Farmers Market Food Vendors Application

Fields marked with * are required

Food Vendor's Information

Contact Name *

Concession Name *

Street Address or 911 Number *

City/Town *

Postal Code

Daytime Phone Number

Evening Phone Number

Cell Phone Number

Fax Number

Email *

Please answer Yes or No to the following questions. The Health Unit uses this information to assess if the market you attend is exempt from Ontario Food Premises Regulation 562/90. Farmer' markets are exempt from the regulation if most market vendors (51%) are selling their own farm products.

Keep in mind that if you plan to sell your products at various farmers' markets, you may be attending exempt and non-exempt markets.

Do you live on a farm/hobby farm/rural property? YesNo
Do you live within city limits/within town limits? YesNo
Are you attending anytime between May 1 and October 31 inclusive? YesNo
Are you attending anytime between November 1 and April 30 inclusive? YesNo
Are you selling a farm product?* YesNo
Are you selling, preparing, and serving any type of food on site? YesNo
Are you sampling or preparing food on site? YesNo
Are you selling canned foods? YesNo
If handling food, do you have a handwashing station, with soap and paper towels? YesNo

*Farm Products are products that are grown, raised, or produced on a farm and intended for use as food and include, without being restricted to, fruits and vegetables, mushrooms, meat and meat products, dairy products, honey products, maple products, fish, grains and seeds, and grain and seed products.

Include all farmer's markets you plan to attend for 2016 within Huron County. You don't need to submit a new application for each market. If you miss including a market on this form, contact Huron County Health Unit's Environmental Health Team at 519-482-3416 or 1-877-837-6143. We will adjust your file.

Name of Market Location of Market Date at Market Operating Hours Food Products to be Sold at Market
Start time End time