Forms & Applications

 

Birth Certificate Application   Certified copies of birth certificates for those born in Adams County from 1965 to present. Cost is $12 for the first copy and $10 for each additional copy. Contact Pam Porter (217)-222-8440, Ext. 102 or use the "Contact Us" form.

Death Certificate Application   Certified copies of death certificates for those who died in Adams County from 1970   to present. Cost is $14 for the first copy and $10 for each additional copy.

 

Freedom of Information Requests  To assure compliance with State of Illinois law as well as to promote transparency concerning Adams County Health Department operations, the Department provides the following information regarding the Freedom of   Information Act.

 

Open a food establishment

 

The following are resources for retail food establishments.

Application for Certificate of Compliance
Requirements for Retail Food Establishemtns
Schedule of Fees
Guidance for Power Outages
Guidance for Water Emergencies

Temporary Food Stand Application

Temporary Food Stand Requirements

Septic Permit Application  Application for permit to construct a private sewage disposal system.

Well Construction Permit  Application for permit to contruct, modify or abandon a water well.

Tatooing and Body Piercing Permit  For information regarding body piercing requirements, see above.

To request a Body Art Establishment Registration Application Contact:

Illinois Department of Public Health
Division of Food, Drugs and Dairies
525 W Jefferson St.
Springfield IL. 62761-0001
Phone: 217.785.2439
Fax: 217.782.0943

Smoke Free Illinois Incident Form

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