Fill in Your Florida Commissary Letter Of Agreement Form Access Form Now

Fill in Your Florida Commissary Letter Of Agreement Form

The Florida Commissary Letter of Agreement form is a crucial document for mobile food establishments and self-vending ice units. It must be completed and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of the permit application process. To ensure compliance and facilitate inspections, fill out the form by clicking the button below.

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The Florida Commissary Letter of Agreement form is a crucial document for mobile food establishments and self-vending ice units seeking to operate within the state. This form must be completed and presented to the Florida Department of Agriculture and Consumer Services (FDACS) inspector during the permit application process. It serves as a formal agreement between the mobile food vendor and the designated commissary, outlining essential information such as the owner’s details, the primary commissary's name and address, and various operational activities permitted at the commissary. Key sections require the owner to certify the accuracy of the information provided, ensuring that permit approval is contingent upon verification of an approved commissary. Additionally, the form includes a checklist for activities that may take place at the commissary, such as food storage, dishwashing, and wastewater disposal. By signing this agreement, the commissary owner grants FDACS inspectors the right to evaluate the facilities during normal business hours, emphasizing the importance of compliance with health and safety regulations. Understanding the significance of this form is vital for anyone looking to navigate the complexities of operating a mobile food business in Florida.

Form Sample

Florida Department of Agriculture and Consumer Services

Division of Food Safety

COMMISSARY LETTER OF AGREEMENT

Bureau of Food and Meat Inspection 3125 Conner Boulevard C-26 Tallahassee, FL 32399-1620 (850) 245-5520

ADAM H. PUTNAM

COMMISSIONER

This form is to be filled out and given to the FDACS inspector in the field and submitted as part of a mobile food establishment permit application or with a package ice plant self-vending permit application that requires a commissary.

SECTION 1– MOBILE FOOD ESTABLISHMENT (MFE) OR SELF VENDING ICE UNIT (SVIU) INFORMATION

 

 

Owner Name

 

 

 

 

 

 

 

 

 

Phone Number (include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Mailing Address

 

 

 

 

 

 

 

Permit Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

Zip Code (+4 optional)

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify the provided information is correct and understand permit approval is contingent upon verification of an approved commissary.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name (Owner of MFE or SVIU)

 

 

 

 

Signature (Owner of MFE or SVIU)

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 2 – PRIMARY COMMISSARY INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary Commissary Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commissary Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

Zip Code (+4 optional)

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary Phone Number (include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commissary License/Permit Number

 

 

Primary E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Licensed By

 

Department of Agriculture & Consumer

 

Department of Business and

 

Department of Health

 

None

 

 

(check one)

 

Services

 

 

 

Professional Regulation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water Supply of Primary

 

Municipal/Utility

 

Supplier Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commissary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On-site Well

 

 

Permit Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Municipal/Utility

 

Supplier Name

 

 

 

 

 

 

 

Wastewater Disposal of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Septic Tank System

 

Permit Number

 

 

 

 

 

 

 

Primary Commissary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Package Plant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I intend to provide the following activities at this commissary:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dish or equipment washing

 

Yes

No

 

 

Storing of food and dry goods (room temperature)

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dumping wastewater

 

 

 

Yes

No

 

 

Cold Storage of food (including ice and drinks)

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Receiving potable water

 

Yes

No

 

 

Cooking and/or reheating food

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Washing the outside of the vehicle

 

Yes

No

 

 

Three compartment sink

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restroom facilities

 

 

 

Yes

No

 

 

Other (Describe below)

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe other activities here:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signing this document will allow FDACS Food Inspectors entry to my business during normal hours of operation for evaluation of facilities.

 

 

 

 

 

 

 

 

 

 

 

 

Print Name (of Person in Charge of Commissary)

 

 

Signature (of Person in Charge of Commissary)

 

Date

 

 

 

 

 

 

 

 

 

 

 

Are additional commissaries used?

Yes

No

If yes use as many pages as needed.

 

 

 

 

 

FDACS-14223 Rev. 10/15

 

 

 

 

 

 

 

 

 

 

 

 

Page 1 of 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

File Details

Fact Name Description
Purpose This form is required for mobile food establishments and self-vending ice units to apply for permits.
Submission The completed form must be given to the FDACS inspector and submitted with the permit application.
Governing Law The form is governed by the regulations set forth by the Florida Department of Agriculture and Consumer Services.
Verification Permit approval depends on the verification of an approved commissary by the FDACS.

