Forms
9
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Environmental Health Forms
Download forms, lists, and miscellaneous documents available from the Health Department.
- Complaint Form
- Document Request
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Food Service Application
Michigan Department of Agriculture and Rural Development Food Service License Application
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Temporary Food Service License Application
Application for a temporary food service
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Well and/or Septic Application
Application needed for NEW or REPLACEMENT well or septic
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Personal Health
Documents available on the website relating to Personal Health programs.
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Animal Bite Reporting Form
Form for reporting an animal bite to the Lenawee County Health Department
- Authorization for Immunization of Minors
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Pediatric Immunization Registration Form
Registration form for pediatric immunizations
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Release of Medical Records
Release of medical records
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Request for Michigan Immunization Record
Request for Official State of Michigan Immunization Record
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Animal Bite Reporting Form