The Fairfield Department of Health

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   Home Public Health Nursing Environmental Division Women, Infants, and Children Emergency Preparedness Community Health Development
Forms and Applications
Environmental Health 

Nuisance Complaint Form (printable)

Food Facility Review Packet

Temporary Food Service:  Guidelines, Checklist, Temporary Operation Review, Application

Mobile Food Service:  Mobile Food Checklist, Application, Facility Layout and Menu

Animal Bite Report Form

Plumbing Forms

Sewage Treatment System Application (printable)

Sewage Treatment Abandonment Form

Variance Request Form

2012 Bond Forms:  Installers, Haulers/ Pumpers, Service Providers

Subdivision of Land Application

Private Water System Application (printable)

Well Pump Completion Form


Vital Statistics

Application for Birth Certificates

Application for Death Certificates


The Fairfield Department of Health
1587 Granville Pike | Lancaster, Ohio 43130
P:(740) 652-2800 | F:(740) 653-6626

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