Forms
For your convenience, the New Haven Health Department (NHHD) has provided forms that you can download, print, and complete.
Emergency Preparedness
Environmental Health
- Food Establishment License Application – Online
- Temporary Food Service Packet & Application
- Itinerant Vendor Food Service License
- Application for Registration of Weighing & Measuring Devices – Online
- Lead Abatement Application
- Solicitud de reducciĆ³n de plomo (espaƱol)
- Renovate Right and Paint (RRP) Training Application
- Healthy Homes Pre-Application
- Healthy Homes Application
- CT Guidelines for Monitoring Swimming Water
- Quality Assurance Project Plan Beaches Nursing
Nursing
- Request a copy of your school health record
- Permission Form for Health Assessment – English
- Permission Form for Health Assessment – Spanish
- Student K-12 Health Assessment
- Student K-12 Health Assessment (Digital)
- Early Childhood 0-5 Health Assessment
- Authorization for Administration of Medications in School
- Asthma Medication Authorization & Asthma Action Plan
- Request Copy of Immunization Records – Online
- Report a Positive Case of COVID-19 at a Business
- Report a Positive Case of COVID-19 at New Haven Public Schools
NHV Health and Wellness Center
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Vital Statistics
- Birth Certificates
- Death Certificates
- Marriage and Civil Union Certificates
- Request Certificate of Marriage (English)
- Solicitud de certificado de matrimonio (espaƱol)
- Request Certificate of Civil Union (English)
- Solicitud de certificado de uniĆ³n civil (espaƱol)
- Request Conversion of Certificate of Civil Union to Marriage (English)
- Solicitud de conversion de certificado de uniĆ³n civil a matrimonio (espaƱol)
- Marriage Licenses
Public Health Services Applications
Posters, Brochures & Handouts
- APHA Public Health Code of Ethics
- The 10 Essential Public Health Services Graphic
- GrĆ”fico de los 10 Servicios de Salud PĆŗblica Esenciales (EspaƱol)
- Lead Poisoning Prevention Brochure – Parents
- Lead Poisoning Prevention Brochure – Homeowners & Landlords
- Lead Poisoning Prevention Brochure – Contractors
- 7 Steps to a Healthy Home
- HUD Smoke Free Housing – Property Owners
- HUD Smoke Free Housing – Residents
- Immunization Schedule – Children
- Immunization Schedule – Adults
- Mpox FAQs Flyer – English & EspaƱol
- Mpox Facts and Guidance Flyer – English & EspaƱol
- Mpox and Parties Flyer – English & EspaƱol