Community Health

• Animal Bite Report
• Birth/Death Certificate Application (PDF)
• CMH Information Form
• Notice of Privacy Practices
• WIC Forms

Food Safety Program

• Food Plan Review Application
• Food License Application
• Mobile Food Unit Application
• Temporary Food Service Application

Immunizations

The following forms must be completed for all clinics, including back-to-school clinics:

• Immunization Screening Checklist
• Notice of Privacy Practices
• Patient Demographics
• Patient Financial Policy

Plumbing

• Medical Gas Application
• Plumbing Installer’s Bond
• Plumbing Permit Application
• Plumbing Installer’s Registration

Private Water Systems

• Homeowner Request/Loan Inspection
• Permit Forms, Contractor Forms and Completion Forms

Public Records Request

• Public Records Request Form

Septic Systems

• Accessory Structure Approval Application
• Homeowner Request/Loan Inspection
• Household Sewage Treatment System and Service Provider Selection
• Septic System Construction or Replacement Application
• Sewage Treatment System Installer, Service Provider, and Septage Hauler Registration Bond
• Septic Installer, Septic Hauler, & Service Provider Registration
• Septic System Designers & Consultants (PDF)
• Service Provider Selection
• Service Provider Inspection Form (AquaWorx Control Panel)
• Service Provider Inspection Form (CSI Control Panel)
• Service Provider Inspection Form (Generic System)
• Service Provider Inspection Form (Orenco MVP Control Panel)
• Variance Request Form

Swimming Pools & Spas

• Swimming Pool/Spa Equipment Replacement
• Swimming Pool/Spa Weekly Operation and Incident Report

Vital Records

• Birth/Death Certificate Application (PDF)

WIC  (Women, Infants and Children)

• WIC Forms