Application for Certified Copy of Death Certificate

Application for Private Sewage Disposal System Construction (Septic)

Application for Retail Food Establishment

Application for Search of Birth Records

Application for Temporary Food Stand Permit

Medical Reserve Corps - Application Form

Temporary Food Stand checklist

Authorization for Release of Information - Adams County Health Department Release of Information form can be faxed to 217-222-8478. Records cannot be sent via email. They can be faxed to a providers’ office, to a secure fax line, or picked up in person at the Health Department.