Mobile Food Vendor / Food Truck License Application

2. Overview and Instructions
   Please read the official municipal code regarding Mobile Food Vendors before filling out this application. All vendors and applicants are expected to know, understand, and follow the code as written and approved by the City Commission. At the end of the application process, you will be required to electronically sign the form affirming that you have read and understand the provisions in this policy. Please reach out to the City Clerk - 785-690-7246 - with any questions.

   Please read the official municipal code regarding Mobile Food Vendors before filling out this application. All vendors and applicants are expected to know, understand, and follow the code as written and approved by the City Commission. At the end of the application process, you will be required to electronically sign the form affirming that you have read and understand the provisions in this policy. Please reach out to the City Clerk - 785-690-7246 - with any questions.

4. Eudora City Code
   City Code for Mobile Food Truck Vendors

6. Business Information

8. Name of Business*

10. Business Owner's First Name*

    Registered Business Owner

11. Last Name*

13. Permanent Business Address*

15. Address Line 2

17. City*

18. State*

19. Zip*

21. Phone Number*

22. Email Address*

24. Type of Business*

25. Upload Business License

29. Applicant Information

31. First Name

32. Last Name

34. Birth Date of Applicant*
    Birth Date of Applicant

35. Applicant Phone Number

39. Vehicle Information

41. Vehicle Make & Model*

42. Vehicle License Plate #*

44. Picture of Mobile Food Unit*

48. Insurance Information

50. Insurance Agent*

51. Insurance Agent's Phone Number*

53. Upload Certificate of Insurance*

57. Food & Sales Tax Licenses

59. Kansas Food Truck Establishment License*

61. Kansas Food Truck Sale Tax Registration*

65. Proper Storage of Mobile Food Unit*

    I certify that when the Mobile Food Unit associated with this license application is not in use, it will be stored or parked in compliance with all ordinances and regulations of the City of Eudora and that failure to legally store the Mobile Food Unit may result in the suspension or revocation of the applicant’s license

    1. I have read and affirm this statement to be true
67. Registered Sex Offender*

    I certify that no person whose duties include working upon the premises of the Mobile Food Unit is a registered sex offender, and that I, the applicant, has, subject to audit, performed the necessary background check of all such persons to ensure that the statement is correct.

    1. I have read and affirm this statement to be true
69. License Information & Fee
    No license shall become effective until the required business license and certificate of insurance has been submitted and is on file with the city. The Mobile Food Vendor license fee is (your fee) per event.

    No license shall become effective until the required business license and certificate of insurance has been submitted and is on file with the city. The Mobile Food Vendor license fee is (your fee) per event.

71. Electronic Signature*

    I certify that I am familiar with the provisions of this chapter and will comply with all requirements set forth within; and that all of the information provided in the application is true and correct. By checking the box below I agree and acknowledge my electronic signature is valid and binding in the same force and effect as a handwritten signature.

    1. I have read and understand these statements
Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

* indicates a required field