1302 Pennsylvania AvenueHagerstown, MD 21742
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Forms

Environmental Health Forms and Permit Applications
For information on any of the permit applications please read and review the documents below, If you have any question regarding the application process call us 240-313-3400 or email at wchd.eh@maryland.gov

Forms can be submitted by:

Fax: 240-313-3424
Email: wchd.eh@maryland.gov
In Person or by Mail:
Washington County Environmental Health
1302 Pennsylvania Ave
Hagerstown MD 21742

(Please do not submit any credit card payments through email, as it is not secure. If you wish to submit a form that requires a credit card payment through email, please leave the credit card information blank and call the Environmental Health Division at 240-313-3400 to give them your payment information.)

Records Request Forms and Complaint Investigation Form

Complaint Investigation Form
Download
Septic/Well/Perc Test Records Request
Download
Request for Information Under the Freedom of Information Act
Download

Food Service Facilities

Application for Food Service Facility Plan Review
Download
HACCP Plan for Food Service Facilities
Download
Application for Permit to Operate a Food Service Facility
Download
Statement of Workers' Compensation Insurance
Download
Appeal Process for Food Service Facility
Download
Consumer Advisory of Food Service Facilities
Download
Catering Requirements
Download
MD COMAR Regulations for Food Service Facilities (English)
Download
Food Allergies Awareness Poster
Download
Procedures Following a Fire
Download

Mobile Food Service Facility

Minimum Requirements for a Mobile Unit
Application for Mobile Food Establishment Plan Review Packet
Download
Application for Food Service Facility Plan Review
Download
Mobile Food Establishment Base of Operations Authorization Form
Download

Temporary Special Event Food Service Facility

“Application for Permit to Operate a Temporary Special Food Service Facility Foodstand
Download
Minimum Requirements for Temporary Event Food Vendors
Download

Cottage Foods Businesses

Cottage Food Information
Download
Cottage Food FAQ
Download
Cottage Food Labeling Guidelines
Download

Water / Sewer Programs

Application for Licensure of Septic Tank Installers
Download
Application for Sanitary Survey
Download
Appeals Process for Well and Septic
Download
BAT Septic System Information
Download
Licensed Septic Contractors
Download
Percolation Test Application
Download
Percolation Test Information/Prep
Download
Request for Records Retrieval
Download
Sample Concept Plan
Download
Septic Designers
Download
MD COMAR Regulations for Wells, Water Supply, Sewage Disposal and Solid Waste
Download
Well and On-Site Sewage Setbacks
Download
Water Allocation
Download
Wastewater Allocation
Download
Water Sample Cover Sheet
Download

Swimming Pools

Application for Swimming Pool, Spa, Bathing Beach Operating Permit
Download
MD COMAR Regulations for Swimming Pools and Spas
Download

Campgrounds & Mobile Homes

Application for Mobile Home Park
Download
Application for Campground Operating Permit
Download
MD COMAR Regulations for Campgrounds
Download

Air & Noise Quality

MD COMAR Regulations for Outdoor Musical Festivals
Download