Local Health Department Forms, Documents and Administrative Reference

​​Administrative Reference 

Local Health Department Administrative Reference Document

Training Matrix

LHD Training List

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Environmental Health
DownloadLHD Document Types
DFS-200 Application for Permit/LicenseEnvironmental Health
DFS-202 Application for a Permit to Operate a Food Service EstablishmentEnvironmental Health
DFS-208 Food Establishment Inspection ReportEnvironmental Health
DFS-210 Notice to Correct ViolationsEnvironmental Health
DFS-212 Request for ConferenceEnvironmental Health
DFS-213 Notice of ConferenceEnvironmental Health
DFS-214 Enforcement NoticeEnvironmental Health
DFS-215 Application for ReinstatementEnvironmental Health
DFS-222 Notice and Order of Quarantine/Voluntary DestructionEnvironmental Health
DFS-232 Permit to OperateEnvironmental Health
DFS-253 Ear Piercing Studio Inspection ReportEnvironmental Health
DFS-303 Application for Certification/RegistrationEnvironmental Health
DFS-306 Application for a Permit/License Environmental Health
DFS-308 Youth Camp Inspection ReportEnvironmental Health
DFS-309 Youth Camp Accident/Illness ReportEnvironmental Health
DFS-317 Application for a PermitEnvironmental Health
DFS-319 Onsite Sewage Disposal Systems Application for Site EvaluationEnvironmental Health
DFS-325 Request for Onsite Sewage Disposal System VarianceEnvironmental Health
DFS-326 Existing Sewage System and Owner's AffidavitEnvironmental Health
DFS-327 Request for Service RecordEnvironmental Health
DFS-334 Alternative/Experimental Onsite Sewage Disposal SystemEnvironmental Health
DFS-335 Business License Surety BondEnvironmental Health
DFS-336 Affidavit of Surety's QualificationsEnvironmental Health
DFS-340 Application and Permit to Operate Day Camp FacilitiesEnvironmental Health
DFS-345 Application for Site Evaluation and Permit to Operate a Disposal SiteEnvironmental Health
DFS-400 Tanning Facility Registration/MonitorEnvironmental Health
DFS-405 Onsite Sewage Agency Referral FormEnvironmental Health
Enviro Shelter Surveillance FormEnvironmental Health

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