Forms

We are providing forms/applications online to save you travel/mail time. Most are in PDF Format and will be indicated as such.

Forms

• Freedom of Information Request (PDF File)
• Citizens Nuisance Complaint Form (PDF File)
• Water Sampling Form (PDF File)
• Food Service Manager Request Form  (PDF File)
• Tanning Facility Self-inspection Form (PDF File)
• Temporary Food Service Self-inspection Form (PDF File)

Permit Application

• Tanning Facility
  • Facility Procedure Requirements (PDF File) (Must submit with Application)
• Junkyard (PDF File)
• Temporary Food Permit (PDF File)
• EIU Temporary Food Permit (ON-CAMPUS EVENTS ONLY)
• Food Establishment Permit (PDF File)
• Septic/Sewage Application (PDF File)
• Well (Multi-part form: can be picked up at the Health Department office)
• Request for Water Well Sealing (Please pick up at the Health Department office)
• 2008 Sewage Contractors Registration (PDF File)
  • 2008 List of Registered Sewage Contractors  (PDF File)

Posters New Additions

These links are provided for your convenience. Please feel free to download, print and display the posters that apply to your facility. If you have questions regarding the mandatory posters, please visit the Department of Labor or Department of Employment Security web sites or contact them directly.

• Illinois Department of Public Health Hand wash Posters NEW
• Mandatory State & Federal Workplace posters NEW
• Mandatory Workplace posters (many in Spanish) NEW

Back to Environmental Health Main Page