Ledge Light Health District Forms

COVID-19

• Case Report Form for School Administrators

Cosmetology

• Cosmo Inspection Form 2019
• Cosmetology License Application

Employment

• Ledge Light Health District Employment Application

Flu – Drive Thru to Beat the Flu

• 2020 Flu Consent Form Adult –  English / Spanish
• Vaccine Information Statement 2020 – English / Spanish

Food Service

• 2020 Certified Food Protection Manager Course Schedule
• Choking Poster
• Cleaning Up Vomit and Diarrhea (Norovirus)
• Consumer Advisory Requirements
• Daily Restaurant Cleaning Checklist
• Designated Alternate Person in Charge form
• Employee Training Records – English
• Employee Training Records – Spanish
• Food Safe Bleach Poster
• Food Vendor Application 2018
• Employee Illness Reporting Agreement
• Foodservice License Application
• How to Safely Cool TCS Foods
• Procedures for Opening A Foodservice Establishment Packet
• Temporary Event Application 2019
• Temporary Event Packet 2019
• Vendor Base of Kitchen Operation Declaration Form

Lodging

• Lodging Regulations
• Lodging Application
• Lodging Inspection Form

Pools

• Public Pool Inspection Form 2018

Septic

• B100a Form
• Plan Review Application
• Septic Permit Application
• Soils Testing Form
• Water Treatment Wastewater Application

Other

• LLHD Tick Submission Form