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The Florida Commissary Letter of Agreement form is an essential document for mobile food establishments and self-vending ice units operating in the state. This form must be completed and presented to the Florida Department of Agriculture and Consumer Services (FDACS) inspector during the application process for a mobile food establishment permit or a package ice plant self-vending permit that requires a commissary. It includes crucial sections that capture information about the owner, the commissary, and the activities planned at the commissary. The owner must certify the accuracy of the information provided, as permit approval depends on verifying an approved commissary. Additionally, the form outlines the primary commissary's details, such as its name, address, and contact information, as well as the specific services offered, including food storage, dishwashing, and wastewater disposal. By signing this document, the owner grants FDACS food inspectors access to evaluate the commissary facilities during regular business hours. This agreement is vital for ensuring compliance with health and safety regulations, ultimately contributing to the safe operation of mobile food services in Florida.

Documents used along the form

When applying for a mobile food establishment permit or a package ice plant self-vending permit in Florida, several forms and documents are often used alongside the Florida Commissary Letter of Agreement. Each of these documents serves a specific purpose in ensuring compliance with state regulations and maintaining food safety standards.

  • Mobile Food Establishment Permit Application: This application is required for businesses that operate from a mobile unit. It provides necessary details about the food service operation and is submitted to the local health department for approval.
  • Food Service Establishment License: This license is issued by the Florida Department of Business and Professional Regulation. It certifies that the establishment meets health and safety standards necessary for food service operations.
  • Health Inspection Report: A report generated after an inspection of the commissary or mobile unit. This document verifies that the facility meets health regulations and is safe for food handling.
  • Food Safety Training Certificate: This certificate proves that the food service operator has completed a food safety training course. It is often required for those managing food establishments to ensure proper handling and preparation practices.
  • Wastewater Disposal Permit: If a mobile food unit or commissary uses a septic system or other wastewater disposal methods, this permit ensures compliance with local and state regulations regarding waste management.
  • Potable Water Supply Agreement: This document outlines the agreement for a safe water supply for the commissary. It is crucial for ensuring that food preparation meets health standards.
  • Commissary Inspection Checklist: This checklist is used during inspections to ensure that all aspects of the commissary comply with health regulations. It helps identify any areas needing improvement before the official inspection report is generated.

Having these documents prepared and organized can streamline the application process and help ensure compliance with Florida's food safety regulations. Proper documentation not only facilitates the approval process but also promotes a safe and healthy food service environment.

Similar forms

The Florida Commissary Letter of Agreement is similar to a Food Service Establishment License Application. Both documents are crucial for ensuring that food businesses comply with health and safety regulations. The Food Service Establishment License Application requires detailed information about the establishment, including its location, ownership, and operational plans. Like the Commissary Letter, this application must be submitted to the appropriate state department for review before the business can operate. Both documents serve to protect public health by ensuring that food establishments meet necessary standards.

Another document that shares similarities is the Mobile Food Vendor Permit Application. This application is specifically designed for mobile food vendors, such as food trucks. It requires information about the vendor's operation, including the commissary they will use for food preparation and storage. Just like the Commissary Letter of Agreement, this permit application must be approved by local health authorities to ensure that the mobile vendor adheres to safety regulations. Both documents emphasize the importance of having a designated commissary for food-related activities.

The Temporary Food Event Permit Application is also comparable. This document is used by vendors who wish to operate at temporary events, such as fairs or festivals. It requires details about the food being served and the commissary that will support the vendor. Similar to the Florida Commissary Letter of Agreement, this permit ensures that food is prepared and stored safely, protecting the health of the public during temporary events. Both forms highlight the need for a reliable commissary to facilitate food safety practices.

A further similar document is the Food Handler Certification Application. This application is essential for individuals who wish to demonstrate their knowledge of food safety. It often requires proof of training and certification, ensuring that food handlers understand safe food practices. While it does not directly involve a commissary, it complements the Florida Commissary Letter of Agreement by ensuring that those working within the commissary are trained in food safety. Both documents work together to promote a safe food environment.

Lastly, the Sanitation Inspection Report is relevant as well. This report is generated during inspections of food establishments, including commissaries. It assesses compliance with health regulations and identifies any areas needing improvement. The findings from a Sanitation Inspection Report can directly impact the approval of a Florida Commissary Letter of Agreement. Both documents aim to uphold food safety standards and ensure that food establishments operate within the law.

Obtain Answers on Florida Commissary Letter Of Agreement

  1. What is the purpose of the Florida Commissary Letter of Agreement form?

    The Florida Commissary Letter of Agreement form is essential for mobile food establishments and self-vending ice units. It is used to certify that the food establishment has a designated commissary for various activities, including food storage and washing. This form must be submitted with your permit application to the Florida Department of Agriculture and Consumer Services (FDACS).

  2. Who needs to fill out this form?

    Owners of mobile food establishments (MFE) or self-vending ice units (SVIU) are required to complete this form. It ensures that they have a proper commissary in place to meet health and safety regulations.

  3. What information is required on the form?

    The form requires various details, including:

    • Owner's name and contact information
    • Commissary's name and address
    • Activities to be conducted at the commissary, such as food storage and dishwashing
    • Licensing information for the commissary

    Each section must be filled out accurately to ensure the approval of your permit application.

  4. What activities can be performed at the commissary?

    The form allows you to indicate various activities you intend to carry out at the commissary. These may include:

    • Dish or equipment washing
    • Storing food and dry goods
    • Dumping wastewater
    • Cold storage of food
    • Receiving potable water
    • Cooking or reheating food
    • Washing the outside of the vehicle
    • Access to restroom facilities

    Be sure to check all applicable activities to ensure compliance with health regulations.

  5. What happens after I submit the form?

    Once you submit the Florida Commissary Letter of Agreement form, FDACS inspectors will review the information. They may conduct an evaluation of your commissary during normal business hours. This evaluation is to verify that the commissary meets all necessary health and safety standards.

  6. Can I use more than one commissary?

    Yes, if you utilize multiple commissaries, you can indicate this on the form. Additional pages can be used to provide information about each commissary. Make sure to provide all necessary details for each location to avoid any delays in your permit application.

Document Preview

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dos and Don'ts

When filling out the Florida Commissary Letter Of Agreement form, there are several important do's and don'ts to keep in mind. These guidelines will help ensure that your application is completed correctly and efficiently.

  • Do provide accurate and complete information about yourself and your commissary.
  • Do include your contact information, ensuring that your phone number and email address are correct.
  • Do check all boxes that apply to the activities you intend to conduct at the commissary.
  • Do ensure that the person in charge of the commissary signs the form.
  • Don't leave any sections blank; incomplete forms may delay the approval process.
  • Don't forget to verify that the commissary is licensed and in compliance with local regulations.
  • Don't use outdated information; ensure that all details are current and relevant.
  • Don't submit the form without reviewing it for errors or omissions.