Mobile Approval By Reciprocity Checklist (Seattle, Washington)

This is the official Mobile Approval By Reciprocity Checklist from Public Health - Seattle & King County. 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: Public Health - Seattle & King County
Jurisdiction: Seattle, Washington
Type: Food truck and mobile vending permits
Questions: 246
Last mapping review: 2026-10-02

Official blank PDF from Public Health - Seattle & King County ↗

What this form asks

Mobile Unit's Name
Mobile Owner's Name
Mailing Address
Mailing Address: City
Mailing Address: Zip Code
Phone
Email
Required Item 1 (Submit online mobile reciprocity request): Included (checkbox)
Required Item 1 (Submit online mobile reciprocity request): Page Number
Required Item 2 (Current Operating Permit): Included (checkbox)
Required Item 2 (Current Operating Permit): Page Number
Required Item 3 (Plan Approval Letter): Included (checkbox)
Required Item 3 (Plan Approval Letter): Page Number
Required Item 4 (Most Recent Inspection Report): Included (checkbox)
Required Item 4 (Most Recent Inspection Report): Page Number
Required Item 5 (Approved Plans of Mobile): Included (checkbox)
Required Item 5 (Approved Plans of Mobile): Page Number
Required Item 6 (Commissary/Servicing Area Information): Included (checkbox)
Required Item 6 (Commissary/Servicing Area Information): Page Number
Required Item 7 (Menu): Included (checkbox)
Required Item 7 (Menu): Page Number
Required Item 8 (Food Preparation Steps): Included (checkbox)
Required Item 8 (Food Preparation Steps): Page Number
Required Item 9 (Site/Itinerary Information): Included (checkbox)
Required Item 9 (Site/Itinerary Information): Page Number
Required Item 10 (Use of Restroom Agreement within 500 feet): Included (checkbox)
Required Item 10 (Use of Restroom Agreement within 500 feet): Page Number
Optional Item (Photo(s) of Vehicle/Mobile Food Unit): Included (checkbox)
Optional Item (Photo(s) of Vehicle/Mobile Food Unit): Page Number
Optional Item (Equipment list/schedule): Included (checkbox)
Optional Item (Equipment list/schedule): Page Number
Optional Item (Operating procedures): Included (checkbox)
Optional Item (Operating procedures): Page Number
Date Signed (date)
Commissary Prep, Menu Item 1: Food
Commissary Prep, Menu Item 1: Thaw (checkbox)
Commissary Prep, Menu Item 1: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 1: Cook/Bake (checkbox)
Commissary Prep, Menu Item 1: Cool (checkbox)
Commissary Prep, Menu Item 1: Cold Holding (checkbox)
Commissary Prep, Menu Item 1: Reheat (checkbox)
Commissary Prep, Menu Item 1: Hot Holding (checkbox)
Commissary Prep, Menu Item 1: Portion/Package (checkbox)
Commissary Prep, Menu Item 1: Storage (checkbox)
Commissary Prep, Menu Item 2: Food
Commissary Prep, Menu Item 2: Thaw (checkbox)
Commissary Prep, Menu Item 2: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 2: Cook/Bake (checkbox)
Commissary Prep, Menu Item 2: Cool (checkbox)
Commissary Prep, Menu Item 2: Cold Holding (checkbox)
Commissary Prep, Menu Item 2: Reheat (checkbox)
Commissary Prep, Menu Item 2: Hot Holding (checkbox)
Commissary Prep, Menu Item 2: Portion/Package (checkbox)
Commissary Prep, Menu Item 2: Storage (checkbox)
Commissary Prep, Menu Item 3: Food
Commissary Prep, Menu Item 3: Thaw (checkbox)
Commissary Prep, Menu Item 3: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 3: Cook/Bake (checkbox)
Commissary Prep, Menu Item 3: Cool (checkbox)
Commissary Prep, Menu Item 3: Cold Holding (checkbox)
Commissary Prep, Menu Item 3: Reheat (checkbox)
Commissary Prep, Menu Item 3: Hot Holding (checkbox)
Commissary Prep, Menu Item 3: Portion/Package (checkbox)
Commissary Prep, Menu Item 3: Storage (checkbox)
Commissary Prep, Menu Item 4: Food
Commissary Prep, Menu Item 4: Thaw (checkbox)
