Forms

Environmental Health

2019 Fee Schedule
Complaint Form

Well & Septic Forms

Well and Septic Application
Building Permit Authorization Application
Sewage Disposal Contractor Registration & Application
Contractor Affidavit Form
Commercial Septic Addendum

Food Service Forms and Applications

Food Service License Application
Temporary Food Establishment Application
Temporary Food Requirements
Materials to Submit for Food Service Plan Review Processing
Change of Ownership Form
Fixed Food Establishment Plan Review Application – Fillable Form   Printable Form
Fixed Food Establishment Plan Review Worksheet – Fillable Form   Printable Form
Fixed Food Establishment Plan Review Manual
Fixed Food Establishment Standard Operating Procedure (SOP) Manual
STFU/Mobile Plan Review Application
STFU/Mobile Plan Review  and SOP Worksheet
STFU/Mobile Plan Review Manual
Mobile Commissary Verification Form

Point-of-Sale Mortgage Evaluation Form

Mortgage Evaluation Application

EH Records Requests

EH Records Request Form – use when requesting records for one property

FOIA Request Form – use if requesting records for multiple-properties/complaints

Freedom of Information Act Forms

FOIA Request Form
Affidavit of Indigency
FOIA Appeal- Denial Form

Women, Infants, and Children (WIC)

My WIC Client Portal
WIC Application

Family Planning & Sexual Health Forms

Release of Health Information – Please download, fill out, and fax back to 231-873-4366

Communicable Disease & Epidemiology

Animal Bite Exposure Form

Media

Media Consent Form