CLICK HERE FOR NEW FEE SCHEDULE - Effective July 1, 2019


Remember to renew your annual permit by December 15th to avoid late fees and fines.


Please note - The forms below may be downloaded, completed, and submitted the following ways:

  • Save electronically or scan, then email to;
  •  Fax to NDDH at 860-774-1308;
  • Mail or bring in person to NDDH at 69 South Main Street, Unit 4, Brooklyn, CT 06234.

Some fillable forms may be completed online but still require submission by the above-listed methods.  Forms cannot be directly submitted through our website at this time.

Building, Construction and Property Projects

Use This Form If you want to:
B100a Add a pool, garage, deck or other structure to an existing property
B100a Brochure Learn more about putting an addition on your property
B51d Build a new home that will be served by city (public) sewer but will have a private well or if you want to add to an existing property that is served by city (public) sewer but is served by a private well.

Septic Systems

Use This Form If you want to:
Application B and Letter of Consent Install a new septic system or repair an existing one
Installer's As-Built Check List Check your work after installing or repairing a septic system
Sewage Disposal Regulations and Technical Standards 2015 (web site) Understand the regulations and technical standards that govern the installation of septic systems
Diagram of Septic System Get a visual idea of what a septic system installation looks like

Food Service Materials

Use This Form If you want to:
Food Service Application Apply for an annual food service permit. This form is used for all food service establishments, including restaurants, food stores, schools, non-profit organizations, and others.
Temporary Food Permits Serve food to the public at an event for a duration of 1 - 14 days
Itinerant Food Vending Application Apply for an annual food service permit for a food vending truck that is an enclosed mobile unit
Food Service Ordinances Learn about the local ordinances governing food service
Food Establishment Permit Application and Plan Review Form with Guidelines Open a new food service establishment, change ownership of an existing food service establishment, or are making major renovations to the kitchen facilities in an existing food service establishment. NOTE - See NDDH 2015 Service Fees for updates that replace 2011 fees listed on page 3 of this guide.
Food Awareness Safety Training Class (FAST) Take a class that provides training in proper food handling techniques. This class is ideal for business owners, volunteers, and new employees working in food service who have not taken the Certified Food Protection Manager course
Certified Food Protection Manager Course (CFPM) Become a Certified Food Protection Manager. This is a one day course for Class II, III and IV food service establishments, as required by the Connecticut Public Health Code, 2017 FDA Model Food Code. Class II establishments have until January 1, 2019 to attain CFPM Certification, which is valid for five years.
Simple Ownership Transfer Form When an existing licensed food service establishment changes ownership, the new owner must apply for a new food service license from the health district. Check this form to see if you qualify for a simple transfer of ownership.


Use This Form If you want to:
Bed and Breakfast Application Apply for a required annual registration for a bed and breakfast
Campground Application Apply for an annual inspection required to permit a campground facility. You may also need to complete a Food Service Application and Swimming Pool Application depending on services offered
Cosmetology Application Apply for a new permit or renewal for nail salons, hair salons, and barbershops. Note - Independent Contractors who rent chairs or space from an owner/operator are to fill out the Independent Contractor application listed below.
Day Care Application Apply for a required inspection conducted every two years for a group day care facility licensed by the State of Connecticut
Hotel Motel Application Apply for an annual permit and inspection for a hotel or motel. You may also need to complete a Food Service Application and Swimming Pool Application depending on services offered
Independent Contractor Application (Fillable Form)

Independent Contractor PDF (Download, fill and fax, mail or bring in person to NDDH)

(Applies to cosmetology, barber, nail salon and other trades) An Independent Contractor is a person who engages in an independent trade, business, or profession in which they offer their services to the public. They are generally not employees of the company and perform services under an expressed or implied agreement. Note - This application is not for owner/operators.
Request for Copies of Public Information Request copies of public documents on file
Swimming Pool Application Apply for an annual permit and inspection for any public swimming pool located at venues such as town halls, hotels, motels, campgrounds, nursing homes, schools, YMCAs, etc. Note, this application is not for use by private homeowners seeking to install a pool on their property.
Tick Submission Forms Please note - NDDH does not submit ticks for testing. Residents may submit ticks on their own by using this packet of information, which gives options to submit ticks to the Connecticut Agricultural Experiment Station (CAES) or the Connecticut Veterinary Medical Diagnostic Laboratory (CVMDL).

If a specific form or information you are seeking is not listed here, kindly contact us at (860) 774-7350 or

Please note - the forms and applications above are for health department permitting only. The applicant is responsible for complying with all other state and local laws, regulations, and ordinances required to complete your project.

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