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CC11140 - Brisbane Gourmet Food Truck Design Application
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BRISBANE CITY COUNCIL
ABN 72 002 765 795
Brisbane Gourmet Food Truck Design Application
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Office Use Only
DART Application No.
DART Permit No.
BRISBANE CITY COUNCIL
ABN 72 002 765 795
Brisbane Gourmet Food Truck Design Application
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Getting started
CC11140 - Brisbane Gourmet Food Truck Design Application
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*
are required
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Privacy Statement
The personal information collected on this form will be used by Brisbane City Council for the purposes of undertaking associated Council functions and services. Your personal information will not be disclosed to any third party without your consent, unless this is required or permitted by law.
Note:
rollover or click
for access to additional information
Use this form to apply to have your mobile food vehicle assessed for
Brisbane’s Gourmet Food Truck Initiative
.
Please ensure that you have read the
Gourmet Food Truck Information Kit
before completing this application.
You will need the following documents to complete this application:
•
photos or artist impressions of the food truck
•
description of food offering and sample menu
•
photos of food items
•
dimensions and weight of food truck
•
description of environmentally sustainable practices
•
Eat Safe Brisbane certificate or equivalent certification
If you need assistance completing this form contact Council’s Business Hotline on 133 BNE (133 263).
I am applying for:
*
a website profile only
a complete permit (includes approval to trade at premium and drive-up sites as described in the Gourmet Food Truck Information Kit)
Please close this form and fill out the
Brisbane Gourmet Food Truck Design Application - Website only
form.
Close this form.
What is the business trading name?
*
What is the business trading name?
*
My food truck is:
*
already operational
in the design/development stage
Where do you operate currently?
*
Application details
CC11140 - Brisbane Gourmet Food Truck Design Application
Fields marked with
*
are required
Unique Customer Experience Mandatory Requirements
Provide a description of the gourmet food offering.
*
Refer to the
Gourmet Food Truck Information Kit
for details on gourmet food requirements.
Note that you will also need to upload a detailed menu and photographs of the food later in this application.
Provide a description of the gourmet food offering.
*
Provide a description of the exterior design, logo and graphics of the food truck.
*
Refer to the
Gourmet Food Truck Information Kit
for visual presentation requirements.
Note that you will also be required to upload photos or artists impressions with this application.
Provide a description of the exterior design, logo and graphics of the food truck.
*
Do you use environmentally friendly packaging and utensils?
*
No
Yes
Please describe the environmentally friendly packaging and utensils used
*
Outline your plans for disposal and recycling of waste
*
Outline your plans for disposal and recycling of waste
*
Outline any other energy efficient practices used
*
Outline any other energy efficient practices used (optional)
Additional Mandatory Requirements
Will all cooking and serving activity be conducted from within the confines of the Gourmet Food Truck? ( i.e. not under awnings or marquees)
*
No
Yes
Cooking and serving outside the food truck is not permitted for an approval under this initiative. However, you are able to complete a
Brisbane Gourmet Food Truck Design Application - Website Only
form and may be eligible for a website profile.
Close this form.
The vehicle is a
*
self propelled food truck
a food trailer that is towed
Provide the length and width (in metres) of the
*
Note:
The combined total length of food trailer and towing vehicle should not exceed 10 metres.
Length
*
m
Width
*
m
Total Area
*
m
2
Provide the weight of the
(in kilograms)
*
Provide the weight of the food truck (in kilograms)
*
Weight
*
kg
Is the food truck fully self-sufficient (i.e. own power and water supply)?
*
No
Yes
Food trucks must be self-sufficient to participate in this initiative.
Close this form.
Food truck details
Registration number
*
Colour (main colour of vehicle)
*
Make (eg. Ford, Toyota)
*
Model (Eg. HiAce, Tarago)
*
Registration expiry date
*
Do you have a current food business licence for the food truck?
