Permit Request • CampusOptics

Please review the Temporary Food Dealer's Policies and Procedures here: https://www.lamar.edu/_files/documents/finance-operations/lamar-temporary-food-dealers-policy.pdf

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Name* Required

Additional Location Details

Vendor Details

Vendor Business Name or Owner* Required

Contact Person* Required

Phone Number* Required

Email* Required

Event Details

Event Location* Required

Site Reservation Confirmed?* Required

Host Department Contact* Required

Event Exposure* Required

Private (Member only or by invitation)
Public (open to anyone on campus and/or the general public)

Food Safety

Do you have a temporary or permanent food handler's certificate from the Beaumont Public Health Department?* Required

List specific items to be served* Required

Where and how will the food be prepared* Required

Where and how will food be stored* Required

What is the trash disposal plan* Required

Event organizer provides dumpster
Trash will be removed from site for disposal elsewhere

Will any of the following heat sources be used* Required

Sterno
Open flame grill
Electric appliances

Will the following equipment be utilized* Required

Thermometer
Hand Sanitizer
Protective wear (gloves, hair restraints)
Soap & water(req to cook or serve food that is not pre-packaged)

Acknowledgement

I have read, understand, and agree to abide by the Temporary Food Dealer's Policies and Procedures as set out in the link above. If there are any changes to this Temporary Food Dealer's Permit before this event, I will submit a new permit for approval.* Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files