78-R-9 FOOD HANDLER
RESOLUTI ON NO.
7<;--~-q
A RESOLUTION
AUTHORIZING AND ADOPTING RULES FOR THE ISSUING
OF A FOOD HANDLER'S PERMIT AND SETTING FEES.
WHEREAS, it is in the public interest and welfare to issue
food handler's permits, NOW THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SCHERTZ, TEXAS:
I
That the City Secretary is hereby authorized to issue food
handler's permits.
I I
Each applicant for a iood handler's permit required by this
resolution shall apply to the City Secretary for the issuance of a food
handler's permit on such forms as the City Secretary shall deem proper.
A supply of such application forms may, at the discretion of the City
Secretary, be supplied to physicians and submitted to the City Secretary
after examination.
III
No food handler's permit shall be issued by the City Secretary
under the provisions of this resolution until the applicant therefore has
been found to be free of any infectious or contagious disease after examina-
tion by a physician duly licensed and authorized by and under the laws of
the State of Texas, which examination shall include an annual examination
for tuberculosis, the resulting report of which examination must be in
writing, and must be on file in the office of the City Secretary before the
issuance of a food handler's permit.
IV
All food handler's permits shall be issued by the City Secretary
on such form as may be prescribed by the City Secretary. At the discretion
of the City Secretary such permit may be in the form of the report of ex-
amination issued by the physician upon the application form and authenticated
by an issuing stamp by the City Secretary. Such permit may be issued in
duplicate copies by the City Secretary upon request by the applicant.
V
No food handler's permit shall be valid for more than one year,
and no renewal of a food handler's permit shall be issued by the City
Secretary until the examinations required by this resolution have been
sucessfully completed and the applicant found to be free of any infectious
or contagious disease.
VI
There shall be a charge made by the City Secretary of $2.00 for
the issuance of a food handler's permit, or renewal of a food handler's permit,
which revenues shall go into the general fund of the City of Schertz, Texas.
PASSED, APPROVED AND ADOPTED this the
19
'Jr
ATTEST:
(SEAL OF CITY)
S" day of ~.-J;..VV
Afire- 7l.,~
Mayor, City of Schertz, exas
Date Filed:
CITY OF SCHERTZ
1400 LIVE OAK ROAD
SCHERTZ, TEXAS
A P P L I CAT ION FOR H E A L T H (FOOD HANDLER) C E R T I F I CAT E:
Application is made for a food handlers health certificate required for employment in the
City of Schertz, Texas. I understand this application must be filed within thu-rty (3G~
day~ of the date of examination shown below:
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Surname
First Name
Middle Name
Social Security Number
Date of Birth
Sex
Height
Weight
Color of eyes
Home Address (Street and number)
City
State
Zip Code
Emp 1 oyer's Name
Business Name
Business Address
Signature of Applicant
DO NOT DETACH
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REPORT OF MEDICAL EXAMINATION
I have examined the person whose signature appears above and find (him/her) to be free from
communicable diseases in a transmissible state and that (he/she) meets the minimum physical
requirements to handle food for public consumption.
GENERAL APPEARANCE:
a. Skin Manifestation:
Nails
, Arms
, Legs
b. Other remarks:
REQUIRED LABORATORY EXAMINATIONS:
a. Chest X-rays: Date
b. Serology (for syphilis): Date
Other Medical Comments, if Any:
Results
Results
Date of Examination
Signature of Examining Physician