Commissary Agreement (Salt Lake City, Utah)

This is the official Commissary Agreement from Salt Lake County Health Department, Food Protection Bureau. 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

Salt Lake County Health Department, Food Protection Bureau

Jurisdiction

Salt Lake City, Utah

Type

Food truck and mobile vending permits

Questions

37

Last mapping review

2026-10-02

Official blank PDF from Salt Lake County Health Department, Food Protection Bureau ↗

What this form asks

• Business Owner (print)
• Establishment Type: Permanent Vending Location (checkbox)
• Establishment Type: Vending Route (checkbox)
• Establishment Type: Events (checkbox)
• Business Name
• Operating Address
• Home Phone / Cell Phone
• Home Address
• Home Address: City
• Home Address: Zip
• Business Phone #
• Commissary Information: Renewal or New Tenant (choose one)
• Commissary: Commissary Name
• Commissary: Commissary Owner (print)
• Commissary: Commissary Address
• Commissary: City
• Commissary: Zip
• Commissary: Commissary Owner Phone #
• Commissary Service: Food Cooking Facilities, Hours Available
• Commissary Service: Food Cooking Facilities (choose one)
• Commissary Service: Commercial Refrigeration (choose one)
• Commissary Service: Food Preparation Tables, Hours Available
• Commissary Service: Food Preparation Tables (choose one)
• Commissary Service: Disposal of Waste Water (choose one)
• Commissary Service: Dish Washing Facilities (choose one)
• Commissary Service: Dish Washing Facilities, Hours Available
• Commissary Service: Overnight Parking (choose one)
• Commissary Service: Cart/Truck Cleaning Facilities (choose one)
• Commissary Service: Storage of Food and Supplies (choose one)
• Commissary Service: Supply Potable Water (choose one)
• Commissary Service: Supply Culinary Ice (choose one)
• Commissary Service: Supply Food Products (choose one)
• Commissary Service: Garbage Dumpster Access (choose one)
• Commissary: Days of the week that commissary is available
• Commissary: Hours that commissary is available
• Commissary Owner/Manager Approval: Date Signed (date)
• Establishment 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 Salt Lake County Health Department, Food Protection Bureau.

Other Salt Lake City forms

• Reciprocal Mobile Food Truck/Trailer Business License Application Salt Lake City Business Licensing
• Restroom Agreement Salt Lake County Health Department, Food Protection Bureau

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
• Mobile Food Truck Notice of Intent Indianapolis

Frequently asked questions

Does PaperPorter submit this form?

No. You download the completed PDF, then review, sign and submit it to Salt Lake County Health Department, Food Protection Bureau 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.