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Public Health and Environment Division

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FORMS / APPLICATIONS

Vital Statistics

Application for Birth Certificate-Adobe

Application for Birth Certificate-Word Document

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Environmental Health Services

Child Care Plan Review Process and Application

Individual Sewage Disposal Systems:

Regulations

Application

Drawing Form

Percolation Test Result Form

Percolation Test Soils Data Form

Percolation Test Soils Data Form-Part 2

Open Burn Permit Application

Retail Food Establishments:

All of the following forms (with the exception of the individual owner form, depending upon the status of your organization) are required for your application packet to be considered complete.

Retail Food Establishment Application Packet

CDPHE Retail Food Establishment License Application

Individual Owner Cover Letter and Restrictions on Public Benefits Affidavit

Mobile Food Establishments:

All of the following forms are required for your application packet to be considered complete.

CDPHE Retail Food Establishment License Application

Requirements and Plan Review Application

Commissary Agreement

Equipment Installation List Form

Example Equipment Installation List

Example Facility Floor Plan

Facility Requirements Form

Finish Requirements Form

Food Handling Questionnaire

Public Swimming Pools:

Plans and Specification Report

Temporary Event Food Vendor:

Guidelines and Application