Commissary Prep, Menu Item 4: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 4: Cook/Bake (checkbox)
Commissary Prep, Menu Item 4: Cool (checkbox)
Commissary Prep, Menu Item 4: Cold Holding (checkbox)
Commissary Prep, Menu Item 4: Reheat (checkbox)
Commissary Prep, Menu Item 4: Hot Holding (checkbox)
Commissary Prep, Menu Item 4: Portion/Package (checkbox)
Commissary Prep, Menu Item 4: Storage (checkbox)
Commissary Prep, Menu Item 5: Food
Commissary Prep, Menu Item 5: Thaw (checkbox)
Commissary Prep, Menu Item 5: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 5: Cook/Bake (checkbox)
Commissary Prep, Menu Item 5: Cool (checkbox)
Commissary Prep, Menu Item 5: Cold Holding (checkbox)
Commissary Prep, Menu Item 5: Reheat (checkbox)
Commissary Prep, Menu Item 5: Hot Holding (checkbox)
Commissary Prep, Menu Item 5: Portion/Package (checkbox)
Commissary Prep, Menu Item 5: Storage (checkbox)
Commissary Prep, Menu Item 6: Food
Commissary Prep, Menu Item 6: Thaw (checkbox)
Commissary Prep, Menu Item 6: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 6: Cook/Bake (checkbox)
Commissary Prep, Menu Item 6: Cool (checkbox)
Commissary Prep, Menu Item 6: Cold Holding (checkbox)
Commissary Prep, Menu Item 6: Reheat (checkbox)
Commissary Prep, Menu Item 6: Hot Holding (checkbox)
Commissary Prep, Menu Item 6: Portion/Package (checkbox)
Commissary Prep, Menu Item 6: Storage (checkbox)
Commissary Prep, Menu Item 7: Food
Commissary Prep, Menu Item 7: Thaw (checkbox)
Commissary Prep, Menu Item 7: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 7: Cook/Bake (checkbox)
Commissary Prep, Menu Item 7: Cool (checkbox)
Commissary Prep, Menu Item 7: Cold Holding (checkbox)
Commissary Prep, Menu Item 7: Reheat (checkbox)
Commissary Prep, Menu Item 7: Hot Holding (checkbox)
Commissary Prep, Menu Item 7: Portion/Package (checkbox)
Commissary Prep, Menu Item 7: Storage (checkbox)
Commissary Prep, Menu Item 8: Food
Commissary Prep, Menu Item 8: Thaw (checkbox)
Commissary Prep, Menu Item 8: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 8: Cook/Bake (checkbox)
Commissary Prep, Menu Item 8: Cool (checkbox)
Commissary Prep, Menu Item 8: Cold Holding (checkbox)
Commissary Prep, Menu Item 8: Reheat (checkbox)
Commissary Prep, Menu Item 8: Hot Holding (checkbox)
Commissary Prep, Menu Item 8: Portion/Package (checkbox)
Commissary Prep, Menu Item 8: Storage (checkbox)
Commissary Prep, Menu Item 9: Food
Commissary Prep, Menu Item 9: Thaw (checkbox)
Commissary Prep, Menu Item 9: Cut/Assemble (checkbox)
Commissary Prep, Menu Item 9: Cook/Bake (checkbox)
Commissary Prep, Menu Item 9: Cool (checkbox)
Commissary Prep, Menu Item 9: Cold Holding (checkbox)

…and 126 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 Public Health - Seattle & King County.

Other Seattle forms

Use of Commissary / Shared Kitchen Agreement Public Health - Seattle & King County
Insignia Application for Food Trucks and Concession Trailers That Do Not Require Plans (F623-040-000) Washington State Department of Labor and Industries, Factory Assembled Structures
Mobile Food Unit Operational Questionnaire (Appendix J) Public Health - Seattle & King County
Mobile Food Unit Contact Information for Route or Site Location Public Health - Seattle & King County
Seattle Fire Department Permit Application, Code 8206 LPG (Propane), CNG, and/or Solid Fuel/Open Flame/Charcoal Used for Food Trucks, Food Booths or Heating, Annual Seattle Fire Department, Fire Prevention Division
Use of Restroom Agreement Form Public Health - Seattle & King County
2026 Application for Business License Tax Certificate City of Seattle License and Tax Administration

Food truck and mobile vending permits in other places

Frequently asked questions

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