Lake Jackson, TX · Brazoria County

No notary required

Temporary Food Establishment Application

Food providers use this application to request a temporary food establishment license for an event in Lake Jackson.

What this form is

This application requests a temporary food establishment license for an event in Lake Jackson. It asks for event dates, times and location; applicant and responsible-person details; food items and their source and preparation; and information about transport, holding and cooking equipment. The license is limited to the listed foods and is valid only for the event dates.

Who needs it

Food providers seeking a temporary food establishment license for an event in Lake Jackson need to complete and sign this application.

How to submit it

Submit the completed application to the City of Lake Jackson Health Department at 25 Oak Drive, Lake Jackson, Texas 77566-5289. The form lists 979-415-2430 for the department.

About notarization

This application is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Temporary Food Establishment Application for an event in Lake Jackson.

  2. 2

    Complete The Application

    Enter the event, applicant, responsible-person, food, preparation, transport, holding and equipment details requested.

  3. 3

    Review The Guidelines

    Read the temporary food service guidelines and make sure the listed food and equipment details are accurate.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the City of Lake Jackson Health Department at the address shown.

Frequently asked questions

Do I need a notary for the Temporary Food Establishment Application?
No. The application has a signature and date line but no notary block; the signer just signs and dates it.
How do I submit the Temporary Food Establishment Application?
Submit the completed application to the City of Lake Jackson Health Department at 25 Oak Drive, Lake Jackson, Texas 77566-5289.
What information does the application ask for?
It asks about the event, applicant and responsible person, food items and sources, preparation location, transport and holding facilities, and cooking equipment.
What is the temporary license valid for?
The application states that the license is limited to the foods listed and is valid only for the dates of the event.

Need something notarized?

This Temporary Food Establishment Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.