Detailed Instructions for Writing Florida Commissary Letter Of Agreement

Completing the Florida Commissary Letter Of Agreement form is an essential step in the process of obtaining a mobile food establishment or self-vending ice unit permit. This form needs to be filled out accurately and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) inspector, either in the field or as part of your application package. Follow these steps to ensure that you provide all necessary information correctly.

  1. Gather Required Information: Before you start filling out the form, collect all necessary information, including your details and those of your commissary.
  2. Fill Out Section 1: Enter the following details for the mobile food establishment or self-vending ice unit:
    • Owner Name
    • Phone Number (including area code)
    • Owner Mailing Address
    • Permit Number
    • City
    • Zip Code (optional +4)
    • County
  3. Certification: Sign and date the form to certify that the provided information is correct.
  4. Complete Section 2: Fill in the primary commissary information, including:
    • Primary Commissary Name
    • Commissary Address
    • City
    • Zip Code (optional +4)
    • County
    • Primary Phone Number (including area code)
    • Commissary License/Permit Number
    • Primary E-Mail Address
  5. Select Licensing Authority: Indicate the licensing authority by checking the appropriate box (Department of Agriculture & Consumer Services, Department of Business and Professional Regulation, Department of Health, or None).
  6. Provide Water Supply Information: Fill in the name of the primary municipal/utility supplier and any necessary permit numbers.
  7. Detail Wastewater Disposal: Indicate the type of wastewater disposal system and provide the relevant permit number.
  8. List Activities: Check "Yes" or "No" for each activity you intend to provide at the commissary, including dishwashing, food storage, and restroom facilities.
  9. Describe Other Activities: If you have additional activities not listed, describe them in the provided space.
  10. Sign Section 2: The person in charge of the commissary should print their name, sign, and date the form.
  11. Additional Commissaries: If you use more than one commissary, indicate "Yes" and attach additional pages as needed.

After completing the form, review it carefully to ensure all information is accurate and complete. Once verified, submit the form to the FDACS inspector as required. This will help facilitate the next steps in your permit application process.

Essential Questions on Florida Commissary Letter Of Agreement

What is the Florida Commissary Letter of Agreement form?

The Florida Commissary Letter of Agreement form is a document required for mobile food establishments and self-vending ice units. It must be filled out and submitted as part of a permit application to the Florida Department of Agriculture and Consumer Services (FDACS).

Who needs to fill out this form?

This form is necessary for owners of mobile food establishments (MFE) or self-vending ice units (SVIU) who are applying for a permit. It ensures that the establishment has access to an approved commissary for necessary operations.

Where do I submit the form?

The completed form should be given to the FDACS inspector during an inspection in the field. It must also be included with your mobile food establishment or package ice plant self-vending permit application.

What information is required on the form?

The form requires several details, including:

  • Owner's name and contact information
  • Permit number
  • Primary commissary name and address
  • Commissary license or permit number
  • Activities to be conducted at the commissary

What activities can be performed at the commissary?

Activities that can be conducted at the commissary include:

  1. Dish or equipment washing
  2. Storing food and dry goods
  3. Dumping wastewater
  4. Cold storage of food
  5. Receiving potable water
  6. Cooking and/or reheating food
  7. Washing the outside of the vehicle
  8. Access to restroom facilities

Additional activities can be described in the space provided on the form.

What happens after I submit the form?

After submission, FDACS inspectors will evaluate the facilities during normal business hours. They will verify compliance with health and safety regulations before issuing a permit.

Is it possible to use more than one commissary?

Yes, if additional commissaries are used, you can provide that information on separate pages as needed. Ensure all relevant details are included for each commissary.

What if I need to make changes after submitting the form?

If you need to make changes, it’s best to contact the FDACS directly. They can guide you on how to amend your application or any submitted information.

Who should sign the form?

The form must be signed by both the owner of the mobile food establishment or self-vending ice unit and the person in charge of the commissary. This ensures that all parties acknowledge and agree to the terms outlined in the agreement.

Where can I find more information about the permit application process?

For more details, you can visit the Florida Department of Agriculture and Consumer Services website or contact their office directly at (850) 245-5520. They can provide guidance on the permit application process and answer any additional questions you may have.

