Food Safety Program Permit To Operate Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date *Type of Establishment: *FraternitySororityOtherName of the Establishment *Address of the EstablishmentCity, State & Zip Code *Cooking: *On-SiteOff-SiteBoth, On-Site & Off-SiteGrease Disposal MethodCurrent Permit from the Tuscaloosa County Health Department? *YesNoCurrent Inspection from the Tuscaloosa County Health Department? *YesNoIf a Food Truck, Has the Food Truck Been Inspected by Tuscaloosa Fire? *YesNoName of Contact *Phone *Email Address *Submit