Required fields are marked with asterisks (*)

Farmers' Market Food Vendor Form

All Farmers' Market Food Vendors within Huron Perth must complete and submit this form 14 days before the start of the event.

Food Vendor's Information

Contact name:

Concession name:

Mailing address:

911 or Street Number:

Street:

City/Town:

Postal Code:

Phone number(s):

Day phone:

Evening phone:

Cell phone:

Fax number:

Email:

Please answer Yes or No to the following questions. HPPH uses this information to assess if the market you attend is exempt from Ontario Regulation (O. Reg.) 493/17: Food Premises. Farmers' markets are exempt from the regulation if most market vendors (51%) are selling their own farm products.

Keep in mind that if you plan to sell your product(s) at multiple farmers' markets, you may be attending exempt and non-exempt markets.

Do you live on a farm/hobby farm/rural property?

Yes

Do you live within city limits/within town limits?

Yes

Are you attending anytime between May 1 and October 31 inclusive?

Yes

Are you attending anytime between November 1 and April 30 inclusive?

Yes

Are you selling a farm product*?

Yes

Are you selling, preparing, and serving any type of food on site?

Yes

Are you sampling or preparing food on site?

Yes

Are you selling canned foods?

Yes

If handling food, do you have a handwashing station, with water, soap and paper towels?

Yes

*Farm Products are products that are grown, raised, or produced on a farm and intended for use as food. They include, without being restricted to, fruits and vegetables, mushrooms, meat and meat products, dairy products, honey products, maple products, fish, grains and seeds, and grain and seed products.

Farmers' Market Information

Include all farmers' markets you plan to attend for the year within Huron and Perth counties. You don't need to submit a new application for each market. If you miss including a market on this form, contact Huron Perth Public Health and we will adjust your file.

Name of Market:

Location of Market:

Date(s) at Market:

Operating start time:

Operating end time: