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SAY YES TO HEALTH |
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Programs & Services |
Administrative Services- Portage County Health Department |
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Office Hours: 8:00 a.m. to 4:30 p.m.
Visit the Applications & Forms page for the appropriate form.Record Release FormRecord Release Form may be voluntarily filled out when requesting copies of any files on public record at the Health Department. Charges for records released are as follows:
Residential Request:
CHARGECommercial/Attorney Request:
This request must be prepaid and the copy or fax will be available within a reasonable time period. FOOD SERVICE/RETAIL FOOD ESTABLISHMENT APPLICATION FORMFood Service/Retail Food Establishment Application Form to be completed and submitted to the Health Department, with the applicable fee, to license a new food service or retail food establishment ONLY AFTER a complete plan review has been conducted and final facility approval has been granted upon pre-license inspection. Contact the Health Department prior to initiating any work toward opening a new food service or retail food establishment for complete plan review/licensing procedure details. PLEASE CONTACT OUR OFFICE FOR ADDITIONAL INFORMATION REGARDING TEMPORARY FOOD SERVICE OPERATION EVENTS FOOD SERVICE OPERATION/RETAIL FOOD ESTABLISHMENT COMPLAINT REPORT FORMThis form is to be filled out when making a complaint involving a licensed food service operation or retail food establishment. (Restaurants, grocery stores, convenient stores, delis, etc.) If complaint involves illness, be certain to include specific dates and foods, and provide your contact information for further questioning to the Portage County Health Department nursing staff. LICENSE TO OPERATE A HOTEL OR MOTELA person or group wanting to become licensed as a Hotel or Motel must:
Visit the Applications & Forms page for the appropriate form.
Contact UsDorothy Filing |
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