Lake Jackson, TX · Brazoria County
Day Care Application
Day care operators use this application to request a City of Lake Jackson permit and provide facility, owner, and food-service information.
What this form is
This application requests a City of Lake Jackson day care permit and asks for the establishment’s name and address, applicant details, owner and responsible-person contacts, facility size, and food-service information. The form lists annual fee amounts by the number of children and says the permit is renewed by March 31 each year. It also includes facility requirements and a health inspection checklist.
Who needs it
Day care operators seeking a City of Lake Jackson permit should complete the application and provide the requested establishment and applicant information.
How to submit it
Submit the application to the City of Lake Jackson Health Department, 25 Oak Drive, Lake Jackson, TX 77566. The form lists annual fees of $25, $50, or $100 depending on the number of children, and a $0 fee for a nonprofit organization with a 501c form.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Day Care Application PDF.
- 2
Complete The Application
Enter the establishment, applicant, owner, and responsible-person information, then answer the food-service questions.
- 3
Gather Supporting Documents
If you provide and prepare food, provide the city with a copy of your food service certification; nonprofits should provide a 501c form for the listed fee exemption.
- 4
Submit To The City
Submit the application to the City of Lake Jackson Health Department at 25 Oak Drive, Lake Jackson, TX 77566.
Frequently asked questions
- Do I need a notary for the Day Care Application?
- No. The document is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the Day Care Application?
- Submit it to the City of Lake Jackson Health Department at 25 Oak Drive, Lake Jackson, TX 77566.
- What information does the application request?
- It asks for establishment, applicant, owner, and responsible-person details, facility square footage, and answers about food preparation and service.
- What is the annual day care permit fee?
- The form lists $25 for seven or fewer children, $50 for eight to 12 children, $100 for 13 or more children, and $0 for a nonprofit organization with a 501c form.