Restroom Agreement (Salt Lake City, Utah)
This is the official Restroom 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
- 23
- Last mapping review
- 2026-10-02
Official blank PDF from Salt Lake County Health Department, Food Protection Bureau ↗
What this form asks
- Food Establishment Business Name
- Food Establishment: Operating Address
- Food Establishment Owner (Print)
- Food Establishment Owner: Home Phone / Cell Phone
- Food Establishment Mailing Address, City, Zip
- Food Establishment: Business Phone
- Food Establishment Owner: Date Signed (date)
- Restroom Establishment Name
- Restroom Establishment Owner/Manager (Print)
- Restroom Address, City, Zip
- Restroom Establishment: Contact Phone
- Restroom Hours: From
- Restroom Hours: From (am or pm) (choose one)
- Restroom Hours: To
- Restroom Hours: To (am or pm) (choose one)
- Restroom Days: Monday (checkbox)
- Restroom Days: Tuesday (checkbox)
- Restroom Days: Wednesday (checkbox)
- Restroom Days: Thursday (checkbox)
- Restroom Days: Friday (checkbox)
- Restroom Days: Saturday (checkbox)
- Restroom Days: Sunday (checkbox)
- Restroom Owner/Manager of Establishment: 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
- Commissary Agreement Salt Lake County Health Department, Food Protection Bureau
- Reciprocal Mobile Food Truck/Trailer Business License Application Salt Lake City Business Licensing
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.