8:30AM - 4:30PM M-F,  (304) 258-1513



Environmental Services

Not only do we provide programs for your health, we also ensure your surroundings are safe.

Applications and Forms

All Applications and Forms are in PDF format and require that your computer

be running Adobe® Acrobat Reader software. 

Please Note: If you experience difficulty in downloading or printing forms,

please refer to the Adobe Web Site for troubleshooting and support guidelines.

Please make all checks payable to the Berkeley-Morgan County Board of Health

If you have any questions or concerns, please contact us for further assistance.

Morgan County Health Department Fee Schedule:
Fee Schedule.pdf

Availability of Recent Inspection Notification:

Per Code 8-304.11  Suggested Signage - Notifying Customers of

Availability of Recent Inspection

Animal Encounter:
SG-58 Animal Encounter Report Form

Body Piercing/Tattoo Studios:
SG-49 Application for Permit to Operate
SG-86 Piercing Studio Plan Review
SG-88 Piercing Technician Certification Application
SG-89 Information & Notification
SG-90 Hepatitis B Declination
64-80A Body Piercing Studio Rule Public Notice

Child Care Centers:
SG-49 Application for Permit to Operate
SG-99 Plan Review Information for Child Care Centers (New or Remodeled)

Daycare Application Packet (13+ Children)

Family Daycare Application (7-12 Children)

SG-51 Complaint Form
You can also fill out the Complaint Form online 

Food Sanitation:
SF-5 Food Establishment Permit Application

SF-5 Mobile Food Unit Application

SF-5B Temporary Food Establishment Permit Application

  • Attention all customers applying for temporary food permits: Please submit temporary food applications 3 weeks prior to any upcoming events. This will ensure that all of the paperwork required has been reviewed and approved in time for the event.​
  • Here is the website for a basic food training for a TEMPORARY PERMIT Only  - this would only apply for temporary food applicants:
  • Click here for "Temporary Food Permit Training"

SF-35 Plan Review for New or Remodeled Food Establishments
SF-35 Addendum: Information Packet
Form 1-A Applicant Food Employee Interview
Form 1-B Food Employee Reporting Agreement
Form 1-C Applicant and Food Employee Medical Referral
PHSD Retail Food Emergency Flip Chart
2013 US FDA Food Code

State Approved Food Manager Course

2013 Food Code Spec Sheet

Per Code 8-304.11 Suggested Signage - Notifying Customers of Availability of Recent Inspection

Berkeley and Morgan County Health Departments now provide Proctor Services for State Food Safety Manager Level Exam. Please contact the office for more details.

Extension for Manager Level Food Training Completion Information 12.9.20

General Sanitation:
SG-49 General Sanitation Permit Application

Home Loan Evaluation

SG-55 Home Loan Evaluation Report

Manufactured Home Community:
SG-49 Application for Permit to Operate

Recreational Water Facilities:
SG-49 Application for Permit to Operate
ER-32 Recreational Water Facility Weekly Report
SR-153 Recreation Water Facilities Tables

SS-182A Application to Install or Modify a Small Sewage Disposal System
ES-57 Affidavit

     Subdivision Forms:
     ES-76 Subdivision Application
     Septic Tank Cleaner Forms:

     SS-181 Application For Sewage Tank Cleaning 
     For Installers Only:
     SS-192 Installer Certification Renewal Application

SW-252c Springs
SW-252d Cisterns
SW-252e Installing a Hand Pump
SW-252g Pitless Units
SW-253 Request for Water Analysis

SW-256 Water Well Application
SW-258 Water Well Completion Report
SW-260 Water Well Variance Request
SW-261 Water Well Abandonment Report
SW-262 Water Well Pump Installation Report
Water Quality Labs
Private Water Well Owners–What to Do Before Drilling the Well
Private Water Well Owners–Water Well Pumping Systems
Private Well Owners-Four Steps to Water Well Safety
How to Disinfect a Private Water Well​