Kentucky Department for Public Health Forms

This Form is used for declaring paternity in the state of Kentucky.

This form is used for conducting inspections at youth camps in Kentucky. It helps ensure the safety and compliance of the camp facilities and activities.

This Form is used for requesting a variance for an onsite sewage disposal system in Kentucky.

This document is used for applying and obtaining a permit to operate day camp facilities in Kentucky.

This form is used for documenting the existing sewage system and obtaining the owner's affidavit in the state of Kentucky.

This form is used for registering and monitoring tanning facilities in Kentucky. It is required for these businesses to ensure compliance with state regulations and ensure the safety of customers.

This form is used for affirming the qualifications of a surety in Kentucky. It is typically used in legal and financial situations where a third party guarantees the performance of a person or company.

This document is used for conducting environmental surveillance in shelters located in Kentucky.

This form is used for sending a notice to correct violations in the state of Kentucky. It is used to inform individuals or businesses about any violations they need to correct and provides instructions on how to do so.

This form is used to apply for a permit to operate a temporary or fee-exempt food service establishment in Kentucky, as required by KRS 219.011 et seq.

This form is used for requesting a conference in the state of Kentucky. It is used to formally request a meeting or conference with a specific purpose or agenda.

This Form is used for obtaining a permit to operate in the state of Kentucky. The permit is required for businesses and organizations to legally operate in the state. It ensures that the operator complies with all necessary regulations and guidelines.

This form is used for an enforcement notice in Kentucky. It is issued by the Department of Family Support to notify individuals of non-compliance with child support obligations and the consequences of non-payment.

This Form is used for notifying individuals in Kentucky about a quarantine order or the option to voluntarily destroy certain items.

This Form is used for applying for a permit to construct or alter a mobile home park and/or recreational vehicle park in Kentucky. It is necessary for individuals or businesses looking to develop or make changes to these types of parks. The form collects information about the project and ensures compliance with state regulations.

This form is used for applying for a site evaluation for onsite sewage disposal systems in Kentucky.

This form is used for applying for reinstatement in the state of Kentucky.

This form is used for requesting a service record in the state of Kentucky. It is a document that allows individuals to obtain their personal service records for various purposes.

This Form is used for reporting accidents or illnesses that occur at Kentucky youth camps.

This form is used for requesting an onsite sewage agency referral in the state of Kentucky.

This document is for providing the biographical information of a nominee for the County Board of Health in Kentucky.

This document is for board of health nominations in Kentucky. It gathers personal information about the nominees for consideration.

This Form is used for requesting web outreach access to Kentucky Laboratory.

This form is used for testing for Chlamydia Trachomatis and Neisseria Gonorrhoeae in the state of Kentucky.

This form is used for conducting serology tests to detect the presence of the Human Immunodeficiency Virus (HIV) in Kentucky.

This form is used for prenatal profile testing in the state of Kentucky. It helps gather information about the health condition of pregnant women and their babies.

This form is used for conducting rabies examinations in the state of Kentucky.

This document is used for specialized microbiology testing in the state of Kentucky. It is a lab form that is typically filled out by healthcare professionals when sending samples for microbiological analysis.

This Form is used for serodiagnosis tests in the state of Kentucky.

This form is used for reporting cases of Neonatal Abstinence Syndrome (NAS) in the state of Kentucky. NAS refers to the symptoms experienced by newborns who were exposed to opioids or other addictive substances during pregnancy.

This form is used for submitting clinical specimens and vaping materials in Kentucky.

This form is used for submitting a water bacteriology analysis report in the state of Kentucky. It is important for monitoring the quality and safety of water sources.

This Form is used for mycobacteriology laboratory testing in the state of Kentucky.

This form is used for conducting a fluoride test as part of the Supplement Program in Kentucky.