Longview, TX · Gregg County

No notary required

Food Establishment Permit Application

Food establishment owners use this application to provide business, contact, and billing information and agree to the City of Longview’s permit conditions.

What this form is

This application collects the establishment’s name, address, phone number, email, owner and manager details, emergency contact, and billing address. The applicant attests that the information is accurate and agrees to comply with City of Longview Health Codes. It also describes annual permit fee, payment, late fee, and permit lapse conditions.

Who needs it

A food establishment owner applying for a City of Longview permit should complete the application with establishment, owner, manager, and contact details.

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; it lists no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Food Establishment Permit Application PDF.

  2. 2

    Complete The Application

    Enter the establishment, owner, manager, emergency contact, and billing details requested on the form.

  3. 3

    Sign And Date

    Attest that the information is true and accurate, then provide the applicant signature and date.

  4. 4

    Submit To The City

    Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for this food establishment permit application?
No. The application has a signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.
How do I submit the food establishment permit application?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the application ask for?
It asks for establishment, owner, manager, emergency contact, and billing information, along with the applicant’s signature, date, and driver’s license number and state.
What permit conditions are stated on the application?
The applicant agrees to comply with City of Longview Health Codes. The form says the permit may lapse if the annual fee is not paid before January 1 and lists a $100 late fee penalty.