All Forms and Documents

Below you will find a list of every document, form and application currently posted to our site for Bureau, Putnam and Marshall Counties.

IPLAN

Available upon request

Annual Reports

Available upon request

Disease Prevention

• IDPH Rabies Submission Form & Acceptance Criteria
• IDPH Laboratory Reporting Requirements

Immunizations

• School Requirements for Children’s Immunizations

Environmental Health (Food Program)

• Bureau County Food Ordinance
• Putnam County Food Ordinance
• Marshall County Food Ordinance
• Bureau & Putnam County Food Establishment Licensing Packet- Category I & II
• Bureau & Putnam County Food Establishment Licensing Packet- Category III
• Marshall County Application for Food Establishment Permit
• Marshall County Food Establishment Plan Review Information
• Temporary Event Guidelines & Notifcation Form
• Temporary Event Notification Form
• Bureau, Putnam, & Marshall County Cottage Food Operations Registration Application
• Handwashing Information & Posters
• IDPH Sanitation Guidelines for Farmers Markets
• Food Safety Practice Test
• Illinois Farmers Market Food Safety Guide
• Bureau County Application for Food Establishment
• 2022 Cottage Food Registration Form
• Cottage Food Home Self-Checklist
• Cottage Food Safety Plan Part 1
• Cottage Food Safety Plan Part 2 – Hazard Analysis
• Hazard Analysis Example
• Cottage Food Complaint Investigation Sample

Environmental Health (Water Program)

• Bureau County Water Ordinance
• Putnam County Water Ordinance
• Marshall County Water Ordinance
• Water Well Permit Application
• Well Diagram Supplemental Form
• Well Sealing Request Form
• Application for Permit to Seal Abandoned Well
• Closed Loop Well Permit Application
• Bureau County Closed Loop Well Registration Form
• Putnam County Closed Loop Well Registration Form

Environmental Health (Sewer Program)

• Bureau County Sewage Ordinance

• Putnam County Sewage Ordinance

• Marshall County Sewage Ordinance

• Private Sewage Disposal Permit Application

• Maintaining Your Septic System: A Guide for Homeowners

• Soil Classifiers List

• Request for Variance

• Real Estate Evaluation Request

• Zoning Request

• Bureau County Licensed Septic System Installers

• Bureau County Licensed Sewage Pumper Contractors

• Putnam County Licensed Septic System Installers

• Putnam County Licensed Sewage Pumper Contractors

• Marshall County Licensed Septic System Installers

• Marshall County Licensed Septic System Pumper Contractors

• Installer Renewal Form

• Pumper Renewal Form 2020

Dental Health

• Dental Clinic Patient Policies Form

• Dental Clinic Child Policies Form

General 

• MRC Volunteer Application
• WIC Formula and Medical Nutritional Prescriptions