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 - 785-690-7003 - with any questions.

4. Application Process

   1. Fill out the form, upload the required documents, e-sign and submit.

   2. The City Clerk’s office will review the application and respond within 2-3 business days.

   3. Once the application is approved, call or visit city hall to make payment ($100/annual; $50/3-day) and provide a copy of your driver’s license. 

   4. The Fire Department will perform an inspection on the Mobile Food Unit and issue the license upon passing.

6. Eudora City Code
   Mobile Food Truck Vendors
8. Business Information
10. Name of Business*
12. Business Owner's First Name*
    Registered Business Owner
13. Last Name*
15. Permanent Business Address*
17. Address Line 2
19. City*
20. State*
21. Zip*
23. Phone Number*
24. Email Address*
26. Type of Business*
30. Applicant or On-Site Contact
32. First Name
33. Last Name
35. Birth Date of Applicant
    Birth Date of Applicant
36. Applicant Phone Number
40. Vehicle Information
42. Vehicle Make & Model*
43. Vehicle License Plate #*
45. Picture of Mobile Food Unit*
49. Insurance Information
51. Insurance Agent*
52. Insurance Agent's Phone Number*
54. Upload Certificate of Insurance*
    Please list The City of Eudora, 4 E. 7th St. Eudora, KS 66025, as the policy holder. This information is usually listed on the bottom of the form.
58. Food & Sales Tax Licenses
60. Kansas Food Service Establishment License (when applicable)
62. Kansas Food Truck Sale Tax Registration*

66. License Type

68. Are you applying for a 3-Day or Annual License?*

    3-Day Mobile Food Vendor Licenses are valid for three consecutive days. Customers may purchase multiple 3-Day licenses throughout the year as needed.

    Annual Mobile Food Vendor Licenses are valid for the calendar year and will expire on December 31 of the year it was purchased. 

    1. 3-Day License - $50
    2. Annual License - $100
70. 3-Day License Dates*
    3-Day License Dates Start Date

    —

    3-Day License Dates End Date
74. 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
76. 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
78. 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 $100 annually, valid January 1 - December 31.
80. 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:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit Submit and Print

* indicates a required field