Get Florida Commissary Letter Of Agreement Form

Get Florida Commissary Letter Of Agreement Form

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.

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Structure

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 Commissary Letter Of Agreement 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Document Data

Fact Name Details
Purpose This form is required for mobile food establishments and self-vending ice units to establish a commissary for operations.
Governing Body The Florida Department of Agriculture and Consumer Services (FDACS) oversees this form.
Submission Requirement It must be submitted as part of a mobile food establishment permit application or a package ice plant self-vending permit application.
Inspector Access Signing the form grants FDACS Food Inspectors access to the business during normal operating hours.
Commissary Activities The form allows operators to specify activities such as dishwashing, food storage, and wastewater dumping.
Contact Information Owners must provide their contact details, including phone number and mailing address, on the form.
Verification Requirement Permit approval is contingent upon verification of an approved commissary.
Additional Commissaries If multiple commissaries are used, additional pages may be attached to the form.

How to Use Florida Commissary Letter Of Agreement

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.

  1. Begin with SECTION 1 for Mobile Food Establishment (MFE) or Self Vending Ice Unit (SVIU) information.
  2. Fill in the Owner Name and Phone Number (include area code).
  3. Provide the Owner Mailing Address, including City, Zip Code (optional +4), and County.
  4. Enter the Permit Number.
  5. Certify the information is correct by printing your name and signing the form. Include the Date.
  6. Move to SECTION 2 for Primary Commissary Information.
  7. Fill in the Primary Commissary Name and Commissary Address including City, Zip Code (optional +4), and County.
  8. Provide the Primary Phone Number (include area code) and the Commissary License/Permit Number.
  9. Enter the Primary E-Mail Address.
  10. Check the appropriate box for Licensed By (Department of Agriculture & Consumer Services, Department of Business and Professional Regulation, Department of Health, or None).
  11. Fill in the Municipal/Utility Supplier Name and On-site Well Permit Number if applicable.
  12. Provide the Municipal/Utility Supplier Name for Wastewater Disposal and the Septic Tank System Permit Number if applicable.
  13. Indicate the activities you intend to provide at the commissary by answering Yes or No for each option listed.
  14. If there are other activities, describe them in the provided space.
  15. Print the name and sign for the Person in Charge of Commissary, including the Date.
  16. Answer if additional commissaries are used by checking Yes or No. If yes, use additional pages as needed.

Key Facts about Florida Commissary Letter Of Agreement

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.

Common mistakes

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.

Documents used along the form

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.

  • Mobile Food Establishment Permit Application: This application is necessary for obtaining a permit to operate a mobile food business. It includes detailed information about the food truck or cart, its owner, and the proposed food service.
  • Food Safety Training Certification: This certification proves that the food establishment owner or staff has completed training in food safety practices. It is essential for maintaining health standards and ensuring safe food handling.
  • Commissary Inspection Report: After a commissary is inspected by the Florida Department of Agriculture and Consumer Services, an inspection report is generated. This document outlines the findings and any necessary corrective actions to meet health regulations.
  • Health Department Permit: This permit is issued by the local health department and is required for any food service operation. It ensures that the establishment meets all health and safety codes.
  • Business License: A business license is required to legally operate any type of business in Florida. This document verifies that the business is registered and compliant with local regulations.
  • Food Handler’s License: This license is necessary for individuals who prepare or serve food. It demonstrates that the holder has received training in safe food handling practices.
  • Wastewater Disposal Agreement: This document outlines the arrangements for proper disposal of wastewater generated by the mobile food establishment. It ensures compliance with environmental regulations.
  • Equipment Maintenance Log: This log tracks the maintenance and servicing of equipment used in food preparation and storage. Keeping a detailed record helps ensure compliance with safety standards.

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.

Similar forms

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:

  • Food Establishment Permit Application: Like the Commissary Letter Of Agreement, this application is required for businesses to operate legally. It gathers essential information about the establishment, including ownership and location details.
  • Health Department Inspection Report: This document is generated after an inspection by health officials. It evaluates compliance with food safety regulations, similar to how the Commissary Letter ensures that the commissary meets health standards.
  • Food Safety Management Plan: This plan outlines procedures for maintaining food safety in an establishment. It parallels the Commissary Letter by emphasizing the importance of safe food handling practices.
  • Commissary Agreement Form: This document formalizes the relationship between a mobile food vendor and the commissary. It serves a similar purpose as the Letter Of Agreement by documenting the services provided by the commissary.
  • Mobile Food Vendor License: This license allows vendors to operate at various locations. It shares the same regulatory framework as the Commissary Letter, ensuring that vendors comply with local laws.
  • Temporary Food Service Event Application: This application is required for vendors participating in events. Like the Commissary Letter, it ensures that vendors have access to necessary facilities and comply with health regulations.

Dos and Don'ts

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:

  • Do double-check all information for accuracy before submission.
  • Do ensure that all required signatures are included on the form.
  • Don't leave any sections blank; provide information for all required fields.
  • Don't submit the form without verifying that the commissary is approved by the relevant authorities.

Misconceptions

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:

  1. It is only for mobile food vendors. Many believe this form is exclusively for mobile food establishments. In reality, it also applies to self-vending ice units, making it relevant for a broader audience.
  2. Submission is optional. Some think that submitting this form is optional when applying for a permit. However, it is a necessary component of the application process, as it verifies the use of an approved commissary.
  3. All information provided is confidential. While personal information is protected, the details regarding the commissary and its operations may be subject to public disclosure, especially if requested by regulatory bodies.
  4. Only the owner of the mobile unit needs to sign. A common misconception is that only the owner of the mobile food establishment must sign the agreement. In fact, both the owner and the person in charge of the commissary must provide their signatures.
  5. Any location can serve as a commissary. Some believe that any kitchen can function as a commissary. However, the location must be licensed and approved by the appropriate regulatory agencies to meet health and safety standards.
  6. Changes to commissary information can be made later. People often think they can update their commissary information after submission. Changes must be reported promptly to the Florida Department of Agriculture and Consumer Services to ensure compliance.
  7. The form is only for food-related activities. There is a misconception that the form is strictly for food-related operations. However, it also covers activities such as wastewater disposal and equipment washing, which are essential for maintaining hygiene.
  8. It guarantees permit approval. Some individuals mistakenly believe that completing this form guarantees their permit will be approved. The form is only one part of the overall application process, and final approval depends on meeting all regulatory requirements.
  9. FDACS inspectors will not visit the commissary. Many think that submitting the form means inspectors will not need to visit the commissary. In fact, signing the document allows inspectors entry to evaluate the facilities during normal business hours.

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.

Key takeaways

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:

  • The form must be submitted to the Florida Department of Agriculture and Consumer Services (FDACS) as part of your mobile food establishment permit application.
  • Accurate completion of all sections is crucial. This includes providing correct information for both the owner and the primary commissary.
  • Verification of an approved commissary is required for permit approval. Ensure that the commissary meets all necessary regulations.
  • Designate the activities you intend to conduct at the commissary. This may include dishwashing, food storage, and wastewater dumping.
  • Be aware that signing the document grants FDACS inspectors access to your business during normal operating hours for facility evaluations.
  • Include the primary commissary’s license or permit number, as well as contact details, to ensure proper identification and communication.
  • If additional commissaries are utilized, indicate this on the form and attach extra pages as needed.
  • Both the owner of the mobile food establishment and the person in charge of the commissary must sign the document to validate the information provided.
  • It is advisable to keep a copy of the completed form for your records and future reference.

By carefully following these guidelines, you can help ensure compliance with state regulations and promote a successful operation for your mobile food business.