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

Application for Kashrus Supervision

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

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