Forms and Applications

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

• 2021 Rabies Tag Order Form
• Animal Bite/Rabies Exposure Report Form
• Rabies Vaccination & Quarantine Release Form
• Specimen Submission
• List of Veterinarians Who Support the CCBH Rabies Prevention Program

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 Safety

• 2021 Food License Fees & Risk Class Definitions
• 2021 Person in Charge (PIC) Food Safety Training Application
• 2021 ServSafe On-Line Exam / Retest Application
• 2021 ServSafe Food Safety Training Schedule and Application
  Belarusan Event Center – October 6,13 & 20
  Jack Entertainment (6th floor Bistro) – November 1, 8 & 15
• Food License Application
• New Mobile Food Operation Plan Review
• Food Operation Plan Review Application
• Temporary Food License Application
• Temporary Park Camp Plan Review & License Application
• Vending Machine License Application
• Frequently Asked Questions Regarding the Required ODH Food Safety Training Certificate
• ODH Food Safety Training Certificate Request Form

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 Review & Installation Guidelines for the Homeowner
• Site Review Application
• Site Review Requirements – NPDES Permit Coverage
• Site and Soil Evaluation Form
• 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

• 2020 Plumbing Contractor Registration Form
• 2020 Plumbing Contractor Registration Bond 
• 2021 Plumbing Contractor Registration Form (for work to be done on or after January 1, 2021)
• 2021 Plumbing Contractor Registration Bond (for work to be done on or after January 1, 2021)
• Plumbing Plan Review and Permit Application
• Plumbing Plan Review and Permit Application Form Instructions
• Plumbing Program Fees
• List of Registered Plumbing Contractors (updated 3-29–18)
• CCBH Plumbing Regulation

Private Water

• Private Water System Application
• Water Sampling Application

S – Forms and Applications Library

Speaker Requests

• Speaker Request Form

Swimming Pools and Spas

• Equipment Replacement Notification Report
• Pool Plan Review Application
• Swimming Pool and Spa License Application
• Update on Drain Cover Expiration Dates for Pool and Spa Managers
• Weekly Pool Operation Report
• Public Pool & Spa Injury Incident Report Form
• Public Pool & Spa Injury Incident Report Form Instructions
• Certified Pool Operator (CPO) Course Training – May 3 & 4, 2018

T – Forms and Applications Library

Ticks

• Tick Identification Submission Form

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Tobacco 21 (T21)

•  2020 Retail Tobacco Product Sales Permit