Environmental Health Applications, Forms & Fees

The following are links to applications, forms and fees for programs associated with Washtenaw County Environmental Health. For questions, please contact (734) 222-3800.

Applications

Food Service:

• Food Service License Application
• Temporary Food Service License Application
• Food Service Plan Review Application
• Restaurant Change of Owner Application
• Application for Restaurant Bare Hand Contact Variance
• STFU Notice of Intent to Serve  

Pollution Prevention:

• P2 Status Sheet

Well/Septic:   

• Application for Residential Onsite Well and/or Sewage Project (well permit, sewage permit, soil evaluation, etc.) 
• Application for Non-Residential Onsite Well and/or Sewage Project
• Application for Environmental Health Addition/Change of Use Review 
• Application for Subdivisions and Site Condominiums
• Auxiliary Well Registration Form
• Application for Non-Potable Well Project
• Septic Tank Only Installation Affidavit  
• Time of Sale Inspector Application
• Application for Certification as a Sewage System Installation and Repair Contractor   

Forms

• Credit Card Authorization Form
• Freedom of Information Act (FOIA) Request Form

Fees

• Food Service Fees
• Temporary Food Service Establishment Fees
• Pollution Prevention Program Fees
• Well and Septic System Fees
• Time of Sale Program Fees
• Water Testing Fees - Please note that expedited Arsenic, Nitrate, and Nitrite testing now result in a 2-day turnaround time. 
• Miscellaneous Fees - Licensing Fees for Mobile Home Parks, Child Care Centers, Swimming Pools, Body Art Facilities, etc.