Hawaii Special Event Food Establishment Permit Application

Submit the completed application form along with the applicable fee at least ten working days before the event. Mail or submit in person to the Hawaii Department of Health, Sanitation Branch, 99-945 Halawa Valley Street, Aiea, Hawaii 96701. Make checks payable to the State of Hawaii. For further inquiries, contact the Sanitation Branch at (808) 586-8000 or visit www.health.hawaii.gov/san.

There are no specific important dates for this form in 2024 and 2025, other than ensuring you submit the application at least ten working days prior to your event.

The purpose of the Hawaii Special Event Food Establishment Permit Application is to ensure that all food vendors and event organizers comply with the state's health regulations when operating food booths at special events. By obtaining this permit, applicants demonstrate their commitment to food safety and public health standards. This form helps the Hawaii Department of Health monitor and manage food safety at various public and private events held throughout the state.

• 1. Event Name: Name of the event where the food booth will be set up.
• 2. Event Location: Address or location of the event.
• 3. Event Coordinator: Name and contact details of the event coordinator, if applicable.
• 4. Food Booth Name: Name of the food booth.
• 5. Food Booth Contact: Contact person for the food booth, including phone and fax numbers.
• 6. Food Booth Email: Email address of the food booth contact person.
• 7. Food Safety Certification: Name of the person(s) with a food safety handlers certification card.
• 8. Event Date/Time: Date and time of the event.
• 9. Support Kitchen Name: Name of the support kitchen, if applicable.
• 10. Support Kitchen Address: Street address of the support kitchen.
• 11. Support Kitchen Phone: Phone number of the support kitchen.
• 12. Permit Number: Permit number for the support kitchen, if applicable.
• 13. Support Kitchen Operations: Description of operations carried out at the support kitchen.
• 14. Owner Signature: Signature of the owner or agent of authority for the support kitchen.
• 15. Owner Name: Printed name of the owner or agent of authority.
• 16. Foods to Be Served: List of all foods that will be served at the event.
• 17. Applicant Signature: Signature of the applicant submitting the form.
• 18. Applicant Name: Printed name of the applicant.
• 19. Fee Payment: Details of the fee payment, including amount and method of payment.

Failure to submit this form may result in the denial of your permit, preventing you from operating a food booth at the event. Ensure timely submission to avoid complications.

• Permit Denial: You will not receive the necessary permit to operate your food booth.
• Event Disruption: Inability to operate at the event may lead to financial and reputational loss.
• Non-Compliance: Operating without a permit may result in legal or regulatory actions.

• 1. Food Booth at Fair: Apply for a permit to serve food at a local fair or carnival.
• 2. Farmers Market Participation: Get a permit if you're selling food at a farmers market.
• 3. Charity Event Catering: Obtain a permit for catering services at a charity event.
• 4. Religious Organization Event: Apply when serving food at a religious organization's gathering.
• 5. Community Festival: Ensure you have a permit for food operations at a community festival.