Campus Operations Bldg., Rm 112  777Glades Rd Boca Raton, FL 33431  P: (561) 297-3129 F: (561) 297-2210 E: ehs@fau.edu

FAU TEMPORARY FOOD SERVICE EVENT PERMIT APPLICATION A permit is required for all events serving food to the public (faculty, staff, student body, visitors) on FAU campuses For questions or assistance, please contact EH&S

Name of Event:		Date(s) of Event:
Department or Organization for Event:		Time of Event:
Name of Organization/Sponsor:
Phone:	Fax:	Email:
Description of Event:
Location of Event:
List Food or Menu served at the event:
Drinks served at the event:
Caterer(s) for the Event:
Food Service Vendors for Event  (i.e. Grocery stores, Deli, Convenience Stores, Bakery, Pizzeria)
Caterer/Vendor's Food Service Permit #:	(Please provide copy of Food Service Permit)
Caterer/Vendor's Indemnity Insurance Provider:
	(Please provide copy of Liability Insurance Certificate if food provider is serving food at the event)
Names of food servers if caterer/vendor is not serving food:
List items to be used to keep food safe and at the appropriate tempuratures: (i.e. sneeze guards, chafing dishes, cooler)

Upon submitting this form, the event organizer/sponsor certifies that he/she has read and understands the FAU policy and procedures on food safety, will or has obtained the appropriate training, and will ensure that all people involved with the event will comply with the applicable rules. Click the "Submit" button below to send the application to EH&S.