Food Establishment Permit (Long Form) – Dallas, TX

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Food Establishment Permit (Long Form) – Dallas, TX

The Food Establishment Permit (Long Form) is the City of Dallas Consumer Health Division application for a food establishment permit. Fill out the form online on FillingPDF and download or print the completed PDF.
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The Food Establishment Permit (Long Form) is the City of Dallas Food Establishment Permit Application, form CCS-FRM-424, printed under the Department of Code Compliance, Consumer Health Division. It is one of the Dallas permit applications a food business may need: it covers remodels, new suite finish outs, new construction, kiosk or self-service markets and changes of ownership, and it must be accompanied by a copy of the Texas Sales & Use Tax Permit. On FillingPDF you can fill out the form online and download or print the completed PDF; the City of Dallas publishes the original PDF, and fees follow the city's own channels.

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What is CCS-FRM-424?

The Food Establishment Permit (Long Form) is the City of Dallas application, printed as the Food Establishment Permit Application, that the Consumer Health Division of the Department of Code Compliance uses to request a permit for a food establishment or retail food store.

The form is a single application for several situations. You check the one that applies under Permit Requested From 320 E Jefferson (Remodel Existing Permitted Food Facility (Same Owner) or New Suite Finish Out/ New Construction) or under Permit Requested From 7901 Goforth (Kiosk/Self-Service Market or Change of Ownership of Existing Food Facility). For a change of ownership it also asks for the name of the prior food business and the previous owner.

The application records the type of operation (Food Establishment or Retail Food Store), the gross annual volume of food sales in one of three ranges, project details such as contractor, cost, dates and square footage, whether the facility uses city water, city sewer or a septic tank, the establishment's name and address, the Certified Food Service Manager and the legal owner.

The legal owner must be entered as it appears on the Texas Sales and Use Tax Permit, and a copy of that permit must be attached. The form states that fees are non-refundable and that fees are based on the current fee schedule. A plan review fee applies in addition to the food establishment permit fee. The form carries the code CCS-FRM-424, Effective Date 01/05/2026 Rev 7.

Who needs to file CCS-FRM-424?

Owners of food businesses in the City of Dallas use this application when they need a food establishment permit in one of the situations printed on the form:

  • an owner remodeling an existing permitted food facility, when the owner stays the same;
  • an owner building out a new suite or starting new construction;
  • an operator of a kiosk or self-service market;
  • a new owner taking over an existing food facility (change of ownership), who also gives the prior business name and the previous owner's name.

The type of operation is either Food Establishment or Retail Food Store. The owner is identified as a Sole Owner, Corporation or Partnership; for a partnership, the partners are listed on the form.

The signature line reads "Owner or Authorized Name", so the owner or a person authorized by the owner prints their name, signs, and gives a title, driver's license number and state, and date of birth. Because the form requires a copy of a Texas Sales & Use Tax Permit, the applicant needs that permit before applying.

When to file CCS-FRM-424

File the application when you need a food establishment permit for one of the situations on the form: a remodel of an existing permitted facility, a new suite finish out or new construction, a kiosk or self-service market, or a change of ownership. The form prints no separate due date.

For new suite finish out, remodel or new construction, the form describes a plan review fee that is paid in addition to the food establishment permit fee, so plan the plan review step along with the permit request.

After a permit is in place, the form states that the owner is responsible for notifying the Consumer Health Division in writing of any changes to the owner or account information.

Documents you need

  • A copy of the Texas Sales & Use Tax Permit, which the form requires to be attached. The legal owner name on the application must match the name on that permit, and its number is entered on the form.

How to fill out CCS-FRM-424

  1. Choose the permit type and location

    Check one box under Permit Requested From 320 E Jefferson (Remodel Existing Permitted Food Facility (Same Owner) or New Suite Finish Out/ New Construction) or under Permit Requested From 7901 Goforth (Kiosk/Self-Service Market or Change of Ownership of Existing Food Facility).

  2. Identify the prior business

    For a change of ownership, enter the Name of Prior Food Business and the Previous Owner Name.

  3. Select type of operation and sales volume

    Check Food Establishment or Retail Food Store, then check one of the three ranges under Gross Annual Volume of Food Sales.

  4. Enter contractor and project details

    Give the job contractor's business name and address, business phone, the contact person for inspection and local phone, the approximate cost of the complete job, start and finish dates, total square feet, and days and hours of operation.