*
No
Yes
Please give details:
*
Food Business Licence number
*
Issuing authority (i.e.Council that issued the licence)
*
Aurukun Shire Council
Balonne Shire Council
Banana Shire Council
Barcaldine Regional Council
Barcoo Shire Council
Blackall-Tambo Regional Council
Boulia Shire Council
Brisbane City Council
Bulloo Shire Council
Bundaberg Regional Council
Burdekin Shire Council
Burke Shire Council
Cairns Regional Council
Carpentaria Shire Council
Cassowary Coast Regional Council
Central Highlands Regional Council
Charters Towers Regional Council
Cherbourg Aboriginal Shire Council
Cloncurry Shire Council
Cook Shire Council
Croydon Shire Council
Diamantina Shire Council
Doomadgee Aboriginal Shire Council
Douglas Shire Council
Etheridge Shire Council
Flinders Shire Council
Fraser Coast Regional Council
Gladstone Regional Council
Gold Coast City Council
Goondiwindi Regional Council
Gympie Regional Council
Hinchinbrook Shire Council
Hope Vale Aboriginal Shire Council
Ipswich City Council
Isaac Regional Council
Kowanyama Aboriginal Shire Council
Livingstone Shire Council
Lockhart River Aboriginal Shire Council
Lockyer Valley Regional Council
Logan City Council
Longreach Regional Council
Mackay Regional Council
Mapoon Aboriginal Shire Council
Maranoa Regional Council
Mareeba Shire Council
McKinlay Shire Council
Moreton Bay Regional Council
Mornington Shire Council
Mount Isa City Council
Murweh Shire Council
Napranum Aboriginal Shire Council
Noosa Shire Council
North Burnett Regional Council
Northern Peninsula Area Regional Council
Palm Island Aboriginal Shire Council
Paroo Shire Council
Pormpuraaw Aboriginal Shire Council
Quilpie Shire Council
Redland City Council
Richmond Shire Council
Rockhampton Regional Council
Scenic Rim Regional Council
Somerset Regional Council
South Burnett Regional Council
Southern Downs Regional Council
Sunshine Coast Regional Council
Tablelands Regional Council
Toowoomba Regional Council
Torres Shire Council
Torres Strait Island Regional Council
Townsville City Council
Western Downs Regional Council
Whitsunday Regional Council
Winton Shire Council
Woorabinda Aboriginal Shire Council
Wujal Wujal Aboriginal Shire Council
Yarrabah Aboriginal Shire Council
If your application is successful, you must obtain a
mobile food business licence
for the food truck and be inspected before commencing operation under the Brisbane Gourmet Food Truck Program.
What Eat Safe star rating did the business receive at the last audit?
*
No star
2 star
3 star
4 star
5 star
A rating of three stars or greater is required to participate in this initiative.
Close this form.
Have you opted in to display your Eat Safe Rating?
*
No
Yes
You need to opt-in to display your Eat Safe Rating to participate in this initiative.
Select '
I agree
' below to opt-in to display your Eat Safe Rating and the information will be sent after you submit this form.
I agree
to opt-in to display my Eat Safe Rating
If you do not agree
to opt-in to display your Eat Safe Rating you will not be able to continue to fill in this application, the form will be closed and all the data you entered so far will be lost.
I do not agree
to opt-in to display my Eat Safe Rating.
Close this form.
Agreement to display Food Safety Rating
Brisbane City Council is conducting a food safety star rating scheme for licensed food businesses in accordance with the Food Safety Rating Guide. On a voluntary basis, the scheme allows for the display of information relating to audits of food premises in the form of star ratings.
Under this agreement Council will issue a food safety rating to the Licensee through the allocation of, from no star to five stars in accordance with the criteria in the Food Safety Rating Guide.
If the Licensee holds a current licence, has no outstanding licence fees and has been rated with no less than three stars, then the Licensee is eligible to voluntarily display its star rating at its premises and on an Eat Safe Brisbane website so it is readily visible to customers and potential customers.
The Licensee consents to its star rating being published on Council’s website (to the extent that it discloses confidential information) and indemnifies Council against any claim as a result. The Licensee may revoke its consent by giving Council 10 business days’ notice in writing and within that time, council must withdraw the rating from its website.
The Licensee may remove its star rating from public display, however must immediately notify Council in writing of such removal.
