The Florida Commissary Letter of Agreement form is a crucial document required for mobile food establishments and self-vending ice units operating in Florida. This form must be completed and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of the permit application process. To ensure compliance and facilitate inspections, it is important to fill out the form accurately and submit it promptly.
For assistance in completing the form, please click the button below.
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 is required to be completed and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of the permit application process. It serves to certify the relationship between the mobile food vendor and their designated commissary, ensuring that all necessary health and safety regulations are met. Key sections of the form include information about the owner and the primary commissary, such as contact details, permit numbers, and the specific activities that will take place at the commissary. Activities may include food storage, dishwashing, and wastewater disposal, among others. Additionally, the form grants FDACS inspectors the right to evaluate the facilities during normal business hours, reinforcing the importance of compliance with state regulations. Understanding and accurately completing this form is crucial for anyone looking to operate a mobile food business or self-vending ice unit in Florida.
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
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
Wastewater Disposal of
Septic Tank System
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)
Dumping wastewater
Cold Storage of food (including ice and drinks)
Receiving potable water
Cooking and/or reheating food
Washing the outside of the vehicle
Three compartment sink
Restroom facilities
Other (Describe below)
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)
Are additional commissaries used?
If yes use as many pages as needed.
FDACS-14223 Rev. 10/15
Page 1 of 1
Filling out the Florida Commissary Letter Of Agreement form is an important step in your application process. Once completed, this form will need to be submitted to the FDACS inspector during their field visit. Make sure to have all necessary information ready to ensure a smooth completion.
What is the Florida Commissary Letter of Agreement form used for?
This form is essential for mobile food establishments and package ice plants that need to operate legally in Florida. It must be completed and submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of the permit application process. The form confirms that a commissary is available for necessary operations, such as food storage and washing equipment.
Who needs to fill out the form?
Both the owner of the mobile food establishment or self-vending ice unit and the person in charge of the commissary must complete the form. This ensures that all parties are aware of their responsibilities and the operational details of the commissary being used.
What information is required on the form?
The form requires several details, including the owner’s name, contact information, and permit number. Additionally, it asks for the primary commissary's name, address, and contact details. You’ll also need to specify the types of activities the commissary will support, such as food storage and equipment washing.
What happens after I submit the form?
Once the form is submitted, FDACS inspectors will review it as part of the permit application process. They may conduct an inspection of the commissary to ensure it meets all necessary health and safety regulations. Approval of your permit will depend on this verification.
Can I use more than one commissary?
Yes, if your operation requires multiple commissaries, you can indicate this on the form. Simply provide the necessary details for each additional commissary on separate pages. This allows for flexibility in your operations.
What activities can I conduct at the commissary?
The form allows you to specify various activities, such as storing food, washing dishes, and receiving potable water. You must indicate which activities you plan to use the commissary for, ensuring that it meets your operational needs.
What should I do if I have questions while filling out the form?
If you encounter any questions or uncertainties while completing the form, it’s best to contact the FDACS directly. Their office can provide guidance and clarification to ensure that you fill out the form correctly and meet all requirements.
What are the consequences of not submitting this form?
Failing to submit the Florida Commissary Letter of Agreement form can lead to delays in obtaining your mobile food establishment or ice plant permit. Without proper documentation, you may face penalties or be unable to operate legally, impacting your business significantly.
Filling out the Florida Commissary Letter of Agreement form can seem straightforward, but many people make common mistakes that can delay or complicate the permit application process. Understanding these pitfalls can help ensure that your application is processed smoothly.
One frequent error is failing to provide complete contact information. The form requires the owner's name, phone number, and mailing address. Omitting any of these details can lead to confusion and delays. Always double-check that every field is filled out accurately, including the area codes for phone numbers.
Another mistake is not certifying the information provided. The form includes a certification section where the owner must acknowledge that the information is correct. Skipping this step can result in the application being deemed incomplete. Remember, your signature is an important part of confirming the accuracy of your submission.
People often overlook the necessity of including the correct commissary license or permit number. This number is crucial for the verification process. If you provide an incorrect number, it may lead to unnecessary back-and-forth communication with the Florida Department of Agriculture and Consumer Services.
Additionally, some applicants forget to indicate the specific activities that will take place at the commissary. The form asks whether you will be washing dishes, storing food, or performing other activities. Failing to check the appropriate boxes can raise red flags during the inspection process.
Another common oversight is neglecting to provide information about the wastewater disposal system. Whether you use a septic tank or have a municipal connection, this detail is vital. Not mentioning this can lead to compliance issues later on.
Some individuals also fail to list additional commissaries if they are being used. If your operation relies on more than one location, it’s essential to provide that information. Not doing so can complicate the approval process and may even result in denial of the application.
Moreover, applicants sometimes forget to describe any other activities planned at the commissary. If you intend to perform unique tasks not covered by the standard list, be sure to provide a clear description. This helps inspectors understand your operations better and ensures compliance with regulations.
Lastly, many people submit the form without ensuring that all signatures are in place. Both the owner and the person in charge of the commissary must sign the document. Missing signatures can lead to significant delays, so it’s wise to review the form carefully before submission.
By avoiding these common mistakes, you can streamline the application process for your mobile food establishment or self-vending ice unit. A little attention to detail goes a long way in ensuring your application is approved without unnecessary hurdles.
The Florida Commissary Letter of Agreement form is a crucial document for mobile food establishments and self-vending ice units. However, it often works in conjunction with several other forms and documents that help ensure compliance with state regulations. Below is a list of related documents that are commonly used alongside the Commissary Letter of Agreement.
Each of these documents plays a vital role in the operation of mobile food establishments in Florida. By ensuring that all necessary paperwork is in order, operators can focus on providing safe and delicious food to their customers while remaining compliant with state regulations.
The Florida Commissary Letter Of Agreement form is crucial for mobile food establishments and self-vending ice units. It shares similarities with several other documents used in food service and permitting. Here are six documents that are comparable:
When filling out the Florida Commissary Letter Of Agreement form, it is important to follow specific guidelines to ensure accuracy and compliance. Here are four things you should and shouldn't do:
Understanding the Florida Commissary Letter of Agreement form can be challenging, especially with the various misconceptions surrounding it. Here are nine common misunderstandings, clarified for better comprehension:
By addressing these misconceptions, individuals can navigate the application process more effectively and ensure compliance with Florida's regulations regarding mobile food establishments and self-vending ice units.
Filling out the Florida Commissary Letter of Agreement form is an essential step for mobile food establishments and self-vending ice units. Understanding the key components of this form will facilitate a smoother application process. Below are important takeaways to consider:
By carefully following these guidelines, you can help ensure compliance with state regulations and promote a successful operation for your mobile food business.