Fairfield County Health Department logo
  • HOME
  • PROGRAMS

    Vital Statistics

    • Birth and Death Certificates

    Emergency Preparedness

    • Public Health Emergencies
    • Medical Reserve Corps
    • PUBLIC HEALTH NURSING
    • Immunizations
    • COVID-19 Information
    • Complex Medical Help
    • Communicable Disease Control
    • TB Control
    • Newborn Home Visiting
    • Community Health Workers

    ENVIRONMENTAL HEALTH

    • Animal Bites - Rabies
    • Body Art
    • Campgrounds/Resident Camps
    • Food Safety Program
    • Indoor Air
    • Lot Splits
    • Mosquito & Tick Control
    • Plumbing
    • Pools & Spas
    • Real Estate Inspections
    • Restaurant Inspection Records
    • Sewage Treatment Systems
    • Solid Waste
    • Wells-Private Water Systems
    • HEALTH PROMOTION
    • Healthy Eating & Active Living
    • Tobacco Prevention & Cessation
    • Promoting Mental Health
    • Infant Safe Sleep
    • Project DAWN
    • Safe Communities
    • Ohio Buckles Buckeyes
    • WIC
  • DATA & RESOURCES
    • COMMUNITY HEALTH STATUS
    • Community Health Assessment
    • Communicable Disease Report
    • COVID-19 Dashboard
    • PLANNING
    • Community Health Improvement
    • FCHD Strategic Plan
    • RESOURCE DIRECTORY
    • DOCUMENTS AND FORMS
  • ABOUT US
    • Our Mission
    • Contact Us
    • Calendar
    • Board of Health
    • Employment
    • Locations & Hours
    • Staff Directory
    • Records Request
    • Fees
    • Accreditation
    • Accessibility & Privacy
    • Annual Report
    • Quarterly Newsletter
    • Mid-Year Report
  • SEARCH A-Z
staff outing

FORMS

ENVIRONMENTAL HEALTH FORMS

  • Nuisance Complaint Form
  • Food Facility Review Packet
  • Temporary Food Application Packet
  • Mobile Food Application Packet
  • Animal Bite Reporting Form
  • Plumbing Forms
  • Sewage Treatment Permit Application
  • Variance Request Form
  • Subdivision of Land / Lot Inspection Application
  • Private Water System Application 
  • Well Pump Completion Form
  • As-Built Packet 
  • Tattoo/ Body Piercing Facility Application
  • STS Abandonment Form


NURSING FORMS

  • TDAP & Menigitis Registration Forms for 7th & 12 grade
  • ODH Reportable Disease Form
  • ABC's of Reportable Diseases
  • Adult Travel Paperwork  / Child Travel Paperwork



WIC PROGRAM APPLICATION + HEALTH HISTORY FORMS

  • WIC Program Application 
  • WIC Authorized Letter



SPANISH
WIC PROGRAM APPLICATION + HEALTH HISTORY FORMS

  • Historial de Salud de WIC para Mujeres Embarazadas
  • Historial de Salud de WIC para Infantes
  • Historial de Salud de WIC para Niños de 1 hasta 5 Años
  • Historial de Salud de WIC para Mujeres LactandoAmamantando y en Postparto

 

VITAL STATISTICS FORMS

Application for Birth or Death Certificates

R. Joseph Ebel, MS, MBA, REHS
Health Commissioner
DEPARTMENT HOURS
Monday-Friday 8:00am to 4:00pm
Closed Saturday & Sunday
FOR ALL OTHER QUESTIONS
Phone: 740-652-2800
Phone: 614-322-5245
TTY Services
VITAL STATISTICS
Birth & Death Records
Phone: 740-652-2800 Ext. 2
vitalstats@fairfieldcountyohio.gov
ENVIRONMENTAL SERVICES
Phone: 740-652-2800 ext. 3
W.I.C. SERVICES
Phone: 740-652-2800
option #4 for appointments
have a question or comment icon
Sign-up icon
Fairfield County Health Department
1550 Sheridan Drive, Suite 100
Lancaster, Ohio 43130
Accessibility Statement  |  Privacy Policy
© 2025 Fairfield County Health Department
website by: Web Chick