Forms

Food Establishments

(Email applications to --  health@waynecounty.in.gov)

**Payment must be made before the application is accepted (please call 765-973-9245 option #2)**

• Food Service Establishment/Mobile Application 
• Commissary Agreement
• Commissary Agreement Espanol
• Not for Profit Food Application 
• Plan Review Application
• Plan Review Questionnaire
• Temporary Event Coordinator Registration Application
• Temporary Food Application
• Food Complaint Form
• Mobile Unit Plan Review and Application

Housing

1. Download form   2. Fill form out    3.  Click the  Submit Application button

• Housing Complaint Form

On-Site Sewage

Septic Location Request Form

• See the  On-site sewage page for applications and more information

Pools

(Email applications to --  health@waynecounty.in.gov)

• Pool Application
• Pool Letter

Public Health

• Medical Release Form
• Parent/Legal Guardian’s Delegation of Authority Form
• Public Records Request Form

Vital Records

• Birth Certificate Application
• Death Certificate Application