TEMPORARY FOOD ESTABLISHMENT LICENSE IS ONLY VALID FOR FOURTEEN (14) CONSECUTIVE DAYS IN CONJUN CTION WITH A SINGLE EVENT OR CELEBRATION HELD AT A FIXED LOCATION (Wyoming Food Safety Rule Chapter 1 Section 8
(clxx)). All foods must be from approved sources. Meats & poultry must be USDA approved. Foods shall be made on-site or at an approved commercial establishment. Foods shall not be prepared nor stored at home.
Draw in your signature.
Contact City Clerk’s Office and City Fire Department if function is within the city limits.
TEMPORARY FOOD SERVICE QUESTIONNAIRE
To upload form: Download and print Commissary Agreement Form(download link at bottom of page). Have Commissary Owner/Manager complete the form. Scan and upload completed form.
pdf file extension is preferred.
FOOD PREPARATION PRIOR TO THE EVENT
***Complete this section for any food handling that will be done BEFORE the event at a different location (i.e. an approved commissary).***
FOOD HANDLING AT THE EVENT
***Complete this section for food that will be cooked/prepped AT the event.***
***Food handlers shall minimize bare hand contact with all food through the use of suitable utensils such as deli tissue, spatulas, tongs, single-use gloves or dispensing equipment.***
COMMISSARY AGREEMENT FORM
This commissary agreement must be signed by the commissary owner or manager before you will be issued a temporary food service permit. Please submit this completed form along with your questionnaire and temporary food service application. This commissary agreement is only valid for the dates as agreed upon on this form and will be valid only for the current calendar year.