Downloadable Forms
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We have organized these document by the sections they appear. If you already have the reader then just click on the form below. Once you have downloaded the form, it can be printed out, filled in and mailed to the Farmington Valley Health District with any necessary fees.
Fee Schedule
FVHD Fee Schedule
Adobe PDF 97k
These forms are in PDF format and require the freely available Adobe Reader®, click on the icon below to find out more about this file format and to download the reader.
Child Day Care
Poisonous Plants and Safe Plants
Adobe PDF 160kb
Selecting an Appropriate Sanitizer
Adobe PDF 217kb
Shock Absorbing Materials
Adobe PDF 184kb
Emergency Preparedness
HAN Participation Form
Adobe PDF 168kb
Non-medical Volunteer Application
Adobe PDF 119kb
Medical Volunteer Application
Adobe PDF 129kb
Smallpox Vaccination Consent Form
Adobe PDF 90kb
Smallpox Vaccination Information Sheet
Adobe PDF 191kb
Smallpox: What to do after vaccination
Adobe PDF 89kb
Anthrax: Family or Household Screening and Dispensing Form
Adobe PDF 90kb
Anthrax: Individual Screening and Dispensing Form
Adobe PDF 129kb
Food Protection
Annual Food Service Non-Profit Application
Adobe PDF 95kb
Food Service Regulations
Adobe PDF 385kb
Fee Schedule
Adobe PDF 109kb
Food Service Permit Application
Adobe PDF 159kb
Temporary Food Service Application
Adobe PDF 758kb
Seasonal/Farmer's Market Permit Application
Adobe PDF 277kb
Temporary Event Sponsor Form
Adobe PDF 111kb
Qualified Food Operator Demonstrated Knowledge Statement
Adobe PDF 205kb
Designated Alternate Demonstrated Knowledge Statement
Adobe PDF 160kb
Food Service Plan Review Application
Adobe PDF 102kb
Food Service Plan Review Guidelines
Adobe PDF 594kb
Employee Training Record
Adobe PDF 103kb
Public Swimming Pools
Pool Regulations
Adobe PDF 254kb
CT Public Health Code
19-13-B33b
Adobe PDF 82kb
Pool Testing Log
Adobe PDF 151kb
Annual Pool Permit Application
Adobe PDF 139kb
Guidelines for Closure
Adobe PDF 180kb
Procedure for Fecal-Vomit Discharge Cleanup
Adobe PDF 106kb
Swimming Pool Operator's Test
Adobe PDF 115kb
Wells and Water Testing
Septic
Location Approval Packet
Adobe PDF 261kb
Site Evalution: Information for Homeowners
Adobe PDF 283kb
Request for Soil Test Observation
Adobe PDF 139kb
Subdivision Application and Feasibility
Adobe PDF 72kb
Application for Approval of Plans
Adobe PDF 119kb
Subsurface Sewage Disposal Systems Regulations
Adobe PDF 279kb
Septic Installers Contact List
Surface Water Testing Areas
Map of Surface Water Testing Areas
Adobe PDF 737kb