ODH | Laws & Forms
Laws & Rules
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Visit the Office of General Counsel page to access the following:
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Forms
The Department of Health has a list of forms that can be used by every Ohioan that wants to interact with the Department in any of our 35 Programs & Areas. You can search our catalog to find any of our available forms.
Administrative Summary for Private Water System Permits
Form required for use by the local health district to document the progress of the permit.
Private Water System Site Plan – Additional Plans
Forms for supplying additional information in conjunction with the applications site plan for ponds, cisterns, springs, shallow wells, and private water systems installed for multiple dwellings and buildings.
Women, Infants & Children (WIC) Program Application
Official Women, Infants & Children (WIC) Program Application form that is utilized at all Ohio Women, Infants & Children (WIC) clinics for application to the program.
STS Administrative Summary and 12 month inspection form
Administrative summary and 12-month inspection form
Pool - Approved Interior Surface Colors
Attached is a list of approved colors for the interior surface of public swimming pools in accordance with paragraph (C)(1)(b) of rule 3701- 31-05.1 of the Ohio Administrative Code.
Pool - Approved Training Organizations List
The following list of approved training organizations is maintained by the Ohio Department of Health per 3701-31-02(G)(4) of the Ohio Administrative Code.
Application-Permit for a Private Water System
Permit application and site plan form to construct, alter, or seal a well, spring, pond, cistern, hauled water storage tank, test well as a private water system.
Bentonite Grout Calculation Spreadsheet
Excel spreadsheet to assist local health departments evaluate proper grouting of well through information documented on the well log.
