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Internal USE ONLY - Department Head Authorization
Fill out form to dispose of an asset.
Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq.
PUBLIC COMMENT: an opportunity to address the Board of Commissioners.
a) Board and commission members have the responsibility to become familiar with the goals and objectives of the agency, and any state... More… a) Board and commission members have the responsibility to become familiar with the goals and objectives of the agency, and any state and/or county statutes which guide the operation of the agency and its financing arrangements. Some agencies have a complex financing arrangement with federal, state and local funds involved. Developing a knowledge base of the financing arrangement is important if the board member is to fulfill their role as a contributing member to the advisory body. b) Appointees should be mindful that they are serving as a representative of the County on the board or commission. c) Appointees should come prepared to meetings. Board members should take the time to become familiar with the agency, its challenges, problems and programs. In addition, gaining operational knowledge of the financial condition is paramount to becoming an effective board member.Less…
Form used for employee to indicate payroll deduction into their Health Savings Account
Designated parking lot stickers
Requests will be scheduled on a first-come, first-served basis. Since the areas available for events and exhibits are limited and the... More… Requests will be scheduled on a first-come, first-served basis. Since the areas available for events and exhibits are limited and the demand is at times high, it is recommended, but not required, that requests be made at least one month in advance. In order to schedule an event, a sponsor is required to sign an agreement that the sponsor has read, understood, and will abide by the procedures governing the use of the public areas of the OCH; that the sponsor is responsible for damages incurred as a result of its event or exhibit; that the sponsor will pay to have restored the area used for its event or exhibit to the condition that existed prior to its use; and that it will indemnify and hold harmless the Count of Lenawee for any damage or loss incurred arising out of its use of county property. Any sponsor that fails to abide by the terms of the agreement will not be permitted to schedule a future event until the outstanding obligations have been fully satisfied.Less…
Pre-screening form
This form is to be completed for all persons arrested for Operating While Intoxicated 1st offense or higher
Please fill out the form completely and send the form to your Probation Officer.
Callout Maintenance Record
Use this form to request maintenance on a Lenawee County operated drain (tile repair, vegetation management, open drain cleanout, etc.)
Appraisal Questionnaire for Lenawee County Equalization.
The Commercial Reappraisal Questionnaire for Lenawee County Equalization.
Use this form to request information from the health department on a property or food service located within Lenawee County. This... More… Use this form to request information from the health department on a property or food service located within Lenawee County. This information is free to those who own the property or establishment; a fee is assessed for non-owners. This form is NOT to be used for FOIA requests for Environmental Health Assessments. Less…
Completing this form will authorize the Health Department to conduct a criminal background check.
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This survey will help us determine how many people have seen immunization ads at the Adrian movie theater.
Individuals interested in an internship with the Lenawee County Health Department should complete this application which includes... More… Individuals interested in an internship with the Lenawee County Health Department should complete this application which includes uploading a resume and cover letter. Less…
Printing Orders
Supply Order Form
Please contact our office at 517-264-4638 if you have any questions or need assistance.
If you would like to receive notification of court events and other important information about your case, please complete and submit... More… If you would like to receive notification of court events and other important information about your case, please complete and submit this form.Less…
STATUTORY AUTHORITY Section 4 of the Act (MCL 28.214) provides that the Fire Chief of an organized fire department, or his or her... More… STATUTORY AUTHORITY Section 4 of the Act (MCL 28.214) provides that the Fire Chief of an organized fire department, or his or her designee, may request and receive LEIN information through a law enforcement agency for the following purpose. A. A pre-employment criminal convictions history (purpose code "E" only) check. B. A pre-employment driving record check. C. Vehicle registration information for vehicles involved in a fire or a hazardous materials incident. This request will be forwarded to Lenawee County Central Dispatch via email.Less…
Register for Boater Safety Classes
Commercial Waste Haulers submission Form
Volunteer opportunities: Recycling Drop Off Site: Spend a couple of hours at the drop off site answering general... More… Volunteer opportunities: Recycling Drop Off Site: Spend a couple of hours at the drop off site answering general recycling questions. Community Outreach Events: Such as manning the Solid Waste booth at the fair, typically partnered with someone else and assigned in two hour shift at the fair answering basic recycling questions Special Projects: Recycled art competition, initiating a styrofoam collection co-op, do you have an idea? Community collection events (spring/fall): One Saturday morning, light duty work, directing traffic, completing forms, counting tires, etc. between 2 and 6 hours Less…