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Application for Temporary Health Permit

  1. GCHD logo

  2. Gillespie County Health Division

    126 West Main Street, Fredericksburg, TX 78624 / Phone: 830-997-7521 / Fax: 830-997-1861 / E-mail: kolfers@fbgtx.org

  3. NO HOME PREPARED FOODS ALLOWED

  4. Enter the name of the event

  5. Enter the address, including city and zip of the event location.

  6. Application is due no later than 10 days before the event.

  7. If the event is more than one day, type in the additional dates and times above.

  8. The food will be obtained from the following approved sources:*

    Please check both if they apply. For vendors that purchase food from a permitted facility, vendor agrees to maintain their receipts from the purchase on-site at the event for verification. For questions about how to answer this section, please call 830-990-2027.

  9. If you selected "I operate from/own a permitted food facility" above, please complete the section below. Otherwise skip to the next section:

  10. If you selected "I will purchase food from a permitted food facility" above, please complete the section below:

    Please note that the section below, the section above, or both (if applicable), must be completed in order for the application to be complete.

  11. Application type:*

    Please check all that apply.

  12. Payment options:*

    Please select how you will pay for your permit. Checks should be made payable to the "City of Fredericksburg." Mailing address: 126 W. Main St., Fredericksburg, TX 78624. Payment accepted: cash, check, credit card.

  13. Upload a valid Food Handlers certificate for an employee that will be on-site. This is not required for non-TCS foods (Time and Temperature Control for Safety).

  14. Upload your food manufacturer permit.

  15. If you need to make a special request or inform us about an item on this application, please let us know using the text box above.

  16. Application Submittal:

    In making application for a Temporary Health Permit, which is necessary to operate my business or organization, I understand and agree to comply with all Gillespie County Health Division city ordinances, county orders, and state laws that may govern the conduct or operation of my business.

  17. Enter today's date.

  18. FOR OFFICE USE ONLY:

    Gillespie County Health Division Use Only; applicants please leave the sections below blank other than filling in your email address in order to receive a copy of your application. Thank you!

  19. Permit No.:

  20. Date Permit Released:

  21. Payment Form:

  22. Amount Due: $

  23. Late Fee:

  24. Leave This Blank:

  25. This field is not part of the form submission.