Commissary Letter of Agreement Form for Food Safety
This file contains the Commissary Letter of Agreement necessary for mobile food establishment permits. It includes important details regarding the application process and required information for food safety compliance. Business owners must ensure completion for successful permit approval.
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How do I fill this out?
Filling out this form requires accurate information about your mobile food establishment or self-vending ice unit. Begin by gathering all relevant details about the owner and primary commissary. Ensure that each section is completed fully to avoid delays in processing.

How to fill out the Commissary Letter of Agreement Form for Food Safety?
1
Gather necessary information about the owner and commissary.
2
Fill in personal details and contact information.
3
Provide details about the primary commissary including address and services.
4
Sign the form acknowledging the accuracy of the information.
5
Submit the completed form to the FDACS inspector.
Who needs the Commissary Letter of Agreement Form for Food Safety?
1
Mobile food establishment owners who require a permit for operation.
2
Self-vending ice unit operators to ensure compliance with health regulations.
3
Food safety inspectors to verify that establishments meet required standards.
4
Event organizers needing mobile food operations to adhere to legal guidelines.
5
Commissary owners who must be recognized in mobile food establishment applications.
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What are the instructions for submitting this form?
To submit this form, send a completed copy to your local FDACS office via email at foodinspections@fdacs.gov. Alternatively, you can fax it to (850) 245-5520 or submit it in person at your local FDACS office. Always keep a copy for your records for future reference.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure to submit your form at least 30 days prior to your permit expiration to maintain compliance with FDACS regulations.

What is the purpose of this form?
The purpose of this form is to establish a formal agreement between mobile food establishments and their primary commissaries. This document verifies compliance with Florida food safety regulations and ensures that all necessary operations are permissible. Without this agreement, mobile food establishments cannot legally operate within the state.

Tell me about this form and its components and fields line-by-line.

- 1. Owner Name: The full name of the owner of the mobile food establishment.
- 2. Phone Number: Contact number for the owner, including area code.
- 3. Owner Mailing Address: The mailing address where official correspondence can be sent.
- 4. Primary Commissary Name: Official name of the commissary facility being registered.
- 5. Commissary Address: Street address of the commissary.
- 6. Commissary License/Permit Number: Unique identifier assigned to the commissary by the regulatory body.
What happens if I fail to submit this form?
Failure to submit this form can result in the denial of your mobile food establishment permit. It is crucial to provide all required information to avoid application delays. Non-compliance may lead to fines or the inability to operate legally.
- Permit Denial: Without the completed form, your permit application will not be processed.
- Compliance Issues: Non-submission may lead to violations of food safety regulations.
- Operational Delays: Inability to operate during the application processing period.
How do I know when to use this form?

- 1. Mobile Food Establishment Application: Required for new applications or renewals for food trucks.
- 2. Self Vending Ice Unit Permit: Necessary for operators looking to sell ice beverages from machines.
- 3. Health Inspections: To be presented during health inspection for verification.
Frequently Asked Questions
How do I fill out the Commissary Letter of Agreement?
Ensure each section is filled out with accurate information about your establishment and commissary.
Can I edit this PDF after downloading?
Yes, you can edit the PDF using PrintFriendly’s editing tools before finalizing your submission.
Is there a way to track my submission?
Tracking is not available, but you can save the form for your records after editing.
What should I do if information changes after submission?
Contact your FDACS inspector directly to update any changes in your information.
How can I ensure my document is compliant?
Review all sections carefully and consult guidelines from the FDACS for compliance standards.
Is electronic submission accepted?
Yes, electronic submission along with this form is acceptable if completed accurately.
How do I know if my form was received?
Follow up directly with your assigned FDACS inspector for confirmation.
Can I share the PDF with others?
Yes, you can share the PDF via email or social media through PrintFriendly.
What happens if I forget to sign the document?
Your application cannot be processed without a signature, so be sure to sign before submission.
How often do I need to submit this form?
This form must be submitted each time you renew your permit or make changes to your commissary.