Get Temporary Food Permit Hawaii Template Access Temporary Food Permit Hawaii Editor

Get Temporary Food Permit Hawaii Template

The Temporary Food Permit Hawaii form is a required document for organizations, establishments, or individuals planning to distribute or sell food to the public at events on a temporary basis, not exceeding 20 dates within a 120-day period. It is issued by the Sanitation Branch of the State of Hawaii Department of Health, ensuring compliance with sanitary requirements. To start the process of obtaining this essential permit and ensuring your event meets all health standards, click the button below to fill out the form.

Access Temporary Food Permit Hawaii Editor
Overview

In Hawaii, ensuring food safety during temporary events is a significant focus for both organizers and the Department of Health. The Temporary Food Establishment Permit application process plays a crucial role in this, providing a structured framework for entities aiming to serve food on a temporary basis. Organizations or establishments planning to operate at events, such as the Whale Day Celebration, must navigate through detailed requirements presented in the Temporary Food Permit Hawaii form, including providing specific information about the organization, event location, and contacts, as well as the date and time of the event. The permit mandates the use of an approved kitchen for food preparations, underscoring the commitment to high sanitary standards to prevent foodborne illnesses. Furthermore, the application outlines the necessity for a comprehensive list of food items to be served, ensuring items remain within safe temperature ranges, alongside a non-refundable fee submission and a schematic plan of the operation. The stipulation that no home-prepared foods are permitted reflects a stringent adherence to safety protocols. The Sanitation Branch, empowered to deny or revoke permits for non-compliance with sanitary requirements, emphasizes the seriousness with which these regulations are enforced. Designed to be straightforward yet thorough, the permit application encapsulates the state's dedication to public health and safety at temporary food establishments.

Example - Temporary Food Permit Hawaii Form

SANITATION BRANCH

 

 

 

 

 

 

 

 

 

 

 

STATE OF HAWAII

54 HIGH STREET, ROOM 300

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF HEALTH

WAILUKU, HAWAII 96793

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER: (808) 984-8230 FAX: (808) 984-8237

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FOR TEMPORARY FOOD ESTABLISHMENT PERMIT

 

 

 

 

 

(Please type or print in black or blue ink)

 

 

 

 

(A)

NAME OF ORGANIZATION OR ESTABLISHMENT

 

(B)

LOCATION OR ADDRESS OF EVENT (ONLY ONE) Whale Day Celebration

 

 

 

 

 

 

 

 

 

Kalama Park: 1900 S. Kihei Road, Kihei, HI 96753

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(C)

CONTACT PERSON

 

 

 

(D)

CONTACT PERSON PHONE #

FAX PHONE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY

 

(E) DATE OF EVENT

(F) TIME OF EVENT

 

DAY

(E) DATE OF EVENT

 

(F) TIME OF EVENT

1.

 

 

2/21/2009

9:00 a.m. - 5:30 p.m.

11.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

13.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

14.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

15.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

16.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

17.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

18.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

19.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

 

 

 

 

 

 

20.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(G) NAME OF APPROVED KITCHEN (COMMISSARY)

(H) STREET ADDRESS OF KITCHEN

 

 

(I) PERMIT NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

KITCHEN USE AUTHORIZED BY: (J) (OR ATTACH LETTER OF AUTHORIZATION)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(K) SIGNATURE OF AUTHORIZED PERSON

 

 

 

 

 

 

(L) KITCHEN PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(M) PRINT NAME OF AUTHORIZED PERSON

 

 

 

 

 

 

(N) TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(O)

LIST FOOD ITEMS. NO HOME PREPARED FOOD.

REMINDER: KEEP HOT FOOD ABOVE 140° F. KEEP COLD FOOD BELOW 45 °F.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CONTINUE FOOD ITEMS ON A SEPARATE PAPER IF NEEDED)

(P) ATTACH: SITE PLAN – INCLUDE HAND WASHING FACILITIES, BOOTH LAYOUT

The Sanitation Branch, Department of Health reserves the right to deny your Temporary Food Establishment Permit or revoke the permit for failure to comply with the sanitary requirements of Hawaii Administrative Rules, Title 11, Department of Health, Chapter 12, Food Establishment Sanitation. The permit applicant may be required to submit a complete menu and schematic plan of the proposed operation.

