Fees, Forms & Documents

All available Trumbull Health Department (THD) forms, documents and applications are listed on this page. Additionally, these documents are available in hard copy for pick-up at:
THD office from 8:30 a.m. to 5 p.m.

As of February 14, 2020, there is a revised fee schedule (PDF) for the Trumbull Health Department.

  1. Cosmetology
  2. Fee Schedule
  3. Food Services
  4. Septic

Cosmetology

  1. Beauty Nail Salon License Application (PDF)
  2. New Cosmetology Establishment Plan Review (PDF)

Daycare

  1. Daycare Inspection Application (PDF)

Fee Schedule

  1. Trumbull Health Board Fee Schedule (PDF)

Food Services-Restaurant & Food Establishments

  1. Safety Guidelines for Restaurants (PDF)
  2. Designated Alternate Form (PDF)
  3. Change in Ownership for a Food Service Plan Review (PDF)
  4. New Food Service Plan Review (PDF)
  5. Guideline for Classifying Food Service Establishments (PDF)
  6. Food Service License Application (PDF)
  7. Employee Training (PDF)

Food Services-Farmers Market

  1. Farmers Market License Application (PDF)

Food Services-Itinerant (Food Truck) Vendor

  1. Itinerant Food Vendor License Requirements (PDF)
  2. Application for Itinerant Food Service License (PDF)

Food Services-Temporary Events

  1. Check List for Food Booth Operators (PDF)
  2. Temporary Food License Application (PDF)
  3. Seasonal Food License Application (PDF)
  4. Handwashing Station for Temporary Food Booths (PDF)
  5. Temporary Food License Application Instructions (PDF)
  6. Employee Log Sheet (PDF)

Septic

  1. 19-13 B100a Application (for Construction of an Accessory Structure, Building Conversion, or Change in Use) (PDF)
  2. Application for Soil Test Form (PDF)
  3. Application to Construct, Alter, Repair a Septic System (PDF)
  4. As-Built Plan Subsurface Sewage Disposal System (PDF)
  5. Building Permit Preliminary Review Process (PDF)

Tobacco/Nicotine Retailer

  1. Tobacco and Nicotine Retailer Permit or Renewal Application (PDF)