Certified Food Safety Manager certificates must have a current date effective 1/1/19 per FDA Food Code. 

Contact us at 860-745-0383 for more information.

 

Servicing the towns of:
Enfield  |  Ellington  |  East Windsor  |  Windsor Locks Suffield  |  Vernon  |  Windham  |  Stafford

Forms

Click on the link(s) below to download, print and/or save a form to your computer.  Completed forms can be submitted via mail, email or fax to NCDHD.
Should you have any questions regarding the forms, please call 860-745-0383.

Barber Shop, Beauty Salons, Nail Salon Forms 
Barber Shop, Beauty, & Nail Salon Application

Barber/Salon App

Barber Shop, Beauty, & Nail Salon New Owner Application New Owner App
Barber Shop, Beauty, & Nail Salon Plan Review Application
Plan Review App

Barber Shop, Beauty, & Nail Salon Plan Review Checklist

Plan Review Checklist


Subsurface Sewage Disposal System (Septic Systems) Forms

Site Investigation Package for New Construction/Single Lot(Includes Information on Soil and  Percolation Testing)

Site Investigation Package for New Subdivisions (Includes Information on Soil and  Percolation Testing)

Site Investigation Application for Repairs/Replacement
Information for Septic Replacement Only
Application for a Permit To Construct a Subsurface Sewage Disposal System
Septic Contractor As-Built
Application for Building Additions, Conversions, or Change of Use
Water Treatment Waste Water
Subsurface Sewage Disposal System Plan Review (More Than Two Lots)
Subsurface Sewage Disposal System Plan Review (Single Lot)

Food Service Forms

Food Service License Application (restaurants, etc.)

Food Service App

Application for Section 4 Inspection
New Ownership of Existing Establishment

Section 4 Application

Food Service Plan Review Application

Plan Review App

Food Service Catering LIcense Application (Please refer to local and state code packets below)

Catering License  

Local 4.17 Catering Code

Local Catering Code

State of CT Catering Code

State Catering Code

Temp Event Food Service Application (Fairs, etc.)

Temp Event Application

Third Thursday Application, Temp Event - Windham

Third Thursday - Windham

Farmers's Market Application

Farmer's Market

Mobile Vendor License Application

Mobile Food Vendor App

Q.F.O. Questionnaire

Q.F.O. Questionnaire

Alternate Person In Charge Demonstrated Knowledge Statement

Alternate Person In Charge 

Qualified Food Operator Regulations

QFO Regulations

Employee Training Records

Training Record Document 

Grease Trap Survey

Grease Trap Survey

Base of Operation

Base of Operation Form

Fee Schedule


Fee Schedule


Day Care and Group Homes
Day Care Pre-School Application

Day Care Pre-School

Day Care Re-licensing Application

Day Care Re-licensing

Group Homes Application

Group Homes


Hotel/Motel Form
Hotel/Motel License Application

Hotel/Motel


Swimming Pool Form
Swim Pool Applications

Swim Pool


Fee Schedule
NCDHD Schedule of Fees


Fee Schedule

District Sanitary Code Sections

State Codes & Reguations

Environmental

Food Protection

About NCDHD

The North Central District Health Department is a full-time Public Health Department with a full-time staff funded by its member towns and an annual per capita grant from the Connecticut State Department of Public Health

Our Mission is to prevent disease, injury, and disability by promoting and protecting the health and well-being of the public and our environment.

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