Office Phone: (718) 520-9060
Fax: (718) 520-9063
Email: info@queensvaad.org
Kashrus Form

Kashrus Form

Please click here to download PDF file

* Required fields

Name of Company*

DBA (if any)*

Addresss

City

State

Zip

Phone Number*

Business hours

Please list all partners

Who holds lease of the Corporation?

Name of Applicant*

Home Addresss

City

State

Zip

Cell Phone Number*

Synagogue Affiliation

Rabbi

Phone Number

New Company?

Existing Company?

Are you presently or have under kosher supervision?

Please list the names of any other food establishments that you have you ever been the owner/manager of

A $150 non-refundable application fee must be submitted with this application.
A $300 setup fee will be assessed to all new establishments.

IMPORTANT: All applications must be approved by the Vaad Kashrus committee. You will be informed in writing of the committee’s decision subsequent to an initial inspection of your facility by a Vaad representative. If approved, you will be asked to sign an agreement detailing the rules and regulations of our supervision. You may not display or advertise the Vaad’s name or logo until you have received a countersigned agreement from our office.

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