Mobile Food Establishment Plan & Review Application

Department of Health · St. Joseph County, Indiana

Editable official PDF

Edit the agency’s original form, save your draft, attach documents, and review your completed PDF before signing or ordering delivery.

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Official form and instructions Pay the agency directly

Your application steps6 steps · Department of HealthView steps

1Prepare your answersComplete here
Edit and save your answers on the official PDF.
Official source
2Add supporting documentsComplete here
Attach the supporting records listed by the agency. Check that every page is legible and complete.
- Submit application plus the completed questionnaire and standard/scaled drawings. Incomplete plans will not be reviewed.
- Include scaled interior/equipment layout, equipment list/specifications, complete menu, proposed location/route and toilet access information.
- Include signed commissary usage agreement if someone else owns the licensed facility, or approved servicing-area documentation where allowed.
- Hold both mobile establishment and commissary permits as applicable.
- Wastewater holding tank must be permanently installed and at least 15% larger than the potable-water tank.
3Review and signPrepare here, finish outside
Complete each applicable applicant signature after reviewing the full declarations. Required notary, professional and witness signatures remain separate.
4Choose paymentPrepare here, finish outside
Plan/review tiers: under 3,000 sq ft $100; 3,001–30,000 $180; 30,001–40,000 $260; 40,001–60,000 $340; 60,001+ $400. Current schedule excludes the $85 application fee and annual permit fee; the older application says a $75 fee is included. Confirm the total. Government fees are separate from the optional prepared PDF and postage. Review the exact amount and recipient before authorizing a check.
Pay the agency directly
5Submit or order deliveryPrepare here, finish outside
Complete the official application and supporting documents. The county online application redirects to the Food Services Payment Form. Confirm applicable total fees and the current receiving floor before sending a mailed packet.
Official submission instructions
6Keep your receiptComplete here
Save your agency confirmation and payment receipt. Track any mailing from My applications. Delivery does not mean the agency approved your application.

Official requirements and sources

Mobile Food Establishment Plan & Review Application
Original PDF: mapped applicant inputs, retained instructions, fee schedule and office-only areas.
County Forms, Permits & Licenses
Names this DocuSign application under Food Permits; instructs applicants to allow redirection to Food Services Payments after application completion.
Current Department of Health fee schedule and payment policy
Business checks, cashier checks and money orders are accepted by US mail and made payable to St. Joseph County Department of Health; personal checks are not accepted. Card transaction charge is 2.55% or $1.55, whichever is greater.

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Revised 4 16 2025 St. Joseph County Department of Health Mobile Food Establishment “Plan and Review” Application Circle One: MFT (Truck) MFE (Trailer) MFE (Other) Date of Application: New Converted Renovated The “Plan and Review” Application must include standard drawing(s). Business Name: Mobile Food Establishment Name: License Plate # Make of Mobile Food Establishment: Model: Color: Owner Name: Owner Address: City: State: Zip: Primary Telephone/Contact Number: Fax: E-Mail Address: Commissary Address: Address of Storage Location: Applicants Name if Different from Owner: Title (owner, manager, etc.): Mailing Address: City: State: Zip: Telephone: E-Mail: Printed Name of Person Completing Application Date Signature of Person Completing Application For office use only Date Received: Application Fee Amount: Transaction # Department Employee: Plan and Review Yes No To scale drawing/plans Yes No Menu Yes No Commissary Agreement Yes No N/A Equipment spec. sheet Yes No 1

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Before you begin

Application checklist

Submit application plus the completed questionnaire and standard/scaled drawings. Incomplete plans will not be reviewed.
Include scaled interior/equipment layout, equipment list/specifications, complete menu, proposed location/route and toilet access information.
Include signed commissary usage agreement if someone else owns the licensed facility, or approved servicing-area documentation where allowed.
Hold both mobile establishment and commissary permits as applicable.
Wastewater holding tank must be permanently installed and at least 15% larger than the potable-water tank.

Published government feesPlan/review tiers: under 3,000 sq ft $100; 3,001–30,000 $180; 30,001–40,000 $260; 40,001–60,000 $340; 60,001+ $400. Current schedule excludes the $85 application fee and annual permit fee; the older application says a $75 fee is included. Confirm the total.

The fee table does not specify the exact 3,000-square-foot boundary; confirm with the Department of Health.

Required plans and agreements are separate supporting documents, not replaced by the completed questionnaire.

Fee conflict: original plan-review packet says $75 administrative fee included; current county schedule says plan fees exclude the application/administration and annual permit fees, and lists application fee $85. Agency must confirm the current total.

Official requirements Official source form

Source version: 2026-10-05.regional-1

Your work stays yours

Application answers and files are encrypted in private storage. Authorized service managers can review signing history and documents to process your request.