Do I need a notary for the Temporary Food Establishment Permit Application?

No. The application has no notary block and is signed and dated by the applicant; it includes a sworn or affirmed verification.

How do I submit the Temporary Food Establishment Permit Application?

Send it to the Madison County Department of Retail Foods at the address on the form or email it to lynn.jeffries@madisoncountytx.org. The Department must receive it at least 30 days before the event.

What information does the application ask for?

It asks for applicant and business details, event dates and address, organizer and contact information, foods to be prepared, and the food preparation address or service area.

How much does the temporary food permit cost?

The application lists a non-refundable fee of $52 per event, per individual food booth or unit. It also states the permit is valid for 14 consecutive days from its initial effective date.

Madison County, TX · Madison County

No notary required

Temporary Food Establishment Permit Application

Food businesses and event organizers use this application to request a Madison County permit for a temporary food establishment at an event.

At a glance

Issued by: City of Madison County · Madison County, Madison County, Texas
Notarization: Not required: file this form without a notary.
Official source: co.madison.tx.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application requests a temporary food establishment permit for an event in Madison County. It asks for applicant and business details, event dates and location, sponsor and contact information, and the foods to be prepared. The application must reach the Department at least 30 days before the event; the listed permit costs $52 per event and is valid for 14 consecutive days.

Who needs it

Food businesses and event organizers seeking a temporary food establishment permit in Madison County should complete this application unless the event area is permitted and inspected by another listed agency.

How to submit it

Send the application to the Madison County Department of Retail Foods, 101 West Main St., Ste B - 22, Madisonville, TX 77864, or email [email protected]. It must be received at least 30 days before the event.

About notarization

The application is signed and dated without a notary; it includes the applicant’s sworn or affirmed verification.

How to submit this form

1
Download the Application
Download the Temporary Food Establishment Permit Application PDF.
2
Complete the Application
Fill in the applicant, business, event, organizer, contact, and food preparation details requested on the form.
3
Sign and Date
Sign and date the application and complete the verification.
4
Submit to the Department
Send the application to the Madison County Department of Retail Foods by mail or email at least 30 days before the event.

Frequently asked questions

Do I need a notary for the Temporary Food Establishment Permit Application?: No. The application has no notary block and is signed and dated by the applicant; it includes a sworn or affirmed verification.
How do I submit the Temporary Food Establishment Permit Application?: Send it to the Madison County Department of Retail Foods at the address on the form or email it to [email protected]. The Department must receive it at least 30 days before the event.
What information does the application ask for?: It asks for applicant and business details, event dates and address, organizer and contact information, foods to be prepared, and the food preparation address or service area.
How much does the temporary food permit cost?: The application lists a non-refundable fee of $52 per event, per individual food booth or unit. It also states the permit is valid for 14 consecutive days from its initial effective date.

Need something notarized?

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