Common mistakes

Filling out the Florida Commissary Letter of Agreement form can be straightforward, but many people still make common mistakes that can delay their permit applications. One frequent error is providing incomplete contact information. Ensure that the owner’s name, phone number, and mailing address are fully filled out. Missing any part of this information can lead to unnecessary delays in processing.

Another mistake involves the commissary information. Applicants often fail to include the correct address or phone number of the primary commissary. Double-checking these details is crucial, as inaccuracies can result in rejection of the application.

Many people overlook the certification section. The owner must certify that the information provided is correct. Neglecting to sign or date this section can lead to immediate disqualification. Always ensure that this important step is completed.

In Section 2, applicants frequently misidentify the licensed authority under which the commissary operates. It is essential to select the correct licensing body, whether it’s the Department of Agriculture, Department of Business and Professional Regulation, or Department of Health. Incorrect selections can cause confusion and delays.

When indicating the activities provided at the commissary, applicants sometimes forget to answer all questions. Leaving a "Yes" or "No" unchecked can raise red flags during the review process. Each activity needs to be clearly addressed to avoid complications.

Some applicants do not provide a description of other activities if they check "Yes" for "Other." This omission can lead to questions from inspectors and potentially slow down the approval process. Always include a clear description when applicable.

Another common error is failing to note if additional commissaries are used. If the answer is "Yes," applicants must use extra pages as needed. Neglecting this requirement can lead to incomplete submissions.

Lastly, many individuals forget to keep a copy of the completed form for their records. This can be problematic if questions arise later or if there is a need to reference the original submission. Always retain a copy for personal documentation.

Documents used along the form

The Florida Commissary Letter of Agreement form is essential for mobile food establishments and self-vending ice units. However, several other documents often accompany this form during the permitting process. Each document plays a crucial role in ensuring compliance with state regulations.

  • Mobile Food Establishment Permit Application: This application is required for anyone wanting to operate a mobile food business in Florida. It collects information about the business, including ownership details and operational plans. Approval of this application is contingent upon having an approved commissary.
  • Food Service License: Issued by the Florida Department of Business and Professional Regulation, this license is mandatory for all food service operations. It ensures that the establishment meets health and safety standards before serving food to the public.
  • Wastewater Disposal Permit: This permit is necessary for establishments that dispose of wastewater. It ensures that the disposal methods comply with local health regulations, protecting public health and the environment.
  • Health Department Inspection Report: This report is generated after an inspection by the local health department. It assesses the safety and sanitation of the food establishment, providing an important check on compliance with health regulations.

Submitting these documents alongside the Florida Commissary Letter of Agreement helps streamline the permitting process. Each form contributes to a comprehensive understanding of the mobile food operation and its compliance with state laws.

Similar forms

The Florida Commissary Letter of Agreement form shares similarities with the Mobile Food Unit Permit Application. Both documents serve as essential components in the permitting process for mobile food establishments. They require detailed information about the owner and the mobile unit itself, ensuring that all necessary data is provided for the permit approval. The emphasis on compliance with health and safety standards is a common thread, as both forms aim to verify that the mobile food unit meets state regulations and operates from an approved commissary.

Another document akin to the Florida Commissary Letter of Agreement is the Food Establishment Permit Application. This application is crucial for any food business seeking to operate legally within the state. Like the commissary agreement, it necessitates the submission of specific details about the establishment, including its location and the types of food served. Both documents underscore the importance of adhering to health codes and ensuring that food safety practices are in place, thereby protecting public health.

The Temporary Food Event Permit Application is also similar in nature. This form is required for vendors who wish to operate at fairs, festivals, or other temporary events. Much like the Commissary Letter of Agreement, it requires the vendor to provide information about their food preparation methods and storage practices. Both documents facilitate the inspection process, ensuring that vendors comply with local health regulations and maintain safe food handling practices.

The Food Service Establishment Plan Review Application aligns closely with the Florida Commissary Letter of Agreement as well. This application is typically submitted when establishing a new food service operation. It requires detailed plans of the facility, including layout and equipment specifications, similar to how the commissary agreement outlines the operational capabilities of the commissary. Both documents aim to ensure that food service operations meet state health and safety standards before commencing operations.

