Online Forms

Nursing

Notice of Privacy Practices
PDF
Covid-19 Vaccination Consent Form
PDF

Environmental - Food

Commissary Agreement
PDF
Cottage Food Home Self-Certification Checklist
PDF
Cottage Food Registration Form
PDF
Cottage Food Safety Plan for Acidified Foods
PDF
Emergency Procedures Manual - Food Service Establishments
PDF
Employee Practices Flyer
Doc
Fixed Food Establishment Standard
PDF
Guidelines for Construction
PDF
Handwashing Flyer
PDF
Home Kitchen Operation Application
PDF
Hot and Cold Holding Flyer
Doc
Permit Application for Temporary Food Establishments
PDF
Permit Application for Permanent /Seasonal Food Establishment
PDF
Plan Review Application
PDF
Proper Cooling Procedures Flyer
Doc
Proper Glove Use Flyer
PDF
Proper Refrigerated Food Storage Flyer
Doc
Proper Thawing Methods Flyer
Doc
Temporary Pre-Opening Checklist
PDF

Environmental - Septic

Private Sewage Application
PDF

Environmental - Water

Closed Loop Well Application
PDF
DeWitt Piatt Water Ordinance
Doc
Disinfecting Dug Wells
PDF
Private Water Well Application
PDF
Procedures For Disinfecting Drilled Wells
Doc
Well Sealing Request By An Unlicensed Individual
PDF

Environmental - Other

Common Questions and Answers About Indoor Mold
PDF
DeWitt Piatt County Nuisance Ordinance
Doc