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2. Checklist

   For establishments that are new to the Township of Wall we have a checklist of all the entities you will need to be in touch with!

4. Applicant Contact Information
6. Company Name*
7. Contact Name*
9. Owner's Address*
10. Email Address*

    Please provide an email address where mail is checked regularly.  Renewal reminders are mailed and emailed.  

12. Business Phone*
13. Cell Phone*
15. Establishment Information
17. Name of Establishment *

    Trade Name

18. Establishment Address *
20. Block*
21. Lot*
22. Risk Type

    Category 1-3

24. Number of Seats
25. Square Footage
27. Fees

    The Township now accepts electronic payment! Please call our office to provide payment information over the phone.  Checks can be made to the Township of Wall and cash is accepted in the exact amount.

    (732)449-8444 ext. 2200

29. Fees

    Description	Fee
    Mobile Vehicles	$40.00 per year
    Special Events (one-week duration or less)	$50.00 per event
    Establishments other than licensed restaurants:
    Minimum fee establishments	$65.00 per year
    Between 4,000 and 10,000 square feet	$175.00 per year
    Over 10,000 square feet	$325.00 per year
    Restaurants
    Seating Capacity up to 50	$65.00 per year
    Seating Capacity from 51 to 100	$115.00 per year
    Seating Capacity over 100	$185.00 per year

33. Additional Requirements
35. Taxes and Utilities

    All assessments must be paid current with the Wall Township Collections Department:

    • 2700 Allaire Road
    • (732)449-8444 ext. 2600 
    • http://www.wallnj.com/268/Collectors-Office
36. Board of Health

    Satisfactory rating from the Board of Health:

    • 1 Municipal Plaza, Freehold, NJ 07728
    • (732)294-2060
    • https://www.twp.freehold.nj.us/244/Health
    • health@twp.freehold.nj.us 
40. Compliance
42. Chapter 119*

    1. I consent

    By checking this box, I (we) consent that I have reviewed and understand Township Code Chapter 119 pertaining to food establishments

43. Compliance with Board of Health*

    1. I consent

    By checking this box, I consent to comply with all of the Ordinances of the Freehold Township Health Department.  It is further agreed that I (we) shall surrender this license if rescinded by the Health Department

45. Signature*

    I, or we, the undersigned, do hereby make application for a license to conduct an eating, drinking or food establishment:

46. Date*
50. Food Manager Certification

    Please complete the fields below and  provide copies of any new certification

52. Name of Certified Personnel
53. Position of Responsibility
54. Certification Expiration
55. ServSafe

    Please upload a copy of your valid ServSafe

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field