Forms Publications Champaign-Urbana Public Health District

Forms

Administration/ Human Resources	09-2005_Admin_Organization_Chart.jpg 09-2005_Admin_Organization_Chart.pdf 09-2005_Organization_Chart.jpg 09-2005_Organization_Chart.pdf Employment Application.pdf IPLAN.pdf Mission_Statement_Sign.pdf The_Difference_Flyer 2008.pdf
Wellness & Health Promotion	04_Smoke_Free_Restaurant_List.pdf Break The Habit Flyer.pdf Continuing support.pdf Freedom From Smoking Flyer.pdf Lunch hour FFS classes.pdf REALITY_Illinois_Newsletter_Feb_2006.pdf School Physical Flyer 2008.pdf Smoke-Free-IL_Brochure.pdf
Dental Health	2006_FAQ_School_Exams.pdf Oral_Health_in_Champaign_2007-FMT.pdf
Environmental Health	._Portable_Hand_Washing.pdf Bare_Hand_Contact-fact_sheet.pdf Bare_Hand_Contact-poster.pdf Commissary_Agreement.pdf Environmental_Health_Newsletter-2008.pdf Freedom of Information Request Form.pdf Hand_Washing_English.pdf Handsink_Diagram.jpg Manual_Dishwash_English.pdf Mobile_Food_Service_Request.pdf No_Smoking_Sign_English.pdf Portable_Hand_Washing.pdf Portable_Hand_Washing_Text.jpg Sink_English.pdf Temperatures_English.pdf baked_goods_guideline_co.pdf baked_goods_guideline_cu.pdf farmers_market_guidelines_co.pdf farmers_market_guidelines_cu.pdf food_permit_seasonal_application_co.pdf food_permit_seasonal_application_cu.pdf food_service_complaint_co.pdf food_service_complaint_cu.pdf food_service_fees_co.php food_service_fees_cu.php food_service_permit_application_co.pdf food_service_permit_application_cu.pdf food_service_sanitation_addendum_co.pdf food_service_sanitation_addendum_cu.pdf food_service_sanitation_code.php health_permit_application_co.pdf health_permit_application_cu.pdf how_to_wash_hands.pdf idph_propper_handwashing.pdf idph_undercooked_food.pdf lead_prevention.pdf plan_requirements_and_specs_co.pdf plan_requirements_and_specs_cu.pdf plan_review_application_co.pdf plan_review_application_cu.pdf plan_review_booklet_co.pdf plan_review_booklet_cu.pdf plan_review_fees_co.php plan_review_fees_cu.php removing_peanut_allergen.pdf retail_food_store_sanitation_addendum_co.pdf retail_food_store_sanitation_addendum_cu.pdf retail_food_store_sanitation_code.php sewage_application_co.pdf sewage_application_cu.pdf sewagesystems.pdf temporary_food_event_permit_guidelines_co.pdf temporary_food_event_permit_guidelines_cu.pdf temporary_permit_application_co.pdf temporary_permit_application_cu.pdf thermometer_recalibration.pdf wash_hands_co.pdf wash_hands_cu.pdf wash_rinse_sanitize_poster.pdf water_well_permit_application.pdf
Infectious Disease	2005-06 Winter WOW 2 Central schedule.pdf 2005-06_Winter_WOW2_Centennial_schedule.pdf 2006-07 WOW 2 Centennial schedule.pdf 2006-07 WOW 2 Central schedule.pdf 2006_WOW_Sholem_Water_Park1.pdf 2006_WOW_Spauling_Pool1.pdf 2007-08 WOW 2 Centennial schedule.pdf 2007-08 WOW 2 Central schedule.pdf County2006CasesRatesSingleSheet_for distribution.pdf HIVorganize_chart3.pdf Hepatitis_Newsletter.pdf IDPH_CARE.pdf IDPH_CARE_scan.pdf INFO_HCVFacts_LiverCancerThreat_1pgCLR.pdf INFO_HCVFacts_NotSingleDiseaseIssue_2pgCLR.pdf Mens Clinic.pdf Prostate Fast Facts.pdf STDCasesAndRatesByCounty2006_Top20.pdf Selzentry Approval 8-17-07.pdf consent_and_acknowledgemant.pdf consortium_client_booklet-old.pdf consortium_client_booklet.pdf immunization_contraindication_checklist.pdf immunizations.pdf infectious_organize_chart.jpg infectious_organize_chart.pdf joint_notice_of_privacy_practices.pdf std_partner_notification.pdf
Maternal and Child	kidcare_familycare_qualifications.pdf cdc_rec_child_imm_sched.pdf
Vital Records	Birth_Certificate_Application.pdf Death_Record_Application.pdf Leading Causes of Death-2000.pdf Leading Causes of Death-2001.pdf Leading Causes of Death-2002.pdf Leading Causes of Death-2003.pdf Leading Causes of Death-2004.pdf Leading Causes of Death-2005.pdf birth_certificate_instructions.pdf verification_of_live_birth.pdf