Forms & Publications

310 E. Torrance Ave., P. O. Box 650

Pontiac, Illinois 61764  map

PH. 1-815-844-7174    FAX 1-815-842-2408    TDD 1-800-526-0844

Livingston Co. Government Website

County Health Statistics

Behavioral Risk Factor Survey

IPLAN/Strategic Planning

  Needs Assessment 2010-2015

  Health Plan 2010-2015/Summary

  Previous Priorities Update

Forms & Publications

Fee Schedules

Job Openings

Freedom Of Information Act (FOIA)

2010 Annual Report

Board of Health & TB Board

Programs

  1. All Kids

  2. Animal Control

  3. Arthritis

  4. Breast & Cervical Cancer

  5. CCU-Aging

  6. Child Health Services

  7. Communicable Diseases

  8. Community HealthCare Program

  9. Diabetes Prevention & Control

  10. Family Case Management

  11. Family Planning 

  12. Food Safety

  13. Health Education

  14. Healthy Families

  15. Immunizations

  16. Lead Poisoning

  17. Men's Health Services

  18. Osteoporosis

  19. Private Sewage Disposal

  20. School Based Health

  21. School Physical Exam

  22. Senior Health Services

  23. STD/HIV

  24. Tanning

  25. Teen Parent Services

  26. Tobacco Free

  27. Tuberculosis

  28. Violence Prevention

  29. Water & Geothermal

  30. Wellness Clinic

  31. Women, Infant, & Children (WIC)

  32. Women's Health Services

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  1. Acknowledgment/ Receipt Notice (Joint Notice of Privacy Practices )

  2. Application for Employment

  3. Application Rate (Septic)

  4. Budget (2010)

  5. Commercial Septic Application

  6. Community Health Care Program Referral

  7. Consent to Release Medical Info.

  8. Consent to Release Information to Schools, Daycare Providers, etc.

  9. Construction Permit Application

  10. Cornerstone Notice of Privacy Practices

  11. Cottage Food Application

  12. Food Ordinance

  13. Food Establishment Permit Application

  14. Food Service Manager's Sanitation Course Form

  15. Food Safety Refresher Course Form

  16. Geothermal Exchange System Registration & Construction Application

  17. Geothermal Exchange System Contractor’s Registration Application

  18. Notice of Privacy Practices

  19. Number of Private Sewage Systems Installed - 2003

  20. Number of Private Sewage Systems Installed - 2002

  21. Septic Booklet 2004 "Installing a Private Septic System"

  22. Personal Emergency Preparedness

  23. Private Septic Application

  24. Private Septic Application Instructions

  25. Sewage Contractors and Pumpers

  26. Sewage Contractor/Pumper Registration Form

  27. Sewage Ordinance 2001

  28. Temporary Food Establishment Permit Application Non-Profit or For Profit

  29. Water Testing Brochure

  30. Water Well Permit Application (2008)

  31. Water Well Permit & Water Supply Ordinance

  32. Water Well Pump Installation Report 2004

  33. Well Construction Report 2004

  34. Well Driller List

  35. Well Permit Application

  36. Well Sealing Application 2004