Forms

Environmental Health

2024 Fee Schedule
Complaint Form

Well & Septic Forms

Well and Septic Permit Application
Type II (non-community water) Well Permit Application
Type II (non-community) Seasonal Well Startup Certification Form
Type II (non-community) Change of Information Form
Permit Application Instructions
Building Permit Authorization Application
Sewage Disposal Contractor Registration & Application
Contractor Affidavit Form
Commercial Septic Addendum
Drinking Water Analysis Request

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 ApplicationFillable Form
Fixed Food Establishment Plan Review WorksheetFillable Form
Fixed Food Establishment Reference Manual (Manual en EspañolManual in ArabicManual in Chinese)
Fixed Food Establishment Plan Review Manual
Fixed Food Establishment Standard Operating Procedure (SOP) Manual
STFU-Mobile Application(Fillable Form)
STFU-Mobile Reference Manual (Manual en EspañolManual in ArabicManual in Chinese)
STFU/Mobile Plan Review  and SOP Worksheet
STFU/Mobile Plan Review Manual
STFU Notice of Intent  (Spanish)
Mobile Commissary Verification Form
Food Code Variance Application – Allowance of Dogs in Outdoor Dining Areas

Point-of-Sale Mortgage Evaluation Form

Mortgage Evaluation – Point of Sale Application

FOIA Request Form

FOIA/Records Request
Public Summary
Affidavit of Indigency
FOIA Appeal- Denial Form

Family Planning & Sexual Health Forms

Release of Health Information – Please download, fill out, and fax back to 231-845-9374

Communicable Disease & Epidemiology

Animal Bite Exposure Form

Media

Media Consent Form