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Downloadable Forms

Following is a list of all downloadable forms listed by program. To download a form, just click on the name.

Potable Water / Wells:
Permit to Construct, Seal, or Deepen a Well (This is an Illinois Department of Public Health form - and is used by Boone County Health Department:  visit www.dph.illinois.gov, then scroll down to "forms" for the link to this form.

Water Well Construction Report (This is an Illinois Department of Public Health form - and is used by Boone County Health Department:  visit www.dph.illinois.gov, then scroll down to "forms" for the link to this form.

Permit to Modify a Well (Boone County Health Department form)
Well Head Self-Inspection Checklist
Chlorination Procedure
Property Owner Well Sealing
Well Seal Deferral

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Document Center

The Document Center provides easy access to public documents. Click on one of the categories below to see related documents or use the search function.

Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by SEQ in Ascending Order within category

Food Sanitation16 documents

  • Requirements for New, Remodeled, or Change of Ownership for food establishments in Boone County
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  • Commissary Sharing Agreement
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  • Requirements for Mobile Food Trucks
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  • Temporary Food Stand Brochure
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  • Temporary Food Stand Brochure - En Espanol
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  • Cottage Food Industry Exemption Application
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  • Requirements for a Kitchen / Plan Review
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  • Cooling Logs
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  • Boone County Variance Request Food Program Form
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  • Restroom Agreement
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  • HACCP Template Form
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  • Procedure for the Clean-Up of Vomit-Fecal Events Form
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  • Employee Health Policy Agreement
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  • Employee Illness Reporting Policy
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  • Employee Illness Log
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  • Time as a Public Health Control Written Procedures Form
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Private Sewage Disposal9 documents

  • Soil Classifier List
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  • Septic Elevation Profile
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  • Septic Plan Checklist
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  • Wastestream Information Sheet
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  • Maintenance Agreement for Conventional Private Sewage Disposal Systems
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  • Agreement for ATU Reduction - Operator's Permit
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  • Homeowner Installation Form
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  • Septic Contractors License Application Form
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  • Septic Tank Abandonment Form
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Demolition1 document

  • Demolition Application
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Nuisance Complaints1 document

  • Nuisance Complaint Form
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Lead Program2 documents

  • Application
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  • Income Verification Worksheet
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Real Estate Inspections for Well & Septic1 document

  • Inspection Request form
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Administration1 document

  • Freedom of Information Request Form (FOIA)
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