Mobile Food Unit Commissary Agreement (Indianapolis, Indiana)
This is the official Mobile Food Unit Commissary Agreement 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.
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
- 24
- Last mapping review
- 2026-10-02
What this form asks
- Commissary: Address (Street, City/State, Zip Code)
- Name of Commissary
- Commissary Food License #
- Commissary Authorized Individual: Name & Phone Number
- Commissary Authorized Individual: Title/Position
- Commissary Agreement: Name and Title/Position of Person Granting Permission
- Commissary Agreement: Mobile Food Operator/Shared Kitchen User
- Commissary Agreement: Commissary/Commercial Kitchen/Shared Kitchen
- Permitted Use: Food preparation (checkbox)
- Permitted Use: Equipment storage (checkbox)
- Permitted Use: Dumping wastewater (checkbox)
- Permitted Use: Chemical/supply (checkbox)
- Permitted Use: Food storage (cooler/freezer) (checkbox)
- Permitted Use: Ware-washing equipment and utensils (checkbox)
- Permitted Use: Trash disposal (checkbox)
- Permitted Use: Dry food storage (checkbox)
- Permitted Use: Vehicle/cart storage (checkbox)
- Permitted Use: Used cooking oil disposal (checkbox)
- Permitted Use: Ice production (checkbox)
- Permitted Use: Filling of water tanks (checkbox)
- Permitted Use: Other services (checkbox)
- Other Services: Description
- Food Establishment Owner: Date Signed (date)
- Mobile Food Unit Owner: 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 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
- Mobile Food Unit Application Marion County Public Health Department, Department of Food and Consumer Safety
Food truck and mobile vending permits in other places
- Acknowledgment of New Application Requirements Denver
- Affidavit of Commissary Denver
- Retail Mobile Food Establishment Plan Review Packet Denver
- DBPR HR-7006, Plan Review for Mobile Public Food Service Establishment Florida
- DBPR HR-7022 – Commissary Services Notification Florida
- DBPR HR-7031, Application for Mobile Public Food Service Establishment License with Plan Review Florida
- DBPR HR-7036, Application for Mobile Public Food Service Establishment License Florida
- Las Vegas Business License Application Las Vegas
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.