Selma, TX · Bexar County
Application for Food Establishment/Health Permit
Food establishments use this application to provide business, owner, manager, and employee information when seeking a City of Selma food establishment permit.
What this form is
The application collects the establishment’s name, address, type, phone number, owner and manager details, employee count, and applicant certification and signature. It includes a fee schedule based on the number of employees, with an additional listed fee for a frozen beverage machine. The form does not state when the application is required or provide a submission method.
Who needs it
A food establishment owner or applicant seeking a City of Selma food establishment permit can complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the signer certifies the information and agrees to notify the city if relevant information changes.
How to submit this form
- 1
Download The Application
Download the City of Selma food establishment permit application.
- 2
Complete The Application
Enter the establishment, owner, manager, and employee details, then provide the applicant’s name, title, signature, and application date.
- 3
Review The Fee Schedule
Use the employee-count fee schedule and note the additional listed fee for a frozen beverage machine, if applicable.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the food establishment permit application ask for?
- It asks for the establishment’s name, address, type and phone number; owner and manager information; employee count; annual fee; and applicant name, title, signature and date.
- Do I need a notary for the food establishment permit application?
- No. The application has a signature and date line but no notary block. The applicant certifies the information and agrees to notify the city if relevant information changes.
- How do I submit the food establishment permit application?
- The form does not specify how to submit it. Submit it to the city department named on the form; check the city website for current contact details.
- What fees are listed on the application?
- The application lists permit fees based on employee count, ranging from $100 for 1–3 employees to $500 for 21 or more employees, plus $125 for a frozen beverage machine.