THIS PERMIT IS ONLY VALID FOR TWENTY (20) DATES IN ANY 120 DAY PERIOD

 

(Q) DATE

(R) SIGNATURE OF APPLICANT

 

 

 

 

 

 

(S) TITLE

(T) PRINT NAME OF APPLICANT

FEE $25.00 NON REFUNDABLE

SUBMIT APPLICATION AND FEE AT LEAST TEN WORKING DAYS PRIOR TO EVENT

MAKE CHECKS PAYABLE TO:

STATE OF HAWAII

(BANK ACCOUNT NAME AND ADDRESS MUST BE ON THE CHECK)

SUBMIT COMPLETED APPLICATION AND FEE TO:

 

SANITATION BRANCH

 

 

 

 

 

54 HIGH STREET, RM. 300

 

 

 

 

 

WAILUKU, HI 96793

THERE WILL BE A SERVICE FEE OF $25.00 FOR ANY CHECK DISHONORED BY THE BANK.

APPROVED:

DATE

SIGNATURE OF AGENT/DEPARTMENT OF HEALTH

R.S. LIC. NO.

Department of Health Seal

 

SECTION BELOW FOR OFFICIAL HEALTH DEPARTMENT USE ONLY

 

FEE

$25.00

DATE PAID

METHOD OF PAYMENT

RECEIPT NO.

RECEIVED BY

SAN APP TFE MAUI 11/07

INSTRUCTIONS FOR

TEMPORARY FOOD PERMIT APPLICATIONS

All establishments, organizations, or individuals distributing or selling food to the public for a limited period of time (not exceeding 20 dates within a 120 day period) are required to submit a Temporary Food Establishment Permit Application to the Department of Health, Sanitation Branch. Applications will not be processed if the form is incomplete.

Applications and $25.00 fee should be submitted at least ten (10) working days prior to event.

All exemptions will be decided by the Department of Health Sanitation Branch.

Approved permit may be picked-up OR faxed OR mailed to you (include a self-addressed, stamped envelope with the application).

A.NAME OF ORGANIZATION OR ESTABLISHMENT: Name of organization or establishment administering the food operation. Each permit applies to one (1) organization or establishment only.

B.LOCATION OR ADDRESS OF EVENT: Site of food distribution. Each permit applies to one (1) location.

C.CONTACT PERSON: Name of person(s) representing the organization or establishment.

D.CONTACT PHONE OR FAX NUMBER: Phone number of person(s) representing the organization or establishment.

E.DATE OF EVENT: One date per line (Maximum of 20 dates within a 120 day period, starting from the date of the first event).

F.TIME OF EVENT: Start to end time of event.

G.NAME OF APPROVED KITCHEN (COMMISSARY): Name of approved commercial kitchen (commissary) where food preparation, food storage, utensil washing, etc. will be done.

The proposed approved kitchen (commissary) must still be approved by the Department of Health for the temporary food event. Home kitchens are not acceptable for use.

H.STREET ADDRESS OF KITCHEN: Street address of approved commercial kitchen (commissary) where food preparation, food storage, utensil washing, etc. will be done.

I.PERMIT NO.*: Permit number of the approved commercial kitchen (commissary) where food preparation, food storage, utensil washing, etc. will be done.

*Permit number issued by the State Department of Health.

J.(OR ATTACH LETTER OF AUTHORIZATION): Instead of having the Authorized Person sign the application, a letter of authorization from the person in charge of the kitchen may be submitted which must include information G, H, I, K, L, M, and N.

K.SIGNATURE OF AUTHORIZED PERSON: Signature of person giving permission to use the approved commercial kitchen (commissary).

L.KITCHEN PHONE NUMBER: Phone number of approved commercial kitchen (commissary).

M.PRINT NAME OF AUTHORIZED PERSON: Print name of “(K) Signature of Authorized Person.”

N.TITLE: Title of “(K) Signature of Authorized Person.”

O.LIST OF FOOD ITEMS: All food and drink items being sold or distributed at the event (in the case of “BBQ” chicken sales, include the number of pieces of half or whole chickens to be sold).

P.SITE PLAN, BOOTH LAYOUT: On a separate paper draw a site plan and indicate the booth where food will be distributed including handwashing facilities, warmers, burners, cookers, etc.

Q.DATE: Date submitting application.

R.SIGNATURE OF APPLICANT: (Applicant and contact person need not be the same person).

S.TITLE: Title of “(R) Signature of Applicant.”

T.PRINT NAME OF APPLICANT: Print name of “(R) Signature of Applicant.”

Document Information

Fact Detail
Governing Law Hawaii Administrative Rules, Title 11, Department of Health, Chapter 12, Food Establishment Sanitation.
Permit Validity Valid for twenty (20) dates within any 120-day period.
Application Deadline At least ten (10) working days prior to the event.
Application Fee $25.00 (non-refundable).
Payment Details Checks payable to State of Hawaii, with a $25 service fee for dishonored checks.
Approved Kitchen Requirement Food preparation must occur in an approved commercial kitchen or commissary; home kitchens are not acceptable.
Food Safety Guidelines Hot food must be kept above 140°F and cold food below 45°F.

