description: Make
Vehicle Description: Model
Vehicle Description: Color
Vehicle Description: License Plate #
1. Does your operation include only commercially prepared & pre-packaged foods? (choose one)
2. Does your menu require ice as an ingredient? (choose one)
3. Freshwater tank size (gallons) (number)
3. Wastewater tank size (gallons) (number)
4. How do you plan to operate the mobile unit? (e.g., events, private lot, catering, farmers markets)
5. Address where the mobile unit will be stored when not in use
6. Proposed schedule of operation (e.g., M-Sat 12pm-6pm; indicate year round or seasonal)
6a. Is the proposed commissary accessible during these hours? (choose one)
7. Address(es) where you intend to operate for extended periods (include days and times for each location) (multiline)
7a. Will a restroom be available during hours of operation at the above location? (choose one)
7b. Restroom: name and phone number of the business owner and address where the restroom is located
8. Will catering services be provided without the use of the mobile food unit? (choose one)
9. Menu items and toppings that will be prepared or made in-house at the commissary (multiline)
10. How frequently do you plan to prepare/cook food at the commissary? (include days and times)
11. Menu items that will be cooked and served or prepared and served on the mobile unit (multiline)
12. How often do you plan to purchase food supplies?
13. Where do you plan to store excess food supplies?
14. Menu items that require cooling and will be served cold or meant to be reheated on the day of service (multiline)
Additional information regarding your mobile food operations (multiline)
Questionnaire: Date Signed (date)
Commissary Agreement: Name of Commissary
Commissary Agreement: Commissary Address (Street, City/State, Zip Code)
Commissary Agreement: Commissary Food License #
Commissary Authorized Individual: Name
Commissary Authorized Individual: Title/Position
Commissary Agreement Statement: Name and Title/Position of person granting permission
Commissary Agreement Statement: Mobile Food Operator/Shared Kitchen User granted permission
Commissary Agreement Statement: Commissary/Commercial Kitchen/Shared Kitchen facilities to be used
Commissary Services (check all that apply): Food preparation (checkbox)
Commissary Services (check all that apply): Equipment storage (checkbox)
Commissary Services (check all that apply): Dumping wastewater (checkbox)
Commissary Services (check all that apply): Food storage (cooler/freezer) (checkbox)
Commissary Services (check all that apply): Ware-washing equipment and utensils (checkbox)
Commissary Services (check all that apply): Chemical/supply (checkbox)
Commissary Services (check all that apply): Trash disposal (checkbox)
Commissary Services (check all that apply): Dry food storage (checkbox)
Commissary Services (check all that apply): Vehicle/cart storage (checkbox)
Commissary Services (check all that apply): Used cooking oil disposal (checkbox)
Commissary Services (check all that apply): Ice production (checkbox)
Commissary Services (check all that apply): Filling of water tanks (checkbox)
Commissary Services (check all that apply): Other services (checkbox)
Commissary Agreement: Other services (describe)
Authorized Individual of Commissary/Commercial Kitchen/Shared Kitchen: Date Signed (date)
Mobile Food Operator/Shared Kitchen User: Date Signed (date)
Attestation: Printed Name of Mobile Food Unit Owner/Operator
Attestation: Name of Mobile Food Unit
Attestation: 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 Marion County Public Health Department, Department of Food and Consumer Safety.

Other Indianapolis forms

Mobile Food Truck Notice of Intent Indiana Department of Health
Mobile Food Unit Commissary Agreement Marion County Public Health Department, Department of Food and Consumer Safety
Mobile Food Unit Locations List Marion County Public Health Department, Department of Food and Consumer Safety
Mobile Food Unit Owner/Operator Attestation Marion County Public Health Department, Department of Food and Consumer Safety

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 Marion County Public Health Department, Department of Food and Consumer Safety 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.