Instructions and Application Form, Mobile Food Businesses: Full Plan Review (Philadelphia, Pennsylvania)

This is the official Instructions and Application Form, Mobile Food Businesses: Full Plan Review from Philadelphia Department of Public Health, Office of Food Protection. 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: Philadelphia Department of Public Health, Office of Food Protection
Jurisdiction: Philadelphia, Pennsylvania
Type: Food truck and mobile vending permits
Questions: 285
Last mapping review: 2026-10-02

Official blank PDF from Philadelphia Department of Public Health, Office of Food Protection ↗

What this form asks

Checklist: Mobile Food Business Plan Review Application (checkbox)
Checklist: Mobile Vending Unit Fact Sheet (checkbox)
Checklist: Equipment List (checkbox)
Checklist: Menu Description and Preparation, On-Site Food Preparation (checkbox)
Checklist: Menu Description and Preparation, Pre-Approved Licensed Facility (checkbox)
Checklist: Mobile Vending Operation Support Facility Verification (checkbox)
Checklist: Copy of the City of Philadelphia Food Safety Certificate (checkbox)
Checklist: Processing Fee (checkbox)
1) Name of Mobile Vending Operation (doing business as)
2) Street Address, City, Zip
3) Food Business Location(s)/Area(s)
4) Business Phone Number
5) Email
5) Website
6) Hours of Operation: Mon-Fri
6) Hours of Operation: Sat
6) Hours of Operation: Sun
6) Hours of Operation: Closed
7) Anticipated Total Number of Employees Working Per Shift (number)
8) Please indicate type of operation (choose one)
9) Mobile Business Type: Truck (checkbox)
9) Mobile Business Type: Trailer Hitch Unit (checkbox)
9) Mobile Business Type: Pushcart Stand (checkbox)
9) Mobile Business Type: Foot Peddler (checkbox)
9) Mobile Business Type: Other (checkbox)
9) Mobile Business Type: Other (describe)
I am requesting an expedited review (checkbox)
Licensee: Name of Company
Licensee: Co. President
Licensee: Mailing Address (if different from establishment address)
Licensee: City, State, Zip (multiline)
Licensee: Phone
Licensee: Email
Plan Review Contact Person: Name
Plan Review Contact Person: Contractor (checkbox)
Plan Review Contact Person: Other (describe)
Plan Review Contact Person: Phone
Plan Review Contact Person: Email
Philadelphia Commercial Activity / Business Privilege License Number
B. Category of Application (choose one)
Modification: Installation of surface finishes (i.e. walls, floors, ceilings) (checkbox)
Modification: Installation of custom millwork, cabinetry, or plastic laminated surfaces (checkbox)
Modification: Replacement or relocation of permanently installed equipment (checkbox)
Modification: Expansion of food facility (checkbox)
Modification: Other (describe)
Modification: Work Start Date (date)
Modification: Work Completion Date (date)
Provide a description of what has been modified (multiline)
C. Restrooms are readily available for employee use (choose one)
C. Has outside dumpster/trash cans (choose one)
C. Has inside storage room for trash (choose one)
C. Restroom Location
E. Applicant Name (please print)
E. Applicant Title
E. Date Signed (date)
Schedule A 1. Name of Support Facility
Schedule A 2. Name of Support Facility Owner
Schedule A 3. Support Facility Address, City, Zip
Schedule A 4. Support Facility Business Phone
Schedule A 4. Support Facility Email
Schedule A 5. Do you operate from the support facility on a daily basis (choose one)
Schedule A 5. If NO, explain
Schedule A 6. Do you report back to the support facility at the end of the day for all cleaning, servicing operations, and waste disposal (choose one)
Schedule A 6. If NO, explain
Schedule A 7. Hours you report to the support facility: Morning
Schedule A 7. Hours you report to the support facility: Evening
Schedule A 8. Is this support facility inspected by the Philadelphia Health Department (choose one)
Schedule A 8. If NO, name of the regulatory agency that inspects the support facility
Schedule A 9. What fuel source(s) does your operation utilize
Schedule A 10. Food Sold: Prepackaged food only (checkbox)
Schedule A 10. Food Sold: Cold prepared foods (checkbox)
Schedule A 10. Food Sold: Meat products (checkbox)
Schedule A 10. Food Sold: Water ice/Ice cream (checkbox)
