TETON/PONDERA COUNTIES
REQUEST FOR LICENSE EXEMPTION
NON-PROFIT ORGANIZATION TEMPORARY FOOD SERVICE ESTABLISHMENT
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SHORT TERM FOOD FUNCTION

This is to acknowledge that an authorized representative has received educational material provided by the Teton County Sanitarian concerning the operation of a Temporary Food Service; specifically that the authorized representative understands the proper method of food handling, storage and service, and understands that he/she is responsible for the sanitation standards at this food function.

ORGANIZATION___________________________________________________________________

Place of Function_____________________________________________Date(s)_______________

Authorized Representative:______________________________________Phone_______________

Issued By:___________________________________________________Date(s)_______________


MINIMUM REQUIREMENTS:

Beverages:      (Beer, pop, etc.) Must be stored and dispensed so as to be protected from
                      contamination. Single service containers should be used.

Bake Sales:     All items must be prewrapped. No cutting of products at the bake sale site.
                       No cream-filled pastries and pies or pumpkin pies are allowed.

Dinners:           See The Temporary Food Service Establishment Rules.

MENU, COMMENTS:_______________________________________________________________

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