Food Service Permit FormDate Type of Establishment FraternitySororityOtherName of the Establishment Address of the Establishment City, State & Zip Code Cooking: On-SiteOff-SiteBoth, On-Site & Off-SiteGrease Disposal Method Current Permit from Tuscaloosa County Health Department? YesNoCurrent Inspection from Tuscaloosa County Health Department? YesNoIf a food truck, has the food truck been inspected by Tuscaloosa Fire? YesNoName of Contact Phone Number Email Address VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
