This form is for special event/market food vendors only. This application must be submitted 30 days prior to the event. 1 Start 2 FOOD VENDOR INFO 3 FOOD SERVICE INFO 4 Complete Event Name * Event Location * Event Start Date * Year20172018201920202021 Year MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Event End Date * Year20172018201920202021 Year MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Event Start Time * Event End Time * Have you been inspected by the Windsor-Essex County Health Unit this year? * Yes No Specify which event(s) Leave this field blank Next: Food Vendor Information
