Form Center

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Contact Us

  1. Website Feedback

    Submit this form to provide feedback on the website or to report an error.

Environmental Health

  1. Environmental Record Review

    This form is used to request an assessment of a site associated with Phase I Environmental site assessment. Environmental site... More…

  2. Renewal Application - License to Install or Clean an On-site Wastewater Treatment System

    Your Installers/Cleaners license will expire on December 31, 2022. The fee to renew your license is $35.00. If you wish to renew your... More…

  3. Report a Public Health Problem or Concern

    Use this form to report a public health problem or concern.

  1. Radon Test Kit 2022

    Order your radon test kit for your home.

  2. Report a Dead Animal/Bird

    Online Dead Animal/Bird Report Submission Form

  3. Septic Record Request

    Use this form to request copies of On-Site Wastewater Treatment System (Septic) property records.


  1. Business Checklist: Guidance for Developing a COVID-19 Plan

    The following checklist will assist you in developing a COVID-19 plan for your business. Not all items below are required for every... More…

  1. You do not have to create an account or sign in to make a COVID-19 Vaccine Appointment

Nutrition Division

  1. Baby & Me - Tobacco Free Application

    This form is to allow the public to sign up for the Baby & Me - Tobacco Free Program.

  2. Order WIC Brochures

    Help your clients learn about the Women, Infants, and Children (WIC) program.

  3. TCHD Breastfeeding Friendly Worksite Certification: Nomination Form

    Have your recently visited a business that was breastfeeding friendly? Nominate a worksite in Adams, Arapahoe or Douglas Counties to... More…

  4. WIC Shopping Feedback or Request for Assistance

    Please share details about your shopping experience.

  1. Community Event Form

    Thank you for your interest in having Tri-County Health Department information at your upcoming event. Please use this form to tell us... More…

  2. TCHD Breastfeeding Friendly Worksite Certification: Application

    Certification criteria is simple. A worksite must complete a self-assessment process, have or be in the process of developing a... More…

  3. TCHD Breastfeeding Friendly Worksite Certification: Site Visit Request

    TCHD has staff available to provide technical assistance with any part of the process of improving breastfeeding support including... More…


  1. CORA Request Form

    This is the form the public will use to submit CORA requests.