Fairfax County Approved Facility Agreement
This file is a comprehensive agreement for approved food preparation facilities in Fairfax County, Virginia. It outlines the necessary requirements for catering operations and mobile food units to ensure compliance with health regulations. Use this file to submit your application for a facility or commissary permit.
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How do I fill this out?
To fill out this form, begin by gathering all necessary information regarding your catering operation or mobile food unit. Ensure that you provide accurate details about your facility and its capabilities. Review the requirements carefully to ensure a complete application.

How to fill out the Fairfax County Approved Facility Agreement?
1
Gather necessary information about your operation.
2
Fill in the applicant information accurately.
3
Select the appropriate support services your facility provides.
4
Obtain signatures from both the applicant and facility owner.
5
Submit the completed form along with required documentation.
Who needs the Fairfax County Approved Facility Agreement?
1
Catering businesses need this file to apply for facility permits.
2
Food truck owners require it to comply with health regulations.
3
Restaurant owners use it to formalize commissary agreements.
4
Event planners need this for on-site food service operations.
5
Health department officials use it to ensure compliance with food safety standards.
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What are the instructions for submitting this form?
To submit this form, email the completed document to the Fairfax County Health Department at hdehd@fairfaxcounty.gov. You may also fax your application to 703-246-2208. For in-person submission, bring the form to the Health Department located at 10777 Main Street, Fairfax VA 22030. It's advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for submission of this form will vary based on your specific food operation. Typically, applications should be submitted at least 30 days before the planned operation date. Be aware of changes to health regulations that may impact these timelines in 2024 and 2025.

What is the purpose of this form?
This form serves as a crucial document for food establishments operating in Fairfax County. Its primary purpose is to ensure compliance with health and safety regulations governing food preparation and sale. By completing and submitting this form, businesses can legally operate within the community while ensuring public health standards are met.

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

- 1. Facility Type: Select the type of facility from which you will be operating.
- 2. Owner Name: Enter the name of the owner of the facility.
- 3. Owner Address: Provide the full address of the facility owner.
- 4. Services Provided: Select all support services the facility will offer.
- 5. Applicant Signature: The applicant must sign to confirm the accuracy of the provided information.
What happens if I fail to submit this form?
Failing to submit this form can lead to the inability to operate your food business legally. You may also face penalties or fines from the health department. It's crucial to ensure timely submission to avoid disruptions in your operation.
- Legal Penalties: Operating without the necessary permits may result in fines and legal action.
- Health Inspection Issues: Inadequate documentation can lead to failed health inspections.
- Loss of Business: Failure to comply with regulations could result in temporary or permanent closure.
How do I know when to use this form?

- 1. Catering Operations: Required for catering businesses to operate legally.
- 2. Mobile Food Vendors: Necessary for food trucks and trailers to comply with health codes.
- 3. Commissary Agreements: Used for establishing formal relationships between food processors and commercial kitchens.
Frequently Asked Questions
What is the purpose of this form?
This form is used to apply for an approved facility or commissary permit in Fairfax County.
Who needs to fill out this form?
Catering businesses, food trucks, and commissary owners are required to complete this form.
How do I edit this PDF?
You can edit this PDF using PrintFriendly’s editing tools after uploading your document.
Can I share the edited PDF?
Yes, you can share the edited PDF via a link generated by PrintFriendly.
Is this form required for all food establishments?
Yes, any food establishment operating from an approved facility must submit this form.
What information do I need to provide?
You need to provide details about your food operation, facility services, and both applicant and facility owner information.
How do I submit the completed form?
Submit the form as per the instructions on the last page, including all required documents.
What happens if I don't submit the form?
Failure to submit the form may result in penalties or inability to operate legally.
Can I save the document after editing?
You can download the edited document to your device easily.
Are there any deadlines for submission?
It's important to check with the Health Department for specific deadlines related to your permit application.