If the Licensee does not hold a current licence, has outstanding licence fees or is rated with less than three stars, then the Licensee must remove the star rating from public display immediately or within 5 business days from receipt of a notice by Council. If the star rating is not removed from public display, an authorised person employed by Council may enter the premises and remove the star rating.
The star rating material will at all times remain the property, including the intellectual property, of Council.
Any variation to this Agreement must be agreed to in writing between the Licensee and Council.
Do you want to display the food star rating onsite and online on Council’s website, and agree to these terms and conditions?
*
No
Yes
If you do not agree to the terms and conditions for displaying your Eat Safe Rating, you will not be able to continue to fill in this application and data entered so far will be lost when you click on 'Close this form' button.
Close this form.
The Food Business will receive the star rating at the initial audit (before the food business licence is granted). Only businesses that receive a 3 star or above will be eligible to display their rating. Businesses will also be given an opportunity to opt in to display at the time of the audit.
Provide details about last audit/inspection results
*
As a Food business with a licence from outside the Brisbane City Council area, please provide details about the results of your last audit or inspection from that local authority (for example, star rating, compliance rating, inpection result etc).
Provide details about last audit/inspection results
*
Applicant details
CC11140 - Brisbane Gourmet Food Truck Design Application
Fields marked with
*
are required
Applicant type
Who is making the application?
*
Individual/s
Corporation/Incorporated Association
Individual/s details
Title
*
Mr
Mrs
Miss
Ms
Other
Other
*
First Name
*
Family Name
*
Add another name
Postal Address
*
Address line 2
Suburb
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
*
Daytime contact number (include area code)
*
Alternative contact number (include area code)
Email address
*
Business fax number (include area code)
Corporation/Incorporated Association details
Provide your Australian Business Number (ABN) details.
*
No
Yes
If you do not hold a current ABN, you will be required to complete a ‘Statement by a Supplier’ form (available from the Australian Taxation Office) before entering into any funding agreement with the Australian Government.
ABN
*
Click to validate
Valid ABN
Legal Name
(this is the name that appears on all official documents and legal papers; it may be different to your organisation’s trading name.)
Entity Type
Entity Code
Trading name
*
(this is your name or your organisation's trading name.)
Entity type
*
Australian Private Company
Australian Public Company
Commonwealth Government Entity
Family Partnership
Individual/Sole Trader
Local Government Entity
Other Incorporated Entity
Other Partnership
Other Trust
Other Unincorporated Entity
State or Territory Government Entity
Does the Legal Name above include the words ‘trust’ or ‘trustee’?
*
No
Yes
Council can only issue a licence to a legal entity. Please provide the details of the Trustee for the Trust.
*
E.g. Bob Smith or ABC Company Pty Ltd
Council can only issue a licence to a legal entity. Please provide the details of the Trustee for the Trust. E.g. Bob Smith or ABC Company Ptd Ltd
*
Address and contact details
Postal Address
*
Address line 2
Suburb
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
*
Title
*
Mr
Mrs
Miss
Ms
Other
Other
*
First Name
*
Family Name
*
Daytime contact number (include area code)
*
Alternative contact number (include area code)
Email address
*
Business fax number (include area code)
Business size
Including yourself, how many people are currently employed by your business? Please include any part-time and casual staff
howManyStaff
1
2-4
5-19
20-199
200+
Attachments
CC11140 - Brisbane Gourmet Food Truck Design Application
Fields marked with
*
are required
Supporting documents need to be provided as part of your application. You can browse your computer’s folders and select your documents for upload (Word, PDF, JPG file types ONLY, either individual or bundled in a ZIP file).
File size
You can upload a total of 20MB, however, each individual file can be no more than 10MB. You are encouraged to compress (or zip) larger files.
You have returned to the form after submission. Please re-upload all the required attachments.
Attach the following documents to support your application:
Food truck photos and promotional material
*
A minimum of 4 and a maximum of 12 images of the vehicle and its set up are to be provided.
Views from the front, back and both sides are required to help illustrate the look and feel of the vehicle.
