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 assume an existing facility
Buying or assuming an existing facility with no interruption in operation
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
Food Service Affiliated with and Endorsed by a Transitory Fair, Carnival, Circus, Festival or Public Exhibition
To be completed by event organizers where there are two or more temporary food establishments
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:
Hotel, motel, Bed and Breakfast Homes and Bed and Breakfast Inns
Resident, Summer and Primitive Camps
Home for which a license or certification for payment is obtained from DHHS
Public Swimming Pools:
- Application to Construct or Renovate a Public Swimming Pool
- Application for a Public Swimming Pool Operation 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:
This form allows tattoo artists to apply for required tattooing permits.
Child Care Centers, Schools and Childhood Lead Poisoning Prevention
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
Registration Form For Certified Well Contractors
This form is for registering certified well contractors.
Service Request/Work Order Form
This form is to request an inspection or other service.