OEHS Food Event: Questionnaire - Wayne State University

This form is designed to enable the OEHS Food Safety Program to determine if a Temporary Food License is required for events being held at WSU. All sections must be completed in order to submit. The OEHS Food Safety Officer will follow-up with you once your form has been received and reviewed. Please ensure that all contact information is accurate.

Fields with asterisks (*) are required.

Contact Information

First name *

Last name *

Email *

Telephone Number *

Get Involved

Is this application associated with a room reservation application via Get Involved? *

Yes

If yes, please provide the Get Involved "Event Request ID" number

You can find the relevant "Event Request ID" on the "Event Details" page once your Get Involved event has been submitted.

Event information

Please note that there is a 5 business day processing time for applications that require a temporary food license. Please contact OEHS if your event is planned for within the next 5 days.

Event Date *

Event Time *

Name of Organization Hosting Event? *

Location of Event? *

Please provide a complete list of food items that will be served *

What is the source of the food being served? *

Will a licensed food service establishment be serving the food? *

Yes

If yes, please provide the name of the food service establishment *

Is this a public event? *

Yes

Examples of Public Events:

· Events sponsored by an organization or group for the group members as a whole are considered licensable since any guests or visitors who are not members of the organization can typically attend.

· Events sponsored by the group that invite the general public.

· Groups preparing food for the needy, elderly, indigent, etc.

Further information can be found at https://research.wayne.edu/oehs/food-safety/public-event-11302017-fini.docx

Has an involved member of this event completed the "Food Handlers Training" course? *

Yes

A trained individual must be present at any WSU event that requires a temporary food license.

Further information on the Food Handlers Course can be found at http://research.wayne.edu/oehs/pdf/food_handler_11032016ph1.pdf.

Contact OEHS Food Safety if you have any questions

Office of Environmental Health & Safety
5425 Woodward Ave., Suite 300
Detroit, MI 48202
Office: 313.577.1200