Application for Food Permit

Permit Information

NOTE: Annual payment due December 31. Once your application is processed you will receive an email with a link to submit payment online for your license/permit.

Application Type?

New ($50)

Renewal ($50)

City of Moore License Number

Business Information

Name

Address

Address Additional

Phone

Oklahoma Tax Commission Sales Tax Permit Number

Owner/Contact Information

Owner

Address to send correspondence, if different from above

Address Additional

Phone

Email Confirm

Documents

NOTE: The following documents must accompany the application.

Upload Oklahoma Tax Commission Sales Tax Permit

Choose File(s)

Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types: jpg, png, txt, pdf, doc, docx.

Upload the Oklahoma State Department of Health Certificate

Choose File(s)

Unlimited number of files can be uploaded to this field.
5 MB limit.
Allowed types: jpg, jpeg, png, txt, pdf, doc, docx.

Agreements

Please read the municipal code: Article 8-6A Food Service Sanitation
Once you have finished, initial the Municipal Code Agreement field below.

Municipal Code Agreement

I Agree (initial)

By initialing, you agree that you have read and understood the municipal code provided above.

Signature

By signing and submitting this form, I certify that the information provided is true and accurate to the best of my knowledge.

*** Once your application is processed you will receive an email with a link to submit payment online for your license/permit.

Date

Application for Food Permit

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