Lake Jackson, TX · Brazoria County
Food Establishment Application
Food service owners or applicants use this application to request a Lake Jackson health permit for a food establishment.
What this form is
The application collects establishment, owner, applicant, and on-site manager details, along with information used for a risk assessment. The form says to return it with a menu, a Certified Food Manager’s Certificate, a fats, oil, and grease assessment checklist, and a pest control report or contract. The city will inform applicants of the yearly license cost after the risk assessment.
Who needs it
Owners or applicants seeking a health permit for a food establishment in Lake Jackson should complete and return this application.
How to submit it
Return the completed application with the listed attachments to the City Health Department, 25 Oak Drive, Lake Jackson, TX 77566. The form also lists [email protected] and (979) 415-2426 for Health Department questions.
About notarization
This application is signed and dated without a notary; the form lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the Food Establishment Application PDF.
- 2
Complete The Application
Fill in the establishment, applicant, owner, and directly responsible person details, answer the questions, then sign and date.
- 3
Gather The Attachments
Include a menu, a Certified Food Manager’s Certificate, a fats, oil, and grease assessment checklist, and a pest control report or contract.
- 4
Return It To The City
Return the completed application and attachments to the City Health Department at 25 Oak Drive, Lake Jackson, TX 77566.
Frequently asked questions
- Do I need a notary for the Food Establishment Application?
- No. The application is signed and dated without a notary, and it lists no notarized or sworn attachment or related step.
- How do I submit the Food Establishment Application?
- Return the completed application and listed attachments to the City Health Department at 25 Oak Drive, Lake Jackson, TX 77566.
- What attachments are required with the application?
- The form lists a menu, a Certified Food Manager’s Certificate, a fats, oil, and grease assessment checklist, and a pest control report or contract.
- What does the city do after receiving the application?
- The form says a risk assessment will be done and the applicant will be informed of the yearly cost of the food establishment license.