Following is a list of all downloadable forms listed by program. To download a form, just click on the name.

Food Sanitation:

New or Remodeled Fixed Site Food Service Permit Application

Fixed Site Establishment Food Service Permit Application

Catering Food Service Permit Application

Seasonal/Fixed Site Food Permit Application

Temporary Food Service Permit Application

Mobile Food Service Permit Application

Vending Food Permit Application

Farmers Market Policy

Temporary Food Stand Brochure

Temporary Food Stand Brochure - En Español

Cottage Food Industry Exemption Application

Requirements for a Kitchen / Plan Review

 

Private Sewage Disposal:

Wastestream Information Sheet

Maintenance Agreement for Conventional Private Sewage Disposal Systems

General Contractor Consulation

Homeowner Installation Form

Liability Waiver for Septic Investigation

Septic Contractors License Application Form

Soil Bore Application

Septic Elevation Profile

Septic Checklist

Agreement for ATU or Chamber Septic System Reduction - Operator's Permit

Septic Tank Abandonment Form  

 

Potable Water / Wells:

Permit to Construct, Seal, or Deepen a Well (This is an Illinois Department of Public Health form - and is used by Boone County Health Department:  visit www.dph.illinois.gov, then scroll down to "forms" for the link to this form.

 

Water Well Construction Report (This is an Illinois Department of Public Health form - and is used by Boone County Health Department:  visit www.dph.illinois.gov, then scroll down to "forms" for the link to this form.

 

Permit to Modify a Well (Boone County Health Department form)

Well Head Self-Inspection Checklist

Chlorination Procedure

Property Owner Well Sealing

Well Seal Deferral

 

Demolition:

Demolition Application

 

Nuisance Complaints:

Nuisance Complaint Form

 

Lead Program 

Application

Income Verification Worksheet

 

Real Estate Inspections for Well & Septic:

Inspection Request form

 

Administration

Freedom of Information Request Form (FOIA)