Applications and Forms

All Applications and Forms are in PDF format and require that your computer be running Adobe® Acrobat Reader software. 

Please Note: If you experience difficulty in downloading or printing forms, please refer to the Adobe Web Site for troubleshooting and support guidelines.

If you have any questions or concerns, please contact us for further assistance.

       Make all checks payable to: Berkeley-Morgan County Board of Health. 

Berkeley County Health Department Fee Schedule:

Berkeley/Morgan County Board of Health Environmental Permit Fees/Fees For Services

Animal Encounter:
SG-58 Animal Encounter Report Form

Body Piercing/Tattoo Studios:
SG-49 Application for Permit to Operate
SG-86 Piercing Studio Plan Review
SG-88 Piercing Technician Certification Application
SG-89 Information & Notification
SG-90 Hepatitis B Declination
64-80A Body Piercing Studio Rule Public Notice

Child Care Centers:
SG-49 Application for Permit to Operate

SG-49 Daycare Packet

SG-49 Family Day Care
SG-99 Plan Review Information for Child Care Centers (New or Remodeled)

SG-51 Complaint Form
You can also fill out the Complaint Form online 

Food Sanitation:
SF-5 Food Establishment Permit Application

SF-5 Mobile Permit Application

SF-5 Temporary Permit Application

  • Attention all customers applying for temporary food permits: Please submit temporary food applications 3 weeks prior to any upcoming events. This will ensure that all of the paperwork required has been reviewed and approved in time for the event.​
  • Here is the website for a basic food training for a TEMPORARY PERMIT Only  - this would only apply for temporary food applicants:
    Click here for"Temporary food permit training"

SF-35 Plan Review for New or Remodeled Food Establishments
SF-35 Addendum: Information Packet
Form 1-A Applicant Food Employee Interview
Form 1-B Food Employee Reporting Agreement
Form 1-C Applicant and Food Employee Medical Referral
PHSD Retail Food Emergency Flip Chart

State Approved Food Manager Courses for Berkeley and Morgan County
*Newly Adopted*  2013 FDA Food Code

2013 Food Code Spec Sheet

Per Code 8-304.11  Suggested Signage - Notifying Customers of Availability of Recent Inspection

Berkeley and Morgan County Health Departments now provide Proctor Services for State Food Safety Manager Level Exam. Please contact the office for more details.

Extension for Manager Level Food Training Completion Information  12.9.20

General Sanitation:
SG-49 General Sanitation Permit Application

Manufactured Home Community:
SG-49 Application for Permit to Operate

Recreational Water Facilities:
SG-49 Application for Permit to Operate
ER-32 Recreational Water Facility Weekly Report
SR-153 Recreation Water Facilities Tables


To Do List for Septic Application
SS-182A Application to Install or Modify a Small Sewage Disposal System
Change of Installer's and Well Driller's Form

Evaluation Form

     Subdivision Forms:
     ES-76 Subdivision Application

     Septic Tank Cleaner Forms:
     SS-181 Application For Sewage Tank Cleaning 
 For Installers Only:
     SS-192 Installer Certification Renewal Application

SW-252c Springs
SW-252d Cisterns
SW-252e Installing a Hand Pump
SW-252g Pitless Units
SW-253 Request for Water Analysis

To Do List For Well Application
SW-256 Water Well Application
SW-258 Water Well Completion Report
SW-260 Water Well Variance Request
SW-261 Water Well Abandonment Report
SW-262 Water Well Pump Installation Report
Water Quality Labs
Private Water Well Owners–What to Do Before Drilling the Well
Private Water Well Owners–Water Well Pumping Systems
Private Well Owners-Four Steps to Water Well Safety
How to Disinfect a Private Water Well​

Environmental Services

Not only do we provide programs for your health, we also ensure your surroundings are safe.

8:30AM - 4:30PM M-F,  (304) 263-5131


Health Department