Forms

Environmental Health Forms

Body Art Technician Permit Application

Fee: $50

Body Art Plan Review Application

Fee: $200

Body Art Facility Application

Fee: $200

Emissions Inspector Application

For questions on fees, please call 435.792.6570

Food Service Permit Application

For questions on fees, please call 435.792.6570

Food Service Plan Review Application

For questions on fees, please call 435.792.6570

Inspection Request Application

For questions on fees, please call 435.792.6570

Liquid Waste Operator

Mass Gathering Application

Fee: $225 per event 

Mobile Food - New Establishment and Information Packet

Pool/Spa Permit Application

Fee: $250 Year Round pool/spa; $200 seasonal pool/spa

Pool/Spa Plan Review Application

Fee: $200 body of water (new/remodeled facility); $100 body of water (Change/transfer of ownership)

Septic Permit Application

For questions on fees, please call 435.792.6570

Septic System As-Built Request

Station Permit Application

Subdivision Septic Feasibility Application

For questions on fees, please call 435.792.6570

Tanning Application

Temporary Food Establishment Permit Application

Temporary Food Establishment Permit Application - Spanish

Out of State Deferral Form

Community Health Services

Minors in Possession Class Registration

Fee: $50

Request for "No Smoking" Signage Form

Smoking/Vaping Complaint Form

Tobacco Retailer Permit Application

Tobacco Retailer Permit Reinstatement Affidavit

Fee: $30

Support Services

Grama Request Form

Community Health Concern Form

Nursing

Patient Health Information Form

Download this form, print it, and bring it to the BRHD.

Records Release Form