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2. Instructions & Form Below
   Please refer to the City Codebook for laws and regulations.

   
   

   INSTRUCTIONS

   Please follow these instructions carefully and prepare the following documents to submit with this application:

   1. a clear copy of a current and valid driver's license

   2. a clear copy of current and valid vehicle insurance

   3. a clear, face-front photo of the applicant against a solid background; a driver's license photo is NOT acceptable.

   License fee: $50 per truck. The City Clerk does not accept credit cards. Payment can be made in person (check, money order, cash) or by mail (check, money order). Please make check or money order payable to: City of Rahway.

   NOTE: The City Clerk fee is separate from any fee paid to the event coordinator/host, and separate from Health and/or Fire Department inspection fees. 

   The application must be received no less than 2 weeks before the event or will be subject to a $50 late fee
    
   NO INSPECTIONS WILL TAKE PLACE UNTIL APPLICANT HAS SUCCESSFULLY PASSED THE BACKGROUND CHECK.

   HEALTH INSPECTION: Food trucks that exclusively sell factory-packaged goods are not required to obtain a Health Department inspection; it is required for all other food vendors.  The health inspection fee is $100.00. Once you have passed the background check, you will be notified to complete the Temporary Food Service Application (PDF) and contact the Health Department to schedule an inspection.

   FIRE INSPECTION: If the food truck uses a propane tank or other combustible device, an inspection by the Fire Department in required. The fire inspection fee is $50.00 for non-residents; there is no cost to vendors with business addresses within the City of Rahway. Once you have passed the background check, you will be notified to complete the Fire Safety Permit Application (PDF) and contact the Fire Department to schedule inspection. 

4. Name*
6. Registered Business Name*
7. Doing Business As

   If your registered name isn't the name you do business as, please enter here

9. Phone Number*
10. Email Address*
12. Best Means To Contact You*

    1. Phone

    1. E-Mail
14. Background Check Release Authorization*

    The following information will be used to run a background check. By checking "I agree", you hereby authorize Intellicorp or any reporting agency as determined by the City of Rahway to conduct an investigation into my background, and to release any and all information, documentary or otherwise, to the City of Rahway. This information will be used by the City of Rahway to determine my eligibility to obtain a Special Event Food Vehicle License. 

    I acknowledge that if my application is denied based on any record or information provided in this investigation, I have a right to request a copy of the report, to challenge its accuracy, and will be given an opportunity to correct or complete that record or information.

    This digital authorization will be considered as effective and valid as an original.

    1. I AGREE
16. Home Address*
18. City*
19. State*
20. Zip Code*
21. How long have you lived at the above address?

    1. Three or more than three years
    2. Less than three years
23. If less than 3 years, your previous address is?
25. Social Security Number*
26. Date of Birth*
27. Age*
29. Birthplace*
30. Gender*
31. Height*
33. Weight*
34. Eye Color*
35. Hair Color*
37. What Type Of Business Will You Be Conducting?*
39. Name of Event & Address*
41. Property Owner or Event Host Name & Address*
43. Owner Phone*
44. Owner E-Mail*
45. Date of Event or Estimated Date*
    Date of Event or Estimated Date
47. Will you be using a vehicle(s) in the operation of the business?

    1. Yes
    2. No
48. Vehicle Type*
49. License Plate*
51. Have you been convicted of a crime?*

    1. Yes

    1. No
53. If Yes, Offense:*
55. Will you or your employees be running the event?*

    1. Only Me

    1. Others Will Be, Or Will Be Assisting
57. Employee 1: Name, Phone, E-mail, and Home Address
59. Employee 2: Name, Phone, E-mail, and Home Address
61. Employee 3: Name, Phone, E-mail, and Home Address
63. Clear Face Photo*

    Upload a clear face photo with a plain background and please note, that your Driver's License photo IS NOT acceptable.

64. Proof of Valid Motor Vehicle Insurance*
65. Copy of Driver's License*
67. Electronic Signature Agreement*

    YOU ARE ADVISED THAT THIS FORM AND THE INFORMATION PROVIDED THEREON IS SUBJECT TO RELEASE TO THE PUBLIC UNDER THE OPEN PUBLIC RECORDS ACT (N.J.S.A. 47:1A-1 et seq.)

    I have read and understand the requirements of this license as authorized by Ordinance O-44-21 and Ch. 311 of the Municipal Code and understand that violations of this ordinance may result in revocation of my license and/or fines not exceeding $1,000 or by imprisonment for a term not exceeding 90 days.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
69. Electronic Signature*
Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit

* indicates a required field