Forms & Licensing

Business Group	Business Type	Form Name	Form
Campgrounds	Campgrounds	Campground Registration	Campground Registration Form
Construction & Septic	Construction	B100a Form (addition/shed/pool/etc) Sample Plot Plan	Construction Forms
Construction & Septic	Demolition	Demolition Requirements DPH Demolition Notification Form	Demolition Forms
Construction & Septic	Septic – New / Renovation	Septic Application - New or Renovation Application for Septic System, Site Plan, and Subdivision Plan Review Application for Septic System Inspection and Certification Notarized Statement for Homeowner to Install Operation and Maintenance of a Subsurface Sewage Disposal System	Septic Forms
Construction & Septic	Water Treatment Waste Water	Application for the Installation of a Water Treatment Wastewater System (WTW)	Application for the Installation of a Water Treatment Wastewater System (WTW)
Daycare		Daycare Inspection Request form rev 1018	Daycare Inspection Request Form
Food Service	Food Service	Food Service License Application Food Service Plan Review Application Food Service FORM 1-B Employee Training Record Chinese Training Forms Hot Food Holding Log	Food Service Forms
Food Service	Mobile Food Unit	Mobile Food Unit Plan Review Application Mobile Food Unit Application	MFU Plan Review Application Mobile Food Unit Application Please Note: If you did not have MFU license with UHD previously a Mobile Food Unit Plan Review Application must be submitted and approved, a preoperational inspection shall be completed prior to any license issuance.
Food Service	Temporary Event	Temporary Event	Temporary Event Please Note: Applications submitted less than 14 Days and greater than five (5) business days in advance of the event will require a double fee. No permit will be issued for applications submitted within five (5) business days of the event.
Group Home		Request for an Inspection of a Group Facility	Request for an Inspection of a Group Facility
Public Pools		Public Swimming Pool Registration Form Disinfectant Levels Daily Log Sheet for Swimming Pool	Public Pools Forms
Salon		Salon Application to Operate a Salon or Barbershop Salon Review Application for a Salon or Barbershop Salon Regulations Salon Floor Plan Template Salon Disinfection Guide	Salon Forms
Tattoo Facility		Tattoo Facility NEW Registration Form	Tattoo Facility NEW Registration Form
UNCAS	Fee Schedule	UNCAS Health District Fees Schedule	UNCAS Health District Fees Schedule
UNCAS FORMS		Uncas Health District Employment Application UNCAS Request For Public Info	UNCAS FORMS

Contact Information

For further inquiries about the Uncas Health District, interested parties can contact the Director of Health at (860) 823-1189.

Contact the Uncas Health District