Guide to Writing Temporary Food Permit Hawaii

When planning to distribute or sell food at public events in Hawaii, securing a Temporary Food Establishment Permit from the Department of Health, Sanitation Branch, is essential. This permit assures compliance with hygiene and safety standards crucial for public health. Timing is key; the application and the non-refundable $25 fee must be submitted at least ten working days before the event. Remember, this permit covers only one organization and one event location per application and is valid for up to 20 dates within a 120-day period, providing flexibility for multiple event planning.

To successfully complete the Temporary Food Permit Hawaii form, follow these outlined steps:

  1. Provide the Name of Organization or Establishment in section (A).
  2. Enter the Location or Address of Event in section (B). Remember, only one location per form.
  3. Fill in the Contact Person's name in section (C), ensuring there is someone readily available for communication.
  4. Include the Contact Person Phone # and if available, a Fax Phone # in section (D).
  5. List each Date of Event in section (E), adhering to the limit of 20 dates within 120 days.
  6. Specify the Time of Event in section (F), from start to end for each date listed.
  7. Identify the Name of Approved Kitchen (Commissary) in section (G). Home kitchens are not permitted.
  8. Provide the Street Address of Kitchen in section (H), detailing where food preparation and storage will occur.
  9. Enter the Permit No. of the kitchen in section (I), if available.
  10. If a letter of authorization is used, mention this in section (J), ensuring all required details are covered in the letter.
  11. The Signature of Authorized Person from the kitchen should be added in section (K).
  12. Include the Kitchen Phone Number in section (L) for contact purposes.
  13. Print the authorized person's name in section (M) as mentioned in the authorization letter or section (K).
  14. Fill in the Title of the authorized person in section (N).
  15. List all Food Items to be sold or distributed at the event in section (O), avoiding home-prepared foods.
  16. Attach a Site Plan including booth layout and hand washing facilities as required in section (P).
  17. Date the application in section (Q).
  18. Signature of the applicant is required in section (R).
  19. Specify the Title of the applicant in section (S).
  20. Finally, print the name of the applicant in section (T).

Upon completion and submission of the form with the applicable fee, the permit applicant should anticipate feedback from the Sanitation Branch. Upon approval, the permit can be picked up, faxed, or mailed. For mailed permits, remember to include a self-addressed, stamped envelope with the application. Compliance is monitored closely, and adherence to the rules ensures a seamless and safe event execution.

Frequently Asked Questions

  1. What is the purpose of the Temporary Food Establishment Permit in Hawaii?

    The Temporary Food Establishment Permit serves organizations or individuals intending to distribute or sell food to the public for a limited period. Specifically, this permit is necessary for events not exceeding 20 dates within a 120-day period. Its primary purpose is to ensure that all food distributed or sold at temporary events complies with the sanitary requirements of Hawaii Administrative Rules, Title 11, Department of Health, Chapter 12, thereby safeguarding public health.

  2. How should one apply for this permit, and when is the deadline?

    To apply for the Temporary Food Establishment Permit, one should submit a completed application form along with a non-refundable fee of $25.00 to the Sanitation Branch of the Department of Health. It is crucial to fill out the form using black or blue ink and provide all requested details to avoid processing delays. The application and fee must be submitted at least ten (10) working days prior to the event. Failure to comply with this timeframe may result in the inability to obtain the permit in time for the event.

  3. What requirements must be met concerning the kitchen used for food preparation?

    The Temporary Food Establishment Permit mandates the use of an approved commercial kitchen (commissary) for food preparation, storage, and utensil washing. Home kitchens are strictly prohibited. The kitchen used must have a valid permit number issued by the State Department of Health. An applicant may also need to attach a letter of authorization from the person in charge of the kitchen, detailing its suitability and compliance with health standards.

  4. What information is essential when listing food items and designing the site plan?

    • All food and drink items intended for sale or distribution must be listed, with detailed descriptions when necessary (e.g., specifying the number of pieces in BBQ chicken sales).

    • A detailed site plan and booth layout must be provided on a separate paper. This plan should include the location of handwashing facilities, warmers, burners, cookers, and any other equipment used in the food distribution process. This requirement aims to ensure the event's setup meets health and safety standards.

Common mistakes

  1. Not using the required ink colors: Applications must be completed using black or blue ink. Using other colors can lead to the application not being processed properly.

