Erie County Health Department - Erie County Community Health Center

Phone : (419) 626-5623
  24 Hour Toll Free : (888) 399-6065

Forms & Permits

Health Center Downloads

Health Center Online Health Consumer Survey
Health Center Printable Health Consumer Survey
Consent To Treat Child In Absence Of Parent

New Dental Patient Packet
No Show Policy

Environmental Health Downloads

Food Training

Level 1 Food Training Application
Level 2 Food Training Application (ServSafe)
Applicacion de curso de proteccion de alimentos de nivel uno
Applicacion de curso de preparacion de ServSafe de Nivel 2

Food Protection Program

Agencies to Contact for Permits
Application for a License to Conduct a Vending Machine Location
Plan Review Requirements for FSO/RFE and Application
Plan Review Requirements for Mobile Food
Temporary Food Policies and Application

Household Sewage Treatment Program

Application for Site Review
Application for Sewage Treatment System
Instructions to Obtain a Sewage Treatment Permit
Sewage Treatment System Abandonment Form
Sewage Treatment System Rules
Site and Soil Drawing Requirements

Healthy Homes

Healthy Homes Program Fee Schedule
International Property Maintenance Code (IPMC)

Manufactured Homes Installation

Manufactured Home Installation Permit Application
Manufactured Home Permit Fee Schedule
Notice of Home Installation

Plumbing Program

Plumbing Resolution No. 2014-06
Commercial Permit Application
Plumbing Contractor Registration
Plumbing Program Questionnaire
Residential Permit Application
Water Heater Replacement Permit Application
Medical Gas Permit Application

Private Water Systems

Private Water System Application
Cistern/Hauled Water Storage Tank Completion Form
Well-Pump Distribution Completion Form

Public Pool & Spa Program

Pool Regulations
Weekly Pool/Spa Operation Report
Equipment Replacement


Free Radon Test Kit Request
Radon Survey Application

Real Estate Surveys

Private Sewage System Survey Application
Private Water System Survey Application
Radon Survey Application

RV Parks and Camps

Animal Registry Form
Regulations for Recreational Vehicle Parks, Combined Park-Camps, and Temporary Park-Camps

Tattoo & Body Piercing Program

Tattoo and Piercing Plan Review Requirements
Tattoo and Piercing Regulations