How to Fill Out Form HR-7022

Form HR-7022 at a glance

What it is: DBPR HR-7022 is the Commissary Services Notification.

Where and when to file: This form must be submitted as part of an application packet.

A filled-in Form HR-7022 example: a food vehicle owner names a commissary

Form HR-7022 example filled out, example: a food vehicle owner names a commissary
Sam Sample's mobile food dispensing vehicle needs form HR-7022. Sam names one commissary, where Sam washes dishes, stores food, dumps wastewater and receives potable water. The picture shows the filled form, and none of its entries is real. Sam stores no dry goods, cooks nothing and does not wash the outside of the vehicle, so No is ticked for those. Nothing goes in Other (Describe below) because Sam ticks No for Other. The commissary is licensed by DBPR, so DBPR is ticked under Licensed By. The Log Number and File Number boxes stay empty because they are for office use only.

How to fill out Form HR-7022, box by box

Section 1 Mobile Food Dispensing Vehicle or Temporary Commercial Kitchen Information

Form HR-7022 example filled out, section 1 Mobile Food Dispensing Vehicle or Temporary Commercial Kitchen Information

In Section 1, Mobile Food Dispensing Vehicle or Temporary Commercial Kitchen Information, enter the Owner Name, the Phone Number (include area code), the Vehicle or Kitchen Name (DBA) and the License Number.

Section 2 Primary Commissary Information

Form HR-7022 example filled out, section 2 Primary Commissary Information

In Section 2, Primary Commissary Information, enter the Commissary Name, the Commissary Address, the City, the Zip Code (+4 optional) and the County.

Enter the Phone Number (include area code), the Commissary License Number (if available) and the E-Mail Address.

Licensed By: DBPR or Department of Agriculture & Consumer Services.

Section 3 Commissary Activities

Form HR-7022 example filled out, section 3 Commissary Activities

In Section 3, Commissary Activities: I intend to conduct the following activities at my commissary.

Mark Yes or No for each: Dish or equipment washing, Storing food (including ice or drinks), Dumping wastewater, Storing dry goods, Receiving potable water, Cooking and/or reheating food, Washing the outside of the vehicle and Other.

Section 4 Signature

Form HR-7022 example filled out, section 4 Signature

In Section 4, Signature, enter the Print Name, sign on the Signature line and enter the Date.

More rules for Form HR-7022

For additional commissaries submit a separate form for each additional commissary.

Sources

[1] Form DBPR HR-7022, Commissary Services Notification, Florida Department of Business and Professional Regulation (the Official source link on this page).

DBPR HR-7022 PDF Details

Section 4 is for the printed name, signature and date.

Section 1: information about the mobile food dispensing vehicle or temporary commercial kitchen.

Section 2: information about the primary commissary, and whether it is licensed by DBPR or the Department of Agriculture & Consumer Services.

Section 3: the activities you intend to conduct at your commissary, each marked Yes or No, including dish or equipment washing and dumping wastewater.

Additional commissaries: submit a separate form for each additional commissary.

QuestionAnswer
Form NameDBPR HR-7022
Form Length1 page
Fillable?Yes
Fillable fields26
Avg. time to fill out5 min
Edition2023 August
Issuing agencyFlorida Department of Business and Professional Regulation, Division of Hotels and Restaurants
Other namesHR-7022, HR7022, DBPR HR-7022, Form HR-7022, Florida HR-7022, Commissary Services Notification
Official sourceDBPR HR-7022 (2023 August), Florida Department of Business and Professional Regulation