  2. Omitting the permit number of the approved kitchen: The permit number for the approved kitchen (commissary) where food preparation will occur is vital. Failure to include this permit number can result in delays or the denial of the permit application.

  3. Providing incomplete or unclear list of food items: It's important to list all food and drink items being sold or distributed clearly. Ambiguities or omissions in the list of food items section can lead to misunderstandings regarding the scope of the food service, affecting the approval process.

  4. Forgetting to attach the required documentation: The application requires the attachment of a site plan including booth layout and handwashing facilities. Failing to attach these documents can result in an incomplete application, which will not be processed.

  5. Ignoring the submission timeframe: Applications along with the fee must be submitted at least ten (10) working days prior to the event. Late submissions can lead to the application not being processed in time for the event.

Ensuring all information is provided accurately and submitted on time can significantly ease the application process for a Temporary Food Establishment Permit in Hawaii.

Documents used along the form

When managing food-related events in Hawaii, obtaining a Temporary Food Establishment Permit is a crucial step. However, to ensure compliance with health and safety standards, there are several other forms and documents that you might need to complete the application process. These documents support the application by providing detailed information on various aspects of the event, further ensuring the health department that all necessary guidelines are adhered to.

  • Commissary Authorization Letter: This document is essential if the applicant will be utilizing a commercial kitchen (commissary) for food preparation, storage, or utensil washing. It includes details such as the kitchen’s address, permit number, and authorization from the kitchen’s operator allowing the applicant to use the facility.
  • Menu and Food Supply List: A comprehensive list of all food items to be offered at the event, including suppliers and storage methods. This helps in assessing the safety and suitability of food handling and storage facilities.
  • Event Site Map: A detailed diagram showing the layout of the event site, including the location of food booths, handwashing stations, and restroom facilities. This ensures adequate sanitation facilities are available for both vendors and attendees.
  • Waste Disposal Plan: This document outlines how waste, including food scraps and packaging materials, will be managed and disposed of during and after the event. It ensures that health and environmental standards are maintained.
  • Proof of Liability Insurance: Some events may require proof of liability insurance to cover potential health risks or accidents related to food service. This document provides assurance that any issues can be financially covered.

Together with the Temporary Food Establishment Permit, these documents create a comprehensive package, helping event organizers ensure public safety and compliance with local health regulations. Each document plays a significant role in demonstrating the event's readiness to meet the stringent requirements set by the health department, ensuring a safe and enjoyable environment for all attendees.

Similar forms

The Temporary Food Permit Hawaii form is similar to other permits and applications required for food service operations, each designed to ensure public health and safety by enforcing standards and regulations specific to their respective states or functions. The nuances in these documents highlight the tailored approach each takes to address the unique needs of their intended operations, yet some underlying similarities can be drawn, especially in the structures related to application processes, regulatory compliance, and operational details.

Mobile Food Vendor License Application:
The Temporary Food Permit Hawaii form shares similarities with Mobile Food Vendor License applications found in many jurisdictions. Both require detailed information about the event, including the location, the dates and times of operation, and contact information for the organizers. Furthermore, they necessitate details about the food preparation facilities used, including the address and permit number of a commercial kitchen, aligning with health and safety regulations that minimize foodborne illness risks. The emphasis on providing a site plan, including details like handwashing facilities and booth layout, is also a common criterion. This parallel ensures that food service providers, whether on a temporary or mobile basis, adhere to strict sanitary conditions to protect public health.

Event Health Permit:
Similarly, Event Health Permits, required for larger public gatherings and events, bear resemblance to the Temporary Food Permit Hawaii form in several aspects. Both documents are prerequisites for selling or serving food to the public and necessitate comprehensive information about the food service operation. This includes a list of food items, identification of an approved preparation facility, and contact details of the person responsible. Moreover, the requirement to submit applications well in advance of the event date underscores the importance of pre-event planning and compliance checks by the respective health departments. These permits play crucial roles in ensuring food service at events is conducted in accordance with local health regulations and standards, safeguarding attendees.

Special Event Food Vendor Permit:
Another document, the Special Event Food Vendor Permit, also shares similarities with Hawaii's Temporary Food Permit form. This permit typically required for vendors participating in festivals, markets, or special events, demands detailed information on food preparation and safety measures, much like the Hawaii form. Applicants must outline the source of their food items, describe the method of holding foods at safe temperatures, and provide a diagram of the vending setup, indicating crucial elements such as food storage and waste disposal areas. By doing so, both documents facilitate a comprehensive review by health officials to ensure that food vendors meet the necessary sanitary standards, ultimately protecting public health at such gatherings.

