Applications and Forms

The forms are in PDF format. You may view, save, print and complete the form and return it to Environmental Health.

Environmental Health Complaints:

• Food, Lodging, Institution, and Childcare Complaints
• Onsite Waste Water, Wells and Mosquito Complaints

Food Service Applications:

• Request for a Variance
• Policies and Procedures for Opening a Food Establishment
• Food Establishment Application - Construct a new facility or remodel or an existing facility
• Transitional Permit Application - Buying or assuming an existing facility with no interruption in operation
• Limited Food Establishment Application - Political subdivisions of the State, operated by volunteers that prepare or serve food in conjunction with amateur athletic events or for establishments operated by organizations that are exempt from federal income tax under section 501(c)(3) or section 501(c)(4) of the Internal Revenue Code
• Temporary Food Service Application - Food Service Affiliated with and Endorsed by a Transitory Fair, Carnival, Circus, Festival or Public Exhibition
• Temporary Food Event Coordinator's Application - To be completed by event organizers where there are two or more temporary food establishments
• Temporary Food Establishment Check List - For TFE vendors to help prepare temporary food establishment for opening
• Information for starting a Mobile Food Unit or Push Cart
• Mobile Food Unit Application and Commissary Agreement
• Push Cart Application and Commissary Agreement
• Mobile Food Unit and Push Cart Operation Schedule

Lodging and Institution Applications:

• Lodging Application - Hotel, motel, Bed and Breakfast Homes and Bed and Breakfast Inns
• Camp Application - Resident, Summer and Primitive Camps
• Residential Care Facility Application - Home for which a license or certification for payment is obtained from DHHS

Public Swimming Pools:

• Application for Approval to Construct a Public Swimming Pool
• Procedure for Applying for Pool Permit
• Addendum to Pool Operation Application
• Plan Review Checklist for Public Swimming Pools
• Pool Drain Safety Compliance Form
• Swimming Pool Operating Permit Checklist

Tattooing Permit:

• Application for Tattooing Permit - This form allows tattoo artists to apply for required tattooing permits.

Child Care Centers, Schools and Childhood Lead Poisoning Prevention

• Child Care Center Application
• School Building Application

Septic Systems and Wells:

New Permit Application Forms

The forms are to notify Environmental Health of work to improve, repair or construct new wells and wastewater systems.

• New Permit Application Form
• Engineered Option Permit Implementation Overview
• Engineered Option Permit Instructions - Appendix A
• Engineered Option Permit Form

Owner's Legal Representative Authorization

• Documentation to Authorize an Owner's Legal Representative

Registration Form For Certified Well Contractors

• Registration Form For Certified Well Contractors - This form is for registering certified well contractors.