Public Health - Muskegon County

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An official County of Muskegon website

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Home >> Forms

Forms

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

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Animal Bite Reporting Form

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Body Art Facility - Request for Inspection Form Breastfeeding Friendly Business Application/Nomination Form

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Campground - Application and License to Operate a Temporary Campground (MDEQ) Campground - Construction Permit Application (DEQ) Campground Inspection Request Form Children's Special Health Care Services - Release of Information Form Communicable Disease - Reporting Form for Healthcare Provider Use Only Communicable Disease - Reporting Form for School Use Only Customer Satisfaction Survey

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Dog (Animal) Bite Reporting Form

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Food Service - Change of Ownership Application & Standard Operation Procedure (SOP) Worksheet Food Service - License Application (MDA) Food Service - Notice of Intent to Operate a Special Transitory Food Unit (STFU) (MDA) Food Service - Plan Review Forms (MDA) Food Service - Temporary Food Establishment (TFE) License Application (MDA) Food Service - Temporary Food Establishment (TFE) Operation Checklist (MDA) Freedom of Information Act (FOIA) - Policy and Procedure Guide Freedom of Information Act (FOIA) - Request for Information Form

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Healthy Kids/MIChild Online Enrollment (MDCH) HIV/AIDS - Adult Confidential Case Report Form (MDCH) HIV/AIDS - Pediatric Confidential Case Report Form (MDCH) HIV/AIDS - Request for Partner Counseling and Referral Services (HAPIS)

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Immunization Record - Request for Official State of Michigan Influenza - Become an Influenza Sentinel Provider (MDCH)

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Land (Vacant) Evaluation Lead Hazard Reduction Program - Intake Form

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MIChild/Healthy Kids Online Enrollment (MDCH) MOMS Prenatal Services Online Enrollment (MDCH)

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Physician Communicable Disease Reporting Form (For Healthcare Provider Use Only) Plan First! Online Enrollment (MDCH) Pool Inspection Request Form Positive Strategies for Healthy Lifestyles Referral Form (For Agency Use) Positive Strategies for Healthy Lifestyles Registration Form (For Public Use)

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School Communicable Disease Reporting Form (For School Use Only) ServSafe® Class Registration Form Sewage System - Repair/Replacement (Operation/Maintenance) Evaluation Sewage System - Well - Water Quality - Septic Evaluation Application Sewage System - Well - Water Quality - Septic Evaluation Application Instructions Sewage System - Well - Water Quality - Septic Evaluation Supplemental Report Application Sewage System - Well & Septic Construction Application (2 pages) Sewage System - Well & Septic Construction Application Directions Smoke Complaint Form (Violation of the Smoke Free Air Law) Swimming Pool Inspection Request Form

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Vacant Land Evaluation - Request for Vacant Land Evaluation Form

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Water Supply - Type II - Application and Permit to Install Water Supply Facilities Well & Septic Construction Application Well & Septic Construction Application Instructions Well - Water Quality - Septic Evaluation Application Well - Water Quality - Septic Evaluation Application Instructions Well - Water Quality - Septic Evaluation Supplemental Report Application WIC - Forms for Medical Providers

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