Farmers' Market Organizer Notification Form

Please complete and submit this form before you begin to sell any food items at this location.

An initial inspection with a Public Health Inspector will be arranged with you on-site. Please retain a copy of this form for your records; you will NOT be mailed/faxed a copy.

Note:

  1. Every person who intends to sell food to the public must notify the Health Unit in accordance with Section 16(2) of the HPPA.
  2. This form may be forwarded to the Tobacco Enforcement Officer (TEO) to ensure compliance with the Smoke Free Ontario Act. If there are any concerns, the TEO will call the person(s) responsible. For more information on the SFOA, 2017, please contact: tobaccoenforcement@swpublichealth.ca

Organizer Information

Business Information

Food Vendors

Please provide the information for all Food Vendors that will be attending the Farmers’ Market. Please note that each vendor must submit an individual Farmers’ Market Vendor Notification Form prior to selling any food items at this location. 

Food VendorType of FoodAddressPhone Number

The Personal Information on this Farmers’ Market Organizer Notification Form is collected under the authority of the Health Protection and Promotion Act and applicable privacy legislation. This information will be used for delivery of public health programs and services and may be used for evaluation or statistical/research purposes. Any questions about the collection of this information should be directed to:

SWPH Privacy Officer
1230 Talbot Street, St. Thomas, ON N5P 1G9
Phone: (519) 631-9900; Fax: (519) 631-3745
E-mail: info@swpublichealth.ca