Mobile Food Vending Vehicle Application Form

Approval in accordance with Section 68 of the Local Government Act 1993 must be sought from Canterbury Bankstown Council prior to operating a mobile food vending vehicle on public land. This registration form is to be used by mobile food vending vehicles that wish to obtain approval to operate on Council-owned roads within the Canterbury Bankstown Local Government Area. Note, mobile food vending vehicles wishing to operate at events or on private land, should complete Council’s ‘Food Premises Registration Form’.

If you have any questions in regards to this form, please contact Council’s Environmental Health Unit on (02) 9707 9000.

Applicant Details

Business/Trading Name: *

Company Name: *

ACN/ABN: *

Contact Person: *

Contact Number: *

Postal Address

Email Address *

Vehicle Details

Vehicle Make: *

Vehicle Model: *

Vehicle Registration Number: *

Vehicle Owner's Name: *

Registration Expiry Date: *

Address where the vehicle is garaged: *

Application Checklist

Please tick applicable boxes below to confirm that you have provided copies of the documents requested. Please attach copies of the following with the completed application form:

RMS Vehicle Registration (proof of registration) *

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Maximum accepted file size is 3MB

Certificate of Currency of Third Party Property Damage Insurance to the minimum value of $20,000,000 *

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Maximum accepted file size is 3MB

Certificate of Currency for Public and Product Liability Insurance to the minimum value of $20,000,000 *

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Maximum accepted file size is 3MB

NOTE

A fee applies for the assessment of an application, inspection of vehicle and for the approval to operate a mobile food vending vehicle in accordance with Council's fees and charges. An invoice will be mailed to your nominated address following the issue of approval.

Privacy Notice

In submitting this form, you consent to Council:

Collecting your personal information as contained in the form; and
Using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.

Applicant Declaration

I declare that to the best of my knowledge, the information provided in this application is accurateand correct. I understand that if the information declared on this form is not true and correct,Canterbury Bankstown Council may refuse my application and that I can only operate onceapproval has been issued by Council.

Signature *

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