Forms

Food Establishments

(Email applications to --  health@co.wayne.in.us)

• 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@co.wayne.in.us)

• 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