YOUR Health Department
City, ST ZIPCODE
Commissary letter for: (Name of Food Stand Concession or Mobile Food Vehicle)
I, (Owner name of commissary), have an agreement with (Owner name of Food Stand/Mobile)
giving (Name of Food Stand/Mobile) and his/her employees the right to use the three-
compartment sink, the mop sink, food storage areas and the restrooms at (Name and address of commissary).
I understand that food and mobile vending unit will be stored at the commissary. Space for storing product is available in the walk-in freezer at the commissary. The hours that I allow the commissary to be used are: (list hours or state "unrestricted"). I have provided after-hours access.
This agreement begins(date).
I am not responsible for any actions of (Name of Food Stand/Mobile) outside of my establishment and may terminate my agreement with (Name of Food Stand/Mobile) for (Reason for termination of agreement). I understand that YOUR Health Department has the right to inspect the commissary while the commissary is in operation. I will notify (Your Health Department) at such time as the agreement is terminated.
Signed: (Commissary Owner) Date: (date)
Signed: (Vendor) Date: (date)