Detroit Health Department: Special Transitory Food and Mobile Notice and Request Form

Detroit Health Department:

Special Transitory Food and Mobile

Notice and Request Form

Please use this form to submit a Notice of Intent to Operate a Special Transitory Food Unit (STFU) and Mobile Unit to the Detroit Health Department.

Business/Organization Information

Name of Business/Organization *

This is the name you file taxes under for this unit. (e.g. John Smith LLC)

Name of Food Unit*

This is the name on the side of your unit (e.g. food truck, trailer, hot dog cart, etc.)

What is the licensing Health Department?*

If the licensing Health Department is not one of the values below, please type it in.

Select or enter value

What is the license number for this food unit?*

Your license number starts with SST or SMF. If license is pending, please note here

Operator's First and Last Name*

Phone Number*

Phone

E-Mail Address*

Preferred Method of Communication*

Select all that apply

Phone

Text

Business/Organization Street Address*

Business/Organization City*

Business/Organization Zip Code*

Event & Site Information

It is required that you notify the local health department of your location and how long you will be there.

Event? *

Yes

What is the name of the event?*

Start Date*

End Date*

What are the hours of operation?*

(ex: 12:00 p.m. - 5:00 p.m.)

What is the name of the site where the food service will take place?*

E.g. Hart Plaza

What is the full address of the site where the food service is taking place?*

Please note if you do not have the full address, please provide the crossroads of the operation site.

Are you requesting a paid inspection?*

Yes

Preferred Inspection Date*

Inspection must be requested at least 4 calendar days in advance and it must be between your start and end date.

To receive an email verification that your form was submitted, please check the box below and enter your email address.

Our Environmental Health and Safety Division staff will contact you if we need more information, or if you have requested a paid inspection. If you have questions or concerns, please contact johnsonse@detroitmi.gov or 313-876-0135.

As a reminder, Michigan's Food Law (Act92 of 2000, as amended) requires all STFU license holders to do the following:

Follow Approved menu and Standard Operating Procedures (SOP's). Menu and SOP's must be with the STFU at all times of operation. Any menu additions or SOP changes must be approved before going into effect.

Notify the local health department (LHD) that you are operating. At least 4 business days before operating, notify the LHD for the jurisdiction of your location, date(s), and hours of operation.

Request and receive 2 inspections each licensing year. Inspections must be requested at least 4 business days in advance. The inspections must be spaced out over the operating season and must take place while the STFU is in operation. Inspections cost $90/each and can be completed by any LHD in Michigan. Within 30 days after an inspection, you must send a copy of the inspection report to your licensing LHD.

Renew your license each year. Your food service license expires every year on April 30th. A renewal application will be mailed to you. You must have two paid inspections each year to be eligible for license renewal.

As a reminder, Michigan's Food Law (Act92 of 2000, as amended) requires all Mobile license holders to do the following:

Notify the local health department (LHD) that you are operating. If a mobile food establishment is operating at/on a regularly scheduled location/route, the director may require the license holder to disclose the location/route and every time the location/route changes.

Follow Approved menu and Standard Operating Procedures (SOP's). Menu and SOP's must be with the Mobile at all times of operation. Any menu additions or SOP changes must be approved before going into effect.

Maintain license and decals on the unit. Your license must be display inside the unit where customers can see it and decals must be displayed outside on the unit.

Document Upload

If you have any documents to upload, such as copies of your inspection report, food service license, etc. please attach here.

Drag and drop files here or

Send me a copy of my responses

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