Permit Request • CampusOptics

This permit is issued for public or private events serving food on campus. All food service must be authorized by THE TEXAS A&M UNIVERSITY-VICTORIA FIRE MARSHAL AT 361-570-4245. THE FIRE MARSHAL SHALL BE NOTIFIED OF ANY CHANGES TO EVENTS THAT ARE RESCHEDULED or CANCELED.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Name* Required

Additional Location Details

Food Permit Request Form

Organizational/ Department Name* Required

Organizational Contact Name (If different from the permit contact)* Required

Organizational/ Department Phone Number (If different from the permit contact)* Required

Event Location Reservation Confirmed?* Required

List of Specific Items Being Served* Required

Where and By Whom Will the Food be Prepared?* Required

Caterer's Address and Phone Number (If Applicable)

Where and how will the food be stored?* Required

How will trash be disposed?* Required

What is the purpose of this event?* Required

Event Type* Required

Will the event require the use of open flame? (i.e. Food Warmers)* Required

Acknowledge that you will have the following equipment (if applicable): Public Event* Required

All Apply For This Event
Food Thermometer
Hand Sanitizer
Protective Gloves
Hair Nets
Water/ Tea Containers- Cleaned and Sanitized Prior to Use
Sanitizing Container (when applicable)
Soap and Water Available for Sanitary Use.

I HAVE READ, UNDERSTAND AND AGREE TO ABIDE BY THE PROCEDURE AND GUIDELINES WHICH ADDRESS THE USAGE OF THE TEMPORARY FOOD DEALER’S PERMIT.* Required

IF THERE ARE ANY CHANGES TO THE TEMPORARY FOOD DEALERS PERMIT BEFORE THIS EVENT, I WILL SUBMIT A NEW PERMIT FOR APPROVAL.* Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files

Requester Info

Permit Date & Time

Location

Food Permit Request Form More information

Add Supporting Documents

Food Permit Request Form