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Application to Sell Food from a Temporary Premises

Print Blank Form

Application to sell food from a temporary food premises 

All fields are mandatory unless marked as 'optional' or 'if applicable'. This form must be submitted at least two weeks prior to the event.

Details of food premises

Location of event

Do you have the land owner's permission to operate at this site?

Type of temporary food premises:

Your selection may require you to add additional information below

Do you have public liability insurance?:

Your selection may require you to add additional information below

Applicant details

Applicant's name

Applicant's postal address

Applicant's contact details

Details of proposed food handling activity

Does the food require preparation or handling prior to the event?:
Your selection may require you to add additional information below

PLEASE NOTE

  • Preparation in residential kitchens is only permitted for one-off fund raising events where low risk or shelf stable food is prepared, eg. jams, biscuits.
  • Please contact the City’s Health Services for further information, if you propose to prepare other foods in a residential kitchen, or for more than one event.

Details of temporary food stall

Proposed stall type:
Your selection may require you to add additional information below

Fees and charges

For-Profit
The cost can be found on the Fees and Charges page.
Single event fee
Annual Fee

Not-for-Profit

There is no charge for the approval of community or charitable groups carrying out fundraising.

  • Submitting this application does not automatically result in an approval.
  • If granted - the approval will be emailed to the applicants.
  • If you do not receive your approval within two weeks, please contact the City’s Public Health Service on 08 9411 3589.

Please ensure that all the relevant areas of the form are completed.

Declaration

By submitting this form you declare that the above information to be true and correct.

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Contact

Address

City of Cockburn
Whadjuk Boodja
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaditj boodjar kep wer kaadidjiny kalyakool yoodaniny, wer koora wer yeyi ngalak Birdiya koota-djinanginy.

The City of Cockburn acknowledges the Nyungar people of Beeliar Boodjar. Long ago, now and in the future they care for Country.
We acknowledge a continuing connection to Land, Waters and Culture and pay our respects to Elders, past and present.