Forms for Town Health Officers

Below are the various forms that town health officers need.

For additional information, the Town Health Officer Hotline is available Monday through Friday (except state holidays), 7:45 a.m. to 4:30 p.m. at 800-439-8550.

Appointing a town health officer

• THO Recommendation Form
• Deputy THO Recommendation Form
• THO and Deputy THO Oath/Affirmation

other forms

• Animal Bite Report Form
• Rental Housing Inspection Checklist
• Notice of Violation of the Rental Housing Health Code
• General Complaint and Inspection Form
• Essential Maintenance Practices (EMP) Compliance Check Form