Ashtabula County Health Department
Ashtabula County Health Department
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    • Environmental Health
    • Applications and Forms
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  • More
    • Home
    • Nursing
      • Health & Services
      • TB Tests and Info
      • Respiratory Virus Info
      • Infectious Disease Info
      • Disease Reporting
      • Harm Reduction Training
      • Fentanyl Test Strips
      • Shelter & Readiness
      • Volunteer & Training
      • Safety & Support
      • HIPPA & Privacy Policy
    • Environmental
      • Environmental Health
      • Applications and Forms
      • Food Service Operations
      • Water and Septic
      • Camping, Parks, Water
      • Public Health Concerns
    • Vital Stats
    • About
      • Contact Us
      • Board of Health
      • Employment opportunities
      • Plans & Reports
Contact Us
  • Home
  • Nursing
    • Health & Services
    • TB Tests and Info
    • Respiratory Virus Info
    • Infectious Disease Info
    • Disease Reporting
    • Harm Reduction Training
    • Fentanyl Test Strips
    • Shelter & Readiness
    • Volunteer & Training
    • Safety & Support
    • HIPPA & Privacy Policy
  • Environmental
    • Environmental Health
    • Applications and Forms
    • Food Service Operations
    • Water and Septic
    • Camping, Parks, Water
    • Public Health Concerns
  • Vital Stats
  • About
    • Contact Us
    • Board of Health
    • Employment opportunities
    • Plans & Reports
Contact Us

Applications and Forms

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

 

 Applications can be submitted in-person on weekdays between 8am and 10am. 


Construction, Demolition, and Water

Construction And Demolition And Debris Application

C&DD Application (pdf)Download

Home Sewage Treatment Systems

Permit Process (pdf)Download
Site Inspection (pdf)Download
Site Evaluation Procedure (pdf)Download
Okay-to-Use Existing STS Form (pdf)Download
RE-Site-Insp. Form (pdf)Download
HSTS Install Application (pdf)Download
HSTS Abandonment Form (pdf)Download
HSTS Service Provider Application (pdf)Download
Guidance Packet (pdf)Download

Private Water Systems Forms

Chlorination Procedure (pdf)Download
Request for Bacterial Water Sample Form (pdf)Download
PWS Application Site Plan (pdf)Download

Variance Request Form

Variance Request Form (pdf)Download

Haulers Application

Haulers Applications

Septage Hauler Application (pdf)Download
Water Haulers Application (pdf)Download

Food

Food Service Forms

Food Service Plan Review (pdf)Download
Application for Food Service Operation OR Retail Food Establishment (pdf)Download
Temporary Food License Application (pdf)Download
Vending Machine Operation Application (pdf)Download
Questions & Answers About Mobiles (pdf)Download
Application For Mobile Food License 2025 (jpg)Download

Animals

Animal Bite Form

Animal Bite Report Form (pdf)Download

Tattoo/Body Piercing

On July 14, 1997, the Governor signed into law Substitute House Bill No. 25, which amends the Ohio Revised Code to regulate businesses that offer tattooing or body piercing services. This law requires these businesses to obtain approval from the Health Department prior to opening. The law also requires that at least one inspection be conducted to assure that the business meets all the requirements for approval. This approval is valid for one year. Tattoo and Body Piercing Regulations became effective on April 30, 1998 and established specific procedural, record-keeping, safety, and sanitarian standards for these businesses. The law and regulations, which can now be found in Ohio Revised Code Chapter 3730, enable local boards of health to better protect the public health by regulating businesses that offer tattooing and/or body piercing services. Tattooing and body piercing procedures present the potential for localized bacterial infection and exposure to blood-borne pathogens. Contaminated or improperly sterilized equipment and the possibility of unsanitary conditions at these locations have 

raised public health concerns that can now effectively be addressed by the Health Department

 

Annual Fee – due by January 1st 

Tattoo License $250.00

Late fee $312.50


Body Piercing License $250.00

Late fee 

$312.50


Tattoo/Body Piercing $300.00

Late fee 

$375.00


Time Limited Tattoo/Body Piercing

$200.00


Contact Information

For more information please contact the Ashtabula County Health Department at

(440) 576-6010

Contact Us

Call (440) 576-6010, option 2, for the Nursing Department during normal business hours for vaccine information, clinics list, or an appointment.  


For the Environmental Department or Vital Statistics, call (440) 576-6010, option 3, during normal business hours. 


Feel free to visit during normal business hours.

Ashtabula County Health Department

12 W. Jefferson St. Jefferson, OH, United States, Ohio

(440) 576-6010 achd@ashtabulacountyhealth.com

Hours

Open today

08:00 am – 04:30 pm

CLOSED ALL FEDERAL HOLIDAYS

Mission & Vision

Our Mission

Dedicated to the physical, social, and mental well-being of all who live, work, learn and play in

 Ashtabula County, we are committed to building a trusting relationship with our community,

 reducing health disparities, providing high-quality services, making those services accessible

 and imparting the value of public health on those we serve each day.

News and updates

Links to:

Ashtabula City Health Department

Ashtabula City Health Department

Ashtabula City Health Department

Conneaut City Health Department

Ashtabula City Health Department

Ashtabula City Health Department

Ohio Department Of Health

Ashtabula City Health Department

Center for Disease Control

Center for Disease Control

Ashtabula City Health Department

Center for Disease Control

U.S. Food & Drug Administration

Public Health Accreditation Board

Public Health Accreditation Board

Public Health Accreditation Board

Public Health Accreditation Board

Public Health Accreditation Board

Healthy Ashtabula County

Public Health Accreditation Board

Healthy Ashtabula County

211 Ashtabula County

Public Health Accreditation Board

Healthy Ashtabula County

Copyright © 2025 Ashtabula County Health Department - All Rights Reserved.

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