Form Center

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Contact Us

  1. Contact Us
  1. Website Errors

    Report a Website Problem

Environmental Health

  1. Building Science Webinar hosted by Tri-County Heath Department Registration Form

    Please use this form to register for the Webinar at one of the Tri-County Health Department locations listed below. Registration is... More…

  2. Report a Dead Animal/Bird

    Online Dead Animal/Bird Report Submission Form

  3. Report a Public Health Problem

    Use this form to report a public health problem

  1. Environmental Record Review

    This form is used to request an assessment of a site associated with Phase I Environmental site assessment. Environmental site... More…

  2. Report a Food Poisoning / Illness

    Form used to report a food poisoning/illness

  3. Septic Record Request

    Use this form to request copies of On-Site Wastewater Treatment System (Septic) property records.

Nutrition Division

  1. Baby & Me - Tobacco Free Application

    This form is to allow the public to sign up for the Baby & Me - Tobacco Free Program.

  2. Tri-County Health Department - Request a WIC Appointment

    This form can be used to submit a request to have a Tri-County Health Department WIC clinic call to schedule families for a WIC... More…

  1. Order WIC Brochures

    Help your clients learn about the Women, Infants, and Children (WIC) program.

  2. WIC Shopping Feedback or Request for Assistance

    Please share details about your shopping experience.


  1. CORA Request Form

    This is the form the public will use to submit CORA requests.