Longview, TX · Gregg County

No notary required

Restroom Facility Agreement

Mobile food unit vendors use this agreement to document restroom access at a Longview vending location where they operate for two or more hours.

What this form is

Longview requires mobile food units operating at a location for two or more hours to have this agreement on file for that location. It records permission to use a nearby fixed establishment’s restroom during operating hours and asks for business and mobile unit details, signatures, contact information, and dates. The restroom must be within 300 feet, and residential facilities may not be used.

Who needs it

Mobile food unit owners or responsible parties operating at a Longview location for two or more hours need an agreement for each location.

How to submit it

Submit the agreement to the City of Longview Environmental Health Services Division at P.O. Box 1952, Longview, TX 75606, or visit 410 S. High Street. The form also lists fax 903-237-1289.

About notarization

This agreement is signed without a notary; the business owner or responsible party and mobile food unit owner or responsible party sign and date it.

How to submit this form

  1. 1

    Download The Agreement

    Download the Restroom Facility Agreement PDF.

  2. 2

    Complete The Agreement

    Fill in the business, mobile food unit, restroom location, contact, signature, and date fields.

  3. 3

    Get The Required Signatures

    Have the business owner or responsible party and the mobile food unit owner or responsible party sign and date the agreement.

  4. 4

    Submit To The City

    Submit the completed agreement to Environmental Health Services by mail or at the listed walk-in location.

Frequently asked questions

What is the Restroom Facility Agreement for?
It records permission for a mobile food unit’s employees to use a fixed establishment’s restroom during the unit’s hours of operation.
Who needs to complete this agreement?
Mobile food unit vendors operating at a location for two or more hours need a valid agreement on file for each individual location.
Do I need a notary for the Restroom Facility Agreement?
No. This agreement is signed without a notary; the business owner or responsible party and mobile food unit owner or responsible party sign and date it.
How do I submit the Restroom Facility Agreement?
Submit it to the City of Longview Environmental Health Services Division at P.O. Box 1952, Longview, TX 75606, or visit 410 S. High Street. The form also lists a fax number.