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Applications & Forms

Please select the application form below to download and print. Please follow the instructions provided.

Completed applications and fees should be mailed to:

Hancock County Health Department
111 American Legion Place, Room #150
Greenfield, IN 46140

Birth & Death Certificates

Certified Copy of Birth Certificate

Death Certificates

Septic System Forms

Septic Permit Application Procedure

Septic Permit Application

Soil Scientist List

Pool Permit Application


Food Establishment Permit Applications

Restaurant/Market Food Permit

Yearly Mobile Food Permit

Temporary Food Permit

Tattoo & Body Piercing Permits

Establishment Permit

Artist Permit


Fight the Bite Flyer

Medical Reserve Corps Volunteer Form

Volunteer Form

Public Records Request Form

Record Request Form


Complaint forms can be emailed to, or printed and mailed to the Health Department. Forms with no complainant contact information, or invalid complainant contact information, cannot be processed.

Online Complaint Form