Bank Checks or Money Orders Accepted
Make bank checks or money orders payable to the Ashtabula County Health Department. A fee will be charged for any returned checks. Applications/permits are not refundable.
Do not send cash in the mail.
Ashtabula County Health Department
12 West Jefferson St.
Jefferson, OH 44047
- PHONE 440-576-6010
- FAX 440-576-0085 or 440-576-5527
If you would like more detailed information on these programs please select the appropriate link in the Environmental Health section.
ANIMAL BITE FORM
CONSTRUCTION AND DEMOLITION AND DEBRIS APPLICATION
Apply Weekdays 8:00 a.m.-10:00 a.m.
FOOD SERVICE FORMS
- Food Service Plan Review
- Application for Food Service Operation Or Retail Food Service Operation
- Temporary Food License Application
- Vending Machine Operation Application
- Questions and Answers about Mobiles
- Application for Mobile Food License
REGISTRATION FORMS
Apply Weekdays 8:00 a.m.-10:00 a.m.
- Septage Haulers Registration
- Water Haulers Application
- Home Sewage Treatment Service Provider Application
- Application to Install Home Sewage Treatment System
Apply Weekdays 8:00 a.m.-10:00 a.m.
HOME SEWAGE TREATMENT SYSTEMS
- Permit Process
- Procedure for Getting a Site Evaluation
- Site Inspection Form
- Home Sewage Treatment System Abandonment Form
- OK to Use Site Inspection Form
- Real Estate Site Inspection Form
- Variance Request Form
- Guidance Packet
PLUMBING
Hours for plumbing department
8:00 a.m. to 9:30 a.m. Weekdays
- Residential Plumbing Permit Application & Plumbing Plan Review
- Residential Plumbing Update
- Commercial Plumbing Plan Review
- Commercial Plumbing Application
- Plumbers Registration
PRIVATE WATER SYSTEM FORMS
- Chlorination Procedure
- Water Sample Form
- Variance Request Form
- Real Estate Site Inspection Form
- Well Permit Application
Online Viewing of Private Water Systems Well Logs
Click the link below to view water well logs
*** OHIO DEPARTMENT OF NATURAL RESOURCES WATER WELL LOG ***
VITAL STATISTICS
The hours of operation for ALL Vital Statistics requests
*8:00 a.m. to 4:00 p.m. Weekdays unless otherwise noted*
Records Request Information