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District of Columbia - Department of Buildings & Department of Licensing and Consumer Protection

dcracs@dc.gov

1100 4th Street S.W., Washington, DC, 20024, US

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Mobile Food Vending Pilot Program Application

You may use this form to submit your application for the Mobile Food Vending Pilot Program.

All supporting documents must be in active status or dated within thirty (30) days of submission of this form. Please visit our website for an overview of the documents required to obtain a Vending Business License. Once your application is received, a licensing specialist will review provide additional instructionsIf you have questions, email vending@dc.gov.

Mobile Food Vending Pilot Program Application Information

Your organization must be a Non-Profit Corporation/Non-Profit Entity to be considered for this pilot program. Please select your entity type below.

Does your non-profit business use a trade name (i.e., DBA)?

Full Name of Owner

Upload copy of driver's license or government-issued ID for the owner and staff/drivers participating in the Mobile Food Vending Pilot Program.

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Business/Home Address (DO NOT INPUT VENDING SITE LOCATION. P.O. BOXES ARE NOT ACCEPTED)

Resident Agent

All businesses must have an Agent who can receive legal documents for your business. This person must be a DC resident. You may serve as your own Agent.

Resident/Registered Agent Address

Tax Information

Upload Notice of Business Tax Registration

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Clean Hands Statement: The District Government will not issue or reissue any license or permit if the applicant owes more than $100.00 in outstanding debt to the District of Columbia.

Upload Clean Hands Certificate for the District of Columbia. The certificate should list your organization's name. All certificates must be dated within 30 days of application submission.

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Written Statements

Each written statement may not exceed 500 words.

Vehicle Information

Upload Current and Valid Vehicle Registration

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Upload evidence of the applicant vendor’s Pilot vehicle insurance

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Upload a list of proposed sites of operation

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Supporting Documentation

Upload current Food Supervisor Certification

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Upload current and approved Health Inspection Report/Certificate

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Upload current Fire Marshall Inspection Approval

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Does your vending vessel use propane?

Upload valid Propane Operation Permit

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I understand that anyone who makes a false statement on this form can be criminally prosecuted and fined under D.C. Official Code 22-2405. I understand that DLCP may conduct an investigation to ascertain the veracity of the information contained herein. I further understand that if I knowingly provide false and/or misleading information on this application, DLCP may immediately revoke each license and/or permit obtained as well as issue me a fine.

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DC INSPECTOR GENERAL HOTLINE: If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any DC Government agency, official or program, contact the Office of the Inspector General (OIG) at 202-727-0267 or 1-800 521-1639 (toll free). All reports are confidential and you may remain anonymous by law. Government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties, or criminal prosecution in appropriate cases.