To register as a food establishment, please complete the form and sign the agreement below. Unless otherwise noted, all fields are required.

Food establishment inspection fee (annual): $200.00. Temporary food vendors inspection fee: $125.00. Submit fee payment at City Hall. No refunds or transfers once permit is issued to applicant.

    Contact Information

    Name of Business/Organization

    Mailing Address

    City

    State

    ZIP Code

    Location Phone

    Contact Person

    Contact Phone

    Email

    Type of Business to Be Inspected

    (check any that apply)

    Establishment to Be Inspected

    Name

    Physical Address

    City

    State

    ZIP Code

    County

    Is physical address within the city limits?

    Establishment Phone

    Days of Operation

    Hours of Operation

    Additional Locations

    For any additional locations, please upload document showing all information listed under Establishment to Be Inspected section above.
    (PDF, Word, images accepted)


    Non-Discrimination Statement
    The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.

    Ethnicity (optional)

    Race (optional)

    Verification: I swear or affirm that all information in this application is true and correct. I further certify by signature hereon, that I am authorized to execute this document. I further certify that I have read and understand Chapter 437 of the Health and Safety Code, the applicable provisions of 25 Texas Administrative Code, Chapter 229, and agree to abide by them. If you agree to all the terms and conditions stated above, sign this document electronically by typing your full name:

    ...and today’s date:

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