Providence Village, TX · Denton County

No notary required

Application for Health Code Inspection

This application is for Providence Village establishments, vendors, and trucks requesting a health code inspection and providing information about their operations.

What this form is

Use this application to provide establishment or vendor details and request a health code inspection. It asks about the type of operation, food handling and storage, hours, ownership, and billing, and requests floor plans and a menu with food storage and preparation details. The form states that incomplete applications or applications received without fees will not be processed, and that fees are non-refundable.

Who needs it

Establishments, temporary vendors, food vendors, and truck owners seeking a health code inspection can use this application.

How to submit it

The form lists a mailing address of 1755 Main Street, Providence Village, TX 76227, and [email protected]. It states that applications received without fees will not be processed and lists an inspection fee of up to $125.00 each.

About notarization

This application is signed and dated without a notary; the signer also certifies that the facts stated are true and correct.

How to submit this form

  1. 1

    Download The Application

    Download the Health Code Inspection Application PDF.

  2. 2

    Complete The Application

    Enter establishment, operation, food-handling, ownership, and billing details, then sign and date the application.

  3. 3

    Gather Attachments

    Attach floor plans and a menu with food storage and preparation details on a separate sheet.

  4. 4

    Submit The Application

    Use the mailing address or email listed on the form. The form states that applications received without fees will not be processed.

Frequently asked questions

Who uses the Health Code Inspection Application?
Establishments, temporary vendors, food vendors, and truck owners can use the application to provide operation details and request a health code inspection.
What attachments does the application request?
It requests floor plans and a menu, with food storage and preparation details on a separate sheet. The form also asks for kitchen and total square footage.
Do I need a notary for the Health Code Inspection Application?
No. The application is signed and dated without a notary. The signer certifies that the facts stated are true and correct.
How do I submit the Health Code Inspection Application?
The form lists 1755 Main Street, Providence Village, TX 76227, and [email protected]. It says applications received without fees will not be processed.

Need something notarized?

This Application for Health Code Inspection doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.