Erie County Health Department - Erie County Community Health Center

: Phone (419) 626-5623

  24 Hour Toll Free (888) 399-6065
: Covid Information Line: 567-867-3243

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

Food Protection Manager’s Application (ServSafe)

Food Protection Program

Employee Health Reporting Requirements
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
Ohio Uniform Food Safety Code

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
Ohio Department of Health Treatment System Page

HUD Lead Hazard Control Program and Healthy Homes

HUD Grant Steps – The Basics
HUD Lead Hazard Control and Healthy Homes Program Application
HUD Owner-Occupied Application Attachments
HUD Rental Unit Application Attachments
Healthy Homes Program Fee Schedule
International Property Maintenance Code (IPMC)
Free Radon Test Kit

Manufactured Homes Installation

Manufactured Home Installation Inspection Territory Map
Manufactured Home Installation Permit Application

Manufactured Home Permit Fee Schedule
Notice of Home Installation

Plumbing Program

Backflow Annual Test & Maintenance Report
Backflow Prevention and Cross-Connection Control (OEPA Brochure)
Commercial Permit Application
Commercial Plumbing Inspection Territory Map

Plumbing Contractor Registration
Plumbing Program Questionnaire
Residential Permit Application
Plumbing Resolution No. 2014-06

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

Statewide Pool Regulations and More
Weekly Pool/Spa Operation Report


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

Body Art Plan Review Packet & Requirements
Tattoo and Piercing Regulations