Schedule A 10. Food Sold: Whole fish/Fresh seafood (checkbox)
Schedule A 10. Food Sold: Fresh produce (checkbox)
Schedule A 10. Food Sold: Deep-fat fried foods (checkbox)
Schedule A 10. Food Sold: Hot cooked foods (checkbox)
Schedule A 10. Food Sold: Fruit salad/Smoothie (checkbox)
Schedule A 10. Food Sold: Other (checkbox)
Schedule A 10. Food Sold: Other (describe)
Schedule A Food Supply 1. Prepared Food Supplier Name
Schedule A Food Supply 1. Prepared Food Supplier Street Address, City, Zip
Schedule A Food Supply 2. Address where purchase receipts are kept: Street Address, City, Zip
Schedule A: Applicant Name (please print)
Schedule A: Applicant Date Signed (date)
Schedule A: Support Facility Owner/Operator Name (please print)
Schedule A: Support Facility Owner/Operator Date Signed (date)
Schedule B: PHYSICAL FACILITIES (Description/Details) (multiline)
Schedule B: Overhead Enclosure (Description/Details) (multiline)
Schedule B: Type of Materials for Overhead Enclosure (Description/Details) (multiline)
Schedule B: Support Structure (Description/Details) (multiline)
Schedule B: Side Enclosure (Description/Details) (multiline)
Schedule B: Type of Materials for Side Enclosure (Description/Details) (multiline)
Schedule B: Floor Materials Service Opening/Window Type of Materials for Service Area (Description/Details) (multiline)
Schedule B: HAND WASHING FACILITY (Description/Details) (multiline)
Schedule B: Hand Washing Sink (Description/Details) (multiline)
Schedule B: WATER SUPPLY AND WASTE WATER DISPOSAL (Description/Details) (multiline)
Schedule B: Potable Water Source Water Storage Tank; Materials and Construction Detail (Description/Details) (multiline)
Schedule B: Capacity of Water Storage Tank Backflow Prevention Device (Description/Details) (multiline)
Schedule B: Method of Generating Hot Water; Materials and Construction Detail (Description/Details) (multiline)
Schedule B: Hot Water Storage Tank; Materials and Construction Detail (Description/Details) (multiline)
Schedule B: Waste Water Storage Tank; Materials and Construction Detail Capacity of Waste Water Storage Tank (Description/Details) (multiline)
Schedule B: Disposal Method for Waste Water (Description/Details) (multiline)
Schedule B: REFUSE (Description/Details) (multiline)
Schedule B: Type of Waste Containers (Description/Details) (multiline)
Schedule B: Number of Waste Containers (Description/Details) (multiline)
Schedule B: Will cooking grease waste be generated? (Description/Details) (multiline)
Schedule B: Cooking grease recycling information (Description/Details) (multiline)
Schedule B: Name of recycler (Description/Details) (multiline)
Schedule B: UTENSIL/EQUIPMENT WASHING FACILITIES (Description/Details) (multiline)
Schedule B: On-unit utensil washing and sanitization (Description/Details) (multiline)
Schedule B: Type and number of compartments for utensil cleaning; Materials and Construction Detail (Description/Details) (multiline)
Schedule B: Type of Sanitizer (Description/Details) (multiline)
Schedule B: THERMOMETER(S) (Description/Details) (multiline)
Schedule B: Indicate types that will be used (Description/Details) (multiline)
Schedule B: POWER SOURCE(S) FOR OVENS, FRYERS, REFRIGERATORS, ETC. (provide details) (Description/Details) (multiline)
Schedule B: Generator (Description/Details) (multiline)
Schedule B: Propane fuel (Description/Details) (multiline)
Schedule B: Other (Describe) (Description/Details) (multiline)
Schedule B: LIGHT FIXTURES AND PROTECTION (Description/Details) (multiline)

…and 165 more.

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 Philadelphia Department of Public Health, Office of Food Protection.

Other Philadelphia forms

Application for a Special Vending District License City of Philadelphia Department of Licenses and Inspections
Application for a Vendor License City of Philadelphia Department of Licenses and Inspections
Schedule A: Mobile Vending Operation Support Facility Information Form Philadelphia Department of Public Health, Office of Food Protection

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 Philadelphia Department of Public Health, Office of Food Protection 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.