Forms

Water & Cloosed Loop (Geothermal) Wells Forms

  1. Closed Loop (Geothermal) Well Installation Application (PDF)
  2. Installation Report for Water Well Pumps (PDF)
  3. Sample Collecting Instructions (PDF)
  4. Standards for Disinfecting Wells (PDF)
  1. Variance Request for Proposed Well Installation (PDF)
  2. Water Well and Sealing Permit Application (PDF)
  3. Water Well Construction Report (PDF)

Onsite Wastewater Treatment Systems Forms

  1. Application for Private Onsite Wastewater Treatment System Permit (PDF)
  2. Contractor Registration Form (PDF)
  1. Variance Request Form for Proposed Private Onsite Wastewater Treatment System Installation (PDF)

Food Safety Forms

Plan Review & Mobile Plan ReviewPackets

  1. Change of Ownership Packet 2019 (PDF)
  2. Food Establishment Plan Review Packet 2019 (PDF)
  3. Mobile Food Establishment (PDF)
  1. Mobile Food Establishment with Pre-packaged Food Sales Only (PDF)
  2. Mobile Food Unit Itinerary and Operating Schedule (PDF)

Annual & Seasonal Licenses

  1. Application for Food Safety License Renewal (PDF)
  1. Application for Variance (PDF)

Sidewalk & Street

  1. Sidewalk and Street Vendor License Application (PDF)
  1. Sidewalk and Street Vendor Rules (PDF)

Temporary Food Event License

  1. Temporary Event Food License 12-2018
  2. Temporary Food Event Coordinator Information Sheet (PDF)
  1. Temporary Food Permit Rules (PDF)

Cottage Food Operations/Farmers Market

  1. Cottage Food Operation Registration Form (PDF)
  2. IDPH Technical Information Bulletin Number 30 - Sanitation Guidelines for Farmers Markets (PDF)
  1. Illinois Farmers Market Food Safety - A Guide for Vendors, Market Managers, and Consumers (PDF)

Food Safety Guidance/FDA Forms

  1. Bare Hand Contact Application (PDF)
  2. Clean Up Procedures (Fillable Form) for Vomit-Fecal Events (PDF)
  3. Clean Up Procedures for Vomit - Fecal Events (PDF)
  4. Employee Health and Personal Hygiene 1-B Conditional Employee or Food Employee Reporting Agreement (PDF)
  5. In-Service Training Request Form (PDF)
  1. Record of Food Safety Training Form (PDF)
  2. Risk Control Plan Form and Guidance (PDF)
  3. Time as a Public Health Control Written Procedures Form (PDF)
  4. IDPH FDD Food Safety Tips For Safe Produce (PDF)