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Vendor License Application - Renewal

  1. Vendor License Application Form - Renewal
  2. Instructions

    1. Complete the Renewal Application Form. 

    2. Submit electronically. You may print a copy for your records.

    3. You will be redirected automatically to the Licensing Payment Portal.

    4. Enter your License Type, License Number, Renewal Number exactly as it appears on your renewal notice.

    5. Submit electronic payment.

  3. Business Information *
    Provide local business & corporate information
  4. This number is provided to you in your renewal form.

  5. This number is provided to you in your renewal form.

  6. Vendor Activity - Select one or more of the following activities associated with your business.*
  7. Upload a map showing the location the food vending vehicle will be parked.

  8. Which County will the Vehicle(s) Serve?
  9. A Food Service Permit must be obtained from DuPage County's Health Department before this vendor license will be issued
  10. A Food Service Inspection must be completed by the Village's contracted Health Inspector before this vendor license will be issued
  11. Upload a copy of your approved food service inspection report

  12. Food/Beverage Vending Vehicle Duration

    How long will the vehicle be in use?

  13. Days of Operation
  14. Describe the type of amusement devices

  15. Example:  Soda Machine 1 - CC123456

  16. Any changes to previous number of vehicles or machines?

    If the number of machines listed has changed, the Inspectional Services Division will need to adjust the fee due before it is paid.  This is not automatic.

    If you have selected that you have changes or do not know the number of machines, please DO NOT continue to make a payment when you are re-directed to the license payment portal after completing this form.  Once the total due for your license is verified, you will be emailed to submit for payment.

  17. Preffered Mailing Address*
  18. Machine Ownership – Principals, Sole Owners, Shareholders, Partners, etc.

    If you have additional, please attach the listing.

  19. Machine Location

    Building/Property Owner

  20. Execute*
    By selecting I agree option below you are giving your electronic signature.
  21. No False statements
    Your submission of this form certifies that the information provided is true and correct.
  22. Information for individual completing this form.

  23. Leave This Blank:

  24. This field is not part of the form submission.