Request a Temporary Food Permit | Food Establishment & Permits | Public Health | Environmental Health & Safety

*Acknowledgement

I have read the policies and procedures overseeing the issuance of a temporary food permit and agree to uphold them.

*Event Name:

*Name of Business/Vendor:

*Mobile:

Yes

No

A vehicle mounted, self or otherwise propelled, self-contained food service operation.

*Temporary:

Yes

No

A food establishment that operates for a period of no more than 14 consecutive days in conjunction with a single event or celebration.

*Physical Location:

*Has your event been approved by the Grounds Use Committee:

Yes

No

*Approval Date:

*Event Sponsor:

*Person in Charge:

*Phone:

Advisor:

Student event only.

Advisor Phone:

Student event only.

*Food Description:

*Start Date and Time:

*End Date and Time:

I, the undersigned, have received a copy of the Texas Tech Temporary Sanitation Standards for Food Service Establishments and do agree to comply with those standards. I do hereby make application for a Temporary Food Service Permit.

*Your Name:

*Title (your position):

(e.g., student organization president, staff, faculty, etc.)

*Email:

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