1. (a) License application forms. Applicants may obtain application forms online at www.texas.gov or from the department at 1100 West 49th Street, Austin, Texas, 78756.

2. (b) Contents of license application. The applicant must complete and submit a license application form provided by the department. The application must be signed, verified, and include:

   1. (1) the name of the legal entity being licensed, including the name under which the business operates;
   2. (2) the address of each licensed place of business;

   3. (3) the ownership details:

      1. (A) if a proprietorship, the name and residence address of the proprietor;
      2. (B) if a partnership, the names and residence addresses of all partners;
      3. (C) if a corporation, the date and place of incorporation and name and address of its registered agent in the state and corporation charter number; or
      4. (D) if any other type of association, then the names of the principals of such association;

   4. (4) the individual details, including the name, residence address, and valid driver license number for each individual in an administrative role:

      1. (A) for proprietorships, the managing proprietor;
      2. (B) for partnerships, the managing partner;
      3. (C) for corporations, the officers and directors; or
      4. (D) for any other type of association, those in a managerial capacity;
   5. (5) the residence address of the individual in charge at each place of business;
   6. (6) selection of categories for calculation and payment of fee; and
   7. (7) a signature of verification by the applicant that acknowledges the applicant has read, understood, and agrees to abide by the provisions of these sections and those of the Texas Food, Drug, and Cosmetic Act, HSC Chapter 431.
3. (c) Renewal license application. The renewal application for licensure as a device distributor or manufacturer must be made on a license application form furnished by the department.

Source Note:The provisions of this §229.436 adopted to be effective October 18, 1994, 19 TexReg 7910; amended to be effective March 19, 1996, 21 TexReg 1887; amended to be effective March 19, 2001, 26 TexReg 2196; amended to be effective January 1, 2005, 29 TexReg 11983; amended to be effective January 5, 2026, 51 TexReg 147.