Forms & Licensing

Business Group Business Type Form Name Form
Campgrounds Campgrounds
  • Campground Registration
Campground Registration
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
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 previously have an MFU license with UHD, 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
Salons
Tattoo Facility
  • Tattoo Facility NEW Registration Form
Tattoo Facility

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.

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