Additionally, the Food Safety Certification Form is comparable. This form is often required for individuals who manage or operate food establishments. It verifies that the person in charge has received proper training in food safety practices. Just as the Commissary Letter of Agreement ensures that the mobile food establishment operates under certified conditions, this certification form ensures that individuals are equipped with the knowledge to maintain food safety standards.

The Public Health Permit Application also bears resemblance to the Florida Commissary Letter of Agreement. This document is necessary for establishments that serve food to the public and must comply with health regulations. Both forms require comprehensive information about the food service operation, ensuring that all entities involved are aware of and adhere to public health standards. The goal remains consistent: to protect consumers by ensuring safe food handling and preparation practices.

Another related document is the Catering Permit Application. This application is essential for businesses that provide food services outside of a fixed location. Like the Commissary Letter of Agreement, it requires detailed information about food preparation and storage, as well as the locations where food will be served. Both documents serve as tools to ensure that catering operations meet health and safety regulations, thereby safeguarding public health.

Finally, the Ice Plant Permit Application is similar, particularly in its focus on food safety and compliance. This application is required for businesses that produce and sell ice. Like the Commissary Letter of Agreement, it involves a review of the facility’s operations and compliance with health standards. Both documents ensure that all food-related operations, whether mobile or stationary, adhere to the necessary regulations to protect consumer safety.

Dos and Don'ts

When filling out the Florida Commissary Letter of Agreement form, it's essential to follow specific guidelines to ensure a smooth application process. Here are four things to keep in mind:

  • Do: Provide accurate and complete information in all sections of the form. This includes your name, contact details, and commissary information.
  • Do: Double-check the permit number and other identifiers for accuracy. Mistakes can delay your application.
  • Don't: Leave any sections blank. If a question does not apply, write "N/A" to indicate that it has been considered.
  • Don't: Forget to sign and date the form. An unsigned document may be considered invalid and could lead to rejection.

By adhering to these dos and don'ts, you can help facilitate a more efficient review process for your mobile food establishment or self-vending ice unit application.

Misconceptions

Misconceptions about the Florida Commissary Letter Of Agreement form can lead to confusion for mobile food establishment owners. Here are four common misconceptions:

  • It is only necessary for mobile food vendors. Many believe this form is exclusively for mobile food establishments. In reality, it is also required for self-vending ice units. Both types of operations must submit this form to ensure compliance with health and safety regulations.
  • Filling out the form guarantees permit approval. Some individuals think that simply completing the form will automatically lead to permit approval. However, the approval is contingent upon the verification of an approved commissary. This means that the information provided must be accurate and meet all necessary standards.
  • Only one commissary can be used. There is a misconception that a mobile food vendor can only have a single commissary. In fact, vendors can utilize multiple commissaries. If additional commissaries are used, the form allows for the inclusion of extra pages to document this information.
  • The form does not require ongoing updates. Some believe that once the form is submitted, no further action is needed. This is incorrect. If there are any changes to the commissary or the services provided, the vendor must update the form and notify the Florida Department of Agriculture and Consumer Services accordingly.

Key takeaways

Filling out and using the Florida Commissary Letter Of Agreement form is an essential step for mobile food establishments and self-vending ice units. Here are some key takeaways to ensure a smooth process:

  1. Understand the Purpose: This form is required for mobile food establishment permit applications and package ice plant self-vending permit applications that necessitate a commissary.
  2. Gather Information: Collect all necessary details about the owner and the commissary before starting to fill out the form.
  3. Complete All Sections: Ensure that both the mobile food establishment and primary commissary sections are fully completed to avoid delays.
  4. Verify Accuracy: Double-check all information provided, including names, addresses, and phone numbers, to ensure they are correct.
  5. Signature Requirement: Both the owner of the mobile food establishment and the person in charge of the commissary must sign the document.
  6. Submission Process: Submit the completed form to the FDACS inspector in the field along with your permit application.
  7. Inspection Access: Signing the form grants FDACS Food Inspectors access to the commissary during normal operating hours for evaluation.
  8. Activities Declaration: Clearly indicate the activities you intend to perform at the commissary, such as cooking or storing food.
  9. Additional Commissaries: If more than one commissary is used, indicate this on the form and attach additional pages as needed.
  10. Keep Copies: Retain a copy of the completed form for your records, as it may be required for future inspections or applications.

By following these guidelines, you can ensure that your application process is efficient and compliant with state regulations.

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