In order to complete the application process you must pay the permit fee either with a credit card by phone at 817-392-7255 or in person at the Fort Worth Consumer Health Division, 818 Missouri Ave.
Note: For your security, do not enter credit card information on this application.
Applicant's Name:
Description of proposed event or activity:
Date(s) of event or activity: Time of Operation: start finish
Location of event or activity: Street Address: MAPSCO:
Name of Organization:
Name:
Address:City:
State:
Zip Code:
Phone:
Do you operate food establishments at other locations?Yes No
If yes, provide names and addresses:
Please list the foods to be served and the places that the foods will be prepared and stored (only listed foods and beverages are authorized):
Food items to be served
Place of preparation and storage
A:
B:
C:
D:
E:
Comments:
Would you like to receive the permit by mail?
Temporary food/beverage stands must comply with all Fort Worth requirements, including required sinks, food temperatures, stand construction, etc. All workers handling food must have a Fort Worth Food Handler Certificate. If the above organization is a non-profit entity, there may be an exemption from this requirement by providing the tax exemption form to the Consumer Health Division.