Food Notification Form Details of Change Details of Change* - required New premises Changes of proprietor/licensee Change of trading name Home based food business Temporary/mobile food vending vehicles Proprietor Details Full Name* - required Trading Name of Business* - required Company Name (if applicable)* - required ABN* - required Date of Commencement of Trading* - required Business Address Unit/Street Number* - required Street Name* - required Suburb/Town* - required State* - required Select ACT NSW NT QLD SA TAS VIC WA Postcode* - required Business Phone Number* - required Mobile Phone Number* - required Email Address* - required Postal Address Is the postal address the same as the business address above?* - required Yes No Postal Address Address or PO Box Suburb/Town* - required State* - required Select ACT NSW NT QLD SA TAS VIC WA Postcode* - required Council Approval Is the premises approved by Council prior to operate?* - required Yes No Please provide DA Reference Number Contact Council's Development Hub on (02) 6767 5555 regarding approval requirements for your business. Food Safety Supervisor Name Certificate Number Expiry Date Mobile Food Vendors to complete this section Vehicle Registration No. Vehicle Make/Model Vehicle Colour Site Location Details (proposed) 1. 2. 3. Offsite Food Preparation Areas Please provide details of the location(s) of any offsite food preparation areas and/or food storage including complete or preparation of food must be listed below. Provided locations of the food preparation areas must meet food hygiene requirements. The premises must be approved by council prior to operate. Please provide DA Reference Number. Details of offsite food preparation and/or storage DA Reference Number Temporary Event/Market Operators to complete this section Name of Event Location Stall/Trading Name Date Expected to Attend Do you have a: Registered fixed food premises business Registered mobile food vehicle only Registered mobile food vehicle to a fixed food premises Registered home based food business Registration with your Local Council Are you operating* - required Within the Tamworth Local Government Area (LGA) Outside the Tamworth LGA Please upload your most recent food compliance inspection results Contact details the same as above Yes No Do you have approval* - required Yes No DA Reference Number Contact Details Registered Business Trading Name Registered Business/Home Address Details and Requirements Please select what will be included in your stall* - required Mobile Vehicle Trailer Van Temporary Marquee Vending Cart Stall Dimensions (metres)* - required Will you require power?* - required Yes No If yes, what power type? Does the stall use gas?* - required Yes No Will you be cooking onsite?* - required Yes No - food prepared and transported to the event site Food Preparation How and where will food be prepared? How will food be transported to the event? How will food be stored at the event? Are all staff trained in Safe Food Handling?* - required Yes No Is there a nominated Food Safety Supervisor? Yes No Please provide a copy of the certificate PLEASE NOTE At all times the storage, preparation and handling of food must comply with the Food Act 2003 and the NSW Food Authority "Guidelines for Food Businesses at Temporary Events." Before selling any food, the food preparation and service areas must be inspected and approved for use by a Tamworth Regional Council Environmental Health officer (EHO). Contact (02) 6767 5555 to arrange an inspection. Food preparation and storage areas can be inspected at any time food is being sold. Please refer to the link below for more information: https://www.foodauthority.nsw.gov.au/sites/default/files/_Documents/retail/temp_events_guideline.pdf Privacy Statement Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB). Mandatory field(s) marked with *