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Allegany County Health Department  
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Forms

Please note that in order to view and print any of the forms below you must have Adobe Reader installed on your system. If you do not have Adobe Reader installed, please see the the bottom of this page for the link to the Adobe Reader download.

In addition, all application and forms must be faxed or mailed to:

Allegany County Health Department
ATTN: Environmental Health Division
P.O. Box 1745
Cumberland Maryland 21502

Fax: 301-777-5583

 

Percolation (Perc) Test Packet- PDF File - Click here to open or right click and Save As to your computer.

Temporary Food Permit Application- PDF File - Click here to open or right click and Save As to your computer.

Permanent Food Facility Permit Application (includes Worker Compensation forms) - PDF File - Click here to open or right click and Save as to your computer.

Compliant Forms Application- PDF File - Click here to open or right click and Save As to your computer. Please Note that this Office does not and WILL not accept anonymous complaints of any kind.

Commercial Burning Permit Application - PDF File - Click here to open or right click and Save to your computer.

Freedom of Information Act Form - PDF File - Click here to open or right click and Save as to your computer.

New proposed COMAR regulations for Food Service Facilities are available for review. - PDF File - View the new regulations here.

Guidelines for Submitting a Hazard Analysis Critical Control Point (HACCP) Plan- PDF File - View the guidelines here.

 

 

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All links marked with PDF File are pdf files.