Fees and Forms

Click here to see the 2022 Fee Schedule for our Environmental Health programs.

Find Forms and Applications Alphabetically

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A – Forms and Applications Library

Animal Bites Investigations and Rabies Prevention

• Animal Bite/Rabies Exposure Report Form
• List of Veterinarians Who Support the CCBH Rabies Prevention Program
• Rabies Tag Order Form 2022
• Rabies Vaccination & Quarantine Release Form
• Rabies Test Specimen Submission Form

Animal Venues

• Animal Venue Permit Application
• Zoonotic Disease Reporting Form

Apiary (Beekeeping) Inspection

• Apiary Registration Form

B – Forms and Applications Library

Body Art (Tattoo and Body Piercing)

• Body Art Facility Application Form

C – Forms and Applications Library

Child Care

• Residential Day Care Inspection Form

F – Forms and Applications Library

Finance

• Audit Certification
• Declaration Material Assistance Form
• Grants Administration Manual
• Subgrantee Budget Revision Form
• Subgrantee Expense Report Form
• Subgrantee Financial Form
• Subgrantee In-Kind Payroll Form
• Subgrantee In-kind Expense Report Form
• Subgrantee Inventory Report Form
• Subgrantee Out of State Travel Form
• Subgrantee Payroll Form

Food Licensing

• Food License Application
• Food License Fees & Risk Class Definitions – 2022
• Food Operation Plan Review Application
• Home-based Food Operation
• Vending Machine License Application

Food Safety Education

• Flow of Food – 2022
• ODH Food Safety Training Certificate – FAQ
• ODH Food Safety Training Certificate – Request Form
• Person in Charge (PIC) Food Safety Training Schedule and Application – 2022
• ServSafe Food Safety Training Schedule and Application 2022
• ServSafe Online Exam – Retest Application 2022

Food – Temporaries and Mobile Units

• Mobile Unit Plan Review Application
• Temporary Event Planning
• Temporary Food License Application
• Temporary Park Camp Plan Review & License Application

H – Forms and Applications Library

Healthy Homes

• Radon Test Kit Application

Household Sewage

• Contractor Application for Installers, Haulers and Service Providers
• Design Plan Requirements
• Layout Plan Requirements
• Point-of-Sale Evaluation Application Form
• Sewage System Abandonment Permit
• Sewage System Installation Permit Application
• Site and Soil Evaluation Form
• Site Review and Installation Guidelines for the Homeowner
• Site Review Application
• Site Review Requirements – NPDES Permit Coverage
• STS As-Built Drawing Form for Contractors
• Variance Request Form

L – Forms and Applications Library

Lead Poisoning Prevention

• Heavy Metal Reporting Form
• Lead Program Application Fee for Service

P – Forms and Applications Library

Plumbing

• CCBH Plumbing Regulation
• Plumbing Contractor Bond 2022
• Plumbing Contractor Registration Form 2022
• Plumbing Plan Review and Permit Application
• Plumbing Plan Review and Permit Application Form Instructions
• Plumbing Program Fees
• Registered Plumbing Contractors List (updated 7-6-21)

Private Water

• Private Water System Application
• Water Sampling Application

S – Forms and Applications Library

Speaker Requests

• Speaker Request Form

Swimming Pools and Spas

• Certified Pool Operator (CPO) Course Training – May 5 & 6, 2022
• Basic Pool Operations Training – May 12, 2022
• Equipment Replacement Notification Report
• Pool Plan Review Application
• Public Pool & Spa Injury Incident Report Form
• Public Pool & Spa Injury Incident Report Form Instructions
• Swimming Pool and Spa License Application
• Update about Drain Cover Expiration Dates for Pool and Spa Managers
• Weekly Pool Operation Report

T – Forms and Applications Library

Ticks

• Tick Identification Submission Form

Tobacco 21 (T21)

•  2020 Retail Tobacco Product Sales Permit