  5. Answer the utility questions

    Mark Yes or No for connection to city water, city sewer and a septic tank.

  6. Complete the establishment information

    Enter the name of the establishment, its address with suite and ZIP code, the business phone, and the Certified Food Service Manager's name and certificate number.

  7. Enter the owner and account information

    Write the legal owner exactly as it appears on the Texas Sales and Use Tax Permit, check Sole Owner, Corporation or Partnership (listing partners), and add the mailing address, the TX Sales & Use Tax Permit number, owner email and owner phone.

  8. Sign the certification

    Print the owner's or authorized person's name, sign, and enter the title, driver's license number and state, and date of birth. Leave the Office Use Only line blank.

  9. Review and download the completed PDF

    Check that the owner name matches the tax permit and that every applicable line is filled. Download or print the completed PDF from FillingPDF, attach a copy of the Texas Sales & Use Tax Permit and submit as described under How to submit.

How to submit CCS-FRM-424

The form names no mailing address. It points to two permit locations and to an online fee portal:

  • 320 E Jefferson: permits requested for Remodel Existing Permitted Food Facility (Same Owner) and New Suite Finish Out/ New Construction.
  • 7901 Goforth: permits requested for Kiosk/Self-Service Market and Change of Ownership of Existing Food Facility.
  • Online fees: the form says plan review fees for new suite finish out, remodel or new construction are processed online only, through https://aca-prod.accela.com/DALLASTX/Default.aspx. The plan review fee is in addition to the food establishment permit fee.
  • Fees at 7901 Goforth: the form lists fees processed at 7901 Goforth for the Food Establishment Permit Application (only for change of owner).

Attach a copy of your Texas Sales & Use Tax Permit. Fees are based on the current fee schedule and are non-refundable, and the City of Dallas does not accept payments in the field. For current amounts, ask the Consumer Health Division. FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Submitting the application without a copy of the Texas Sales & Use Tax Permit, which the form says must be attached.
  • Entering a legal owner name that differs from the one on the Texas Sales and Use Tax Permit; the form asks for it exactly as it appears there.
  • Expecting a refund of fees: the form states that fees are non-refundable.
  • Forgetting that the plan review fee is in addition to the food establishment permit fee when remodeling, finishing out a new suite or building new.
  • Trying to pay in the field; the form states the City of Dallas does not accept payments in the field.
  • Leaving out the prior food business name and previous owner name on a change-of-ownership request.
  • Providing false or fictitious information; the certification says it renders the application invalid.
  • Not notifying the Consumer Health Division in writing when owner or account information changes.

Frequently asked questions

What is the Food Establishment Permit (Long Form) in Dallas?

It is the City of Dallas Food Establishment Permit Application, form CCS-FRM-424, issued under the Department of Code Compliance, Consumer Health Division. Owners use it to request a permit for a food establishment or retail food store, including remodels, new construction, kiosks and changes of ownership.

What do I have to attach to the Dallas food establishment permit application?

A copy of your Texas Sales & Use Tax Permit. The form says the copy must be attached and also asks for the permit number. The legal owner name you enter must match how it appears on that permit.

Can I fill out the Dallas food establishment permit application online?

Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the application or collect fees; you submit through the City of Dallas channels described on this page.

Which box do I check for a change of ownership?

Under Permit Requested From 7901 Goforth, check Change of Ownership of Existing Food Facility. The form also asks for the name of the prior food business and the previous owner's name.

How do I pay the fees for a Dallas food establishment permit?

The form says plan review fees are processed online only through the Accela portal at https://aca-prod.accela.com/DALLASTX/Default.aspx, and that change-of-owner permit fees are processed at 7901 Goforth. The City of Dallas does not accept payments in the field.

Are the food establishment permit fees refundable?

No. The form states that fees are non-refundable. Fees are based on the current fee schedule, and the plan review fee is in addition to the food establishment permit fee, so confirm the amounts with the Consumer Health Division before paying.

Who signs the food establishment permit application?

The owner or an authorized person. The signature line reads Owner or Authorized Name, and the signer also gives a title, driver's license number and state, and date of birth, certifying that the information is true and correct.

What happens if I give false information on the application?

The certification above the signature says that providing false or fictitious information renders the application invalid. Check the owner name, tax permit number and every entry before you sign.

Ready to fill out CCS-FRM-424?

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