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    Licensing, Forms, and Applications

    Food Safety​

    • Food Plan Review Application (NEW RESTAURANT/GROCERY)

    • Process for Obtaining Mobile Food License

    Home Sewage Treatment Systems​

    • Application for Site Review For New Household Sewage Treatment System

    • Application for Real Estate Transfer Evaluation of HSTS

    • Operation Permit for Sewage Treatment System

    • WPCLF Application for HSTS - Septic Repair/Replacement Assistance

              -Septic System Repair Grant Income Eligibility Guidelines

    Public Health Nuisance Complaints

    • Public Health Nuisance Complaint Form

    • Sanitary Housing Complaint Form

    • JCHD Nuisance Complaint Policy

    • JCHD Residential Housing Condemnation Policy

    Vital Statistics

    • Application to Request a Certified Copy of Birth Record

    • Application to Request a Certified Copy of Death Record

    • Home Birth Packet

    Private Water Systems

    • Application/Permit for a Private Water System

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    740-352-3245

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    JACKSON COUNTY HEALTH DEPARTMENT

    200 EAST MAIN STREET

    JACKSON, OH 45640

    Monday-Friday, 8:00-4:00 pm

    740-286-5094

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