Nursing/Clinic Forms Administrative Public Participation Form (Submit form to one of these options email: stephanie.bragg@morrowcountyhealth.org, fax: 419-946-6807 or bring form into office) Public Participation Policy Public Records Request Blank IRS W-9 Form Morrow County Health District W-9 Form Vital Records Birth/Death Certificate Application Proof of Relationship Verification Form Clinic Forms Registration Consent Flu Privacy Practice Acknowledgement Screening and Consent Prior Authorization School Vaccine Clinic Consent Form Environmental Health Food FSO/RFE License for Food Service Application Mobile Food License Application Temporary Food License Application Food Service Operation/Retail Food Establishment Plan Review Application Nuisance Complaints Nuisance Complaint Form Sewage Lot Split Application FormNew Build Process FormSite Review FormSoil ScientistsSystem DesignersSeptic PermitRegistered Sewage Sys. Inspectors Registered Sewage System InstallersRegistered Sewage System PumpersSewage Treatment Systems (STS) & COVID-19 Fact Sheet Plumbing 2021 License BondPlumber ApplicationRegistered Plumbers Parks and Campground Campground Application Resident Camp Application Temporary Camp Application Swimming Pools and Beaches Beach Application Swimming Pool Application Pool Plan Review Application Water Water Sample Well Permit Job Status Completion Form Registered Service Provider Contact InformationSTS Contractor Fact SheetService Provider ApplicationService Provider Bond FormSewage System Non-Mechanical Inspection FormSewage System Aeration Inspection Form Registered Hauler Contact InformationSTS Contractor Fact SheetHauler ApplicationHauler Bond Form Registered Installer Contact InformationSTS Contractor Fact SheetInstaller ApplicationInstaller Bond Multi-System FormAs-Built Form Miscellaneous Variance ApplicationAnimal Exposure Form
