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Applications and Forms

 

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Fairfax County is committed to nondiscrimination on the basis of disability in all County programs, services, and activities. Special accommodations will be provided upon request. For further information call 703-246-2411, TTY 711.

General Requests:

1. Application for Volunteer work with the Health Department
2. Freedom of Information Act (VFOIA) request form

Food Establishments:

1. Permit to Operate a Food Service Establishment 7-09
2. Registration Forms for Food Safety Workshop - with class schedule
3. Temporary Events
   • Coordinator's Application for a Temporary Food Event
   • Application for Temporary Food Permit
4. Information Packet for Youth Athletic Concession Stands This information packet explains the requirements for operating a concession stand at an exempt youth athletic activity in Fairfax County.
   • Full packet
   • Guidelines for Operation Excepts from Chapter 43.1
   • Question and Answers
   • Registration Forms for Food Safety Workshop - with class schedule
   • Application to Operate an Exempt youth Concession stand
5. Food Establishment fee schedule  
   

Water Recreation Facilities Permit Application-Pools:

1. Swimming Pool and/or SPA Permit Application 3-10
2. Water Recreation Facility Code: Fee Schedule 7-09
3. Requirements for Proposed Public Swimming Pool Facility (Bathhouse Pool Plans Only ) 7-09
4. Requirements for Proposed Public Swimming Pool Facility (Pool Plans Only)7-09

Onsite Well and Septic:

1. Page 1 Permit Application for Well and Septic  6-09
   Page 2 Plan Intake Form - Checklist for a complete submission of plans to the Health Department  6-09
2. Individual Sewage Disposal System Permit Application/Certification Letter  7-10
3. Commercial Plan Review Application 11-09
4. Application for Registration of Individual Well Water System Contractor
5. Application for Registration of Individual Sewage Disposal Contractor  
6. Application for Registration of Sewage Handling Contractor
7. Application for Registration of Portable Toilet Facilities
8. Request for a Routine Water Sample   7-09
9. Application For an Evaluation of Existing Well Water and/or Sewage Disposal Systems 3-11
10. Guidelines for the Evaluation of Existing Well Water and/or Sewage Disposal Systems 3-11

Child Care:

1. Application to Operate a Child Care Facility  8-09
2. Requirements for Proposed Child Care Facilities Exempt from State Licensing Located in Fairfax County, Cities of Fairfax and Falls Church, Towns of Clifton, Herndon, and Vienna 7-09
3. Affidavit of Exemption 8-09

Skindeep Tattoo Removal Program:

1. Skin Deep Program forms and applications page.

Tattoo Establishment 

1.  Application to operate a Tattoo Establishment