Temporary Food Establishment Permit
Asterisks (*) indicate required fields
Completion of a permit application is one step in the process of obtaining a temporary food service permit.
Please call the Health District Office at (409) 938-2411 for additional information

Who needs a Temporary Food Establishment Permit

Today's Date*
IRS Tax Exempt Number (If applicable)
Special Event*
Sponsor*
Date(s) of Event*Time of Operation: From*To*
Location of Event (Street Address)*
Organization*
Responsible Person*
Address*
City*
State*
Zip*
Phone*
Email*
Do you operate food establishments at other locations?*
If yes, provide names and addresses
  
Food items to be served Source / Vendor Place of Preparation Transporting / cold Holding Facilities Cooking Equipment Hot Holding Facilities
Special Conditions
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