You must also include one logo image and one cover photo that can be used to create your web profile. See
http://www.bnefoodtrucks.com.au/food-trucks
for examples.
index
Food truck photos and promotional material
Download Attachment
I will provide it LATER
Click to Upload
I will provide it LATER
File:
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Menu
*
Provide a sample menu of the foods that will be offered
index
Menu
Download Attachment
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Click to Upload
I will provide it LATER
File:
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Food photos
*
Please provide a minimum of 4 and a maximum of 12 images of the foods that will be offered.
index
Food photos
Download Attachment
I will provide it LATER
Click to Upload
I will provide it LATER
File:
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Compliance
*
Eat Safe certificate or equivalent evidence of recent local authority inspection.
index
Compliance
Download Attachment
I will provide it LATER
Click to Upload
I will provide it LATER
File:
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Public Liability Insurance
*
Certificate of Currency for Public Liability Insurance at a minimum of $20 Million indemnifying Council for all claims for personal injury and damage to property arising out of participation in the Brisbane Gourmet Food Truck Program
index
Public Liability Insurance
Download Attachment
I will provide it LATER
Click to Upload
I will provide it LATER
File:
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Other optional supporting documents (if any)
index
Optional supporting documents
Download Attachment
Click to Upload
File:
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Lodgement
CC11140 - Brisbane Gourmet Food Truck Design Application
Fields marked with
*
are required
Terms and conditions
I have read the
Gourmet Food Truck Information Kit
and agree to the approval conditions.
*
Applicant’s agreement and signature
If you are supplying commercially sensitive or confidential information, please ensure you mark such information clearly.
If the application is made by a corporation or an incorporated association, the person signing this form must occupy a position that is legally entitled to make an application on behalf of the organisation.
I understand that the information provided in and with this application may be disclosed publicly under the Right to Information Act 2009 and the Evidence Act 1977.
I am aware that it is an offence to knowingly provide false or misleading information.
Name of Individual/Organisation
*
Name of Signatory. If applicant is Corporation/Association
Position.
Proprietor, Director, Manager.
Signature
I acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transactions (Qld) Act 2001.
*
read more...
Date Signed:
Signature
I acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transactions (Qld) Act 2001.
*
I acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transactions (Qld) Act 2001.
Date Signed:
Payment details
CC11140 - Brisbane Gourmet Food Truck Design Application
Fields marked with
*
are required
Description
Amount
GST
Amount
(incl. GST)
Description
Amount
GST
Amount (incl. GST)
Description
Amount
GST
Amount (incl. GST)
discount
Total Amount
Total GST
Total Payment
SubTotal
Service Fee
Please select your payment method:
*
Pay online with our safe and easy Credit/Debit Card facility.
Credit/Debit Card
Online submission
Do you have a Mastercard or Visa ready to make payment?
*
Have you completed all required fields and selections and do you have your document/s ready to attach?
*
Have you completed all required fields and selections?
*
No
Yes
If you don't have all required documents ready for upload or for any other reason you are not ready to complete your submission at this time, you can save the form online and return to complete it when ready.
Please select the
Save and Close
button at the top of the page.
If you are ready to submit your application please select the
Submit
button at the bottom of the page.
Receipt
CC11140 - Brisbane Gourmet Food Truck Design Application
Fields marked with
*
are required
Your form has been successfully submitted. Please keep a copy of this acknowledgement for your records.
To save or print a copy of the completed form and acknowledgement go to the "File" menu and select "Save as" or "Print".
Your submission details:
Submission Date and (Eastern Daylight) time:
Submission Receipt Number:
BRISBANE CITY COUNCIL
ABN 72 002 765 795
Official Receipt
Full Name
*
addressLine1
*
addressLine2
SuburbStatePostcode
*
Full Name
*
addressLine1
*
addressLine2
SuburbStatePostcode
*
Tax Invoice
Description
Amount
GST
Amount
(incl. GST)
Description
Amount
GST
Amount (incl. GST)
Description
Amount
GST
Amount (incl. GST)
Total Amount
Total GST
Total Paid
Payable
SubTotal
Service Fee
Receipt Date and (Eastern Daylight) time:
Receipt Number:
Call 133 BNE (133 263) for business enquiries
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