Dos and Don'ts

When completing the Temporary Food Permit application for an event in Hawaii, making sure everything is submitted correctly and completely is crucial. Below are 10 essential dos and don'ts to guide you through the process:

  • Do type or print clearly in black or blue ink to ensure all information is readable.
  • Do provide the full name of the organization or establishment as requested in section A.
  • Do accurately list the location or address of the event, as each permit is only valid for one specific location.
  • Do include a reliable contact person's name and phone number to facilitate communication between your organization and the Sanitation Branch.
  • Do describe all food items accurately in section O, and remember to specify that no home-prepared foods will be used.
  • Do not leave any sections incomplete; an incomplete application cannot be processed.
  • Do attach a detailed site plan and booth layout as required in section P, including hand washing facilities and other important details.
  • Do not forget to sign and date the application in sections Q and R to validate the submission.
  • Do submit the application and the $25.00 fee at least ten working days prior to the event to ensure approval in time.
  • Do not ignore the requirement for a permit number (section I) for the approved kitchen (commissary); this is crucial for verifying your compliance with health standards.

By following these guidelines, you can help ensure a smooth approval process for your Temporary Food Establishment Permit in Hawaii. Remember, the key to successfully obtaining a permit lies in providing complete, accurate, and clear information throughout the application.

Misconceptions

When it comes to obtaining a Temporary Food Establishment Permit in Hawaii, there are several misconceptions that can confuse applicants. Let's clear up some of these common misunderstandings.

  • Home Kitchens are Allowed for Food Preparation: This is a misconception. The application clearly states that no home-prepared food is allowed. All food preparation, storage, and utensil washing must occur in an approved commercial kitchen or commissary. This ensures that all food served to the public meets health and safety standards.
  • The Permit Covers Multiple Locations: Each Temporary Food Establishment Permit is specific to one location. If the same event is happening in multiple places, separate applications are required for each site. This misconception may stem from the convenience of having one central organization, but regulations focus on the specifics of each event's location to ensure proper health oversight.
  • One Permit is Enough for The Whole Year: The permit's validity is actually quite limited. It is only valid for twenty (20) dates within any 120-day period. This restriction is in place to maintain the temporary nature of the food establishment's operation. Some may mistakenly believe they can apply once and be covered for all events in a year, but in reality, they need to carefully plan and apply for permits according to their event schedules.
  • There's No Need to Submit a Menu or Site Plan Unless Asked: This is not true. The instructions explicitly request a complete menu and a schematic plan of the proposed operation be submitted with the application. The requirement for these documents allows the health department to assess the safety and logistics of the event's food service setup beforehand. Not providing this information can delay the approval process.

Understanding these key points ensures that applicants are better prepared for the application process, leading to a smoother approval journey and ultimately contributing to the health and safety of event patrons.

Key takeaways

Filling out and using the Temporary Food Permit in Hawaii requires careful attention to detail and compliance with specific health and safety regulations. Here are 10 key takeaways to ensure a smooth application process and successful event:

  1. Organizations, establishments, or individuals must submit a Temporary Food Establishment Permit Application to the Hawaii Department of Health's Sanitation Branch if they plan to distribute or sell food to the public on a temporary basis, not exceeding 20 dates within a 120-day period.
  2. The application, along with a non-refundable fee of $25.00, should be submitted at least ten working days before the planned event to ensure adequate processing time.
  3. Applicants are required to use an approved commercial kitchen (commissary) for food preparation, storage, and utensil washing. Home kitchens are not permitted for these activities.
  4. A complete and accurate site plan, including booth layout and hand washing facilities, must be attached to the application to give the Health Department a clear understanding of the event setup.
  5. The application form should be filled out using black or blue ink, and all sections of the form must be completed to avoid delays in processing.
  6. The menu and a schematic plan of the operation may be requested by the Sanitation Branch, highlighting the importance of being prepared to provide detailed information about the food service operation.
  7. No home-prepared foods are allowed to be sold or distributed at the event. The permit application should include a comprehensive list of all food items, including specifics where necessary, such as the number of pieces in BBQ chicken sales.
  8. It is crucial to adhere to health guidelines for food safety, keeping hot foods above 140°F and cold foods below 45°F, to prevent foodborne illnesses.
  9. The permit, once approved, is only valid for twenty dates within any 120-day period, emphasizing the temporary nature of these food service operations.
  10. The Health Department reserves the right to deny or revoke a permit if the applicant fails to comply with the sanitary requirements outlined in Hawaii Administrative Rules, Title 11, Department of Health, Chapter 12.

By taking these key points into consideration, applicants can navigate the permitting process more effectively, helping to ensure that their temporary food service operation is both successful and compliant with state health regulations.

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