Services



    





Please use the table below to determine which Environmental Health forms you need to complete. If you have questions about how to complete the forms or which forms to complete, please contact our Center for Environmental Health Improvement at 815-720-4100.

Click on the form title to open the form. Click on EPAY in the payment column to pay online. If you pay online you will receive a payment verification. Submit completed forms and your payment or payment verification by:

  • Emailing them to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Faxing them to 815-720-4203
  • Mailing them to P.O. Box 4009, Rockford, IL 61110

http://www.wchd.org/images/Environmental_Health_-_Forms/documents/Environmental_Health_-_Forms/W_FoodPermit_App_Fillable_Updated2018.pdf

FormDescriptionPayment
Food & Beverage Permits and Inspections
Food & Beverage Establishment Permit Renewal Application Renewal of existing food & beverage establishment permit. (Please contact the WCHD if change of owner or new establishment.)

Based on risk $170.00 - $705.00

Click here to pay on EPAY

Food & Beverage Establishment Plan Review Application When constructing, remodeling, or converting any new or existing food or beverage establishment.

Based on risk of facility $200.00 - $400.00

Click here to pay on EPAY

Food Service Inspection Request

When constructing, remodeling, or converting any new or existing food or beverage establishment.

Based on risk of facility $50.00 - $100.00

To pay, call 815-720-4100

Event Organizer Application Primary contact for organizer of events with more than one vendor.

$50.00

Click here to pay on EPAY

Special Event Permit For temporary food/beverage vendors who do not have a permitted food & beverage facility.

Based on risk and the number of events in a single location.

$50.00 - $300.00

Click here to pay on EPAY

Temporary Food Establishment Permit Application

(Questionnaire)

(Commissary Sharing Agreement)

For events held off-premises by permitted food & beverage establishments.

Based on risk and number of events in a single location. $50.00 - $400.00

Click here to pay on EPAY

Food & Beverage Establishment Variance For food & beverage establishments that cannot meet all state/county codes to apply for a petition. (Please note, approvals are subject to review and are not guaranteed.)

$75.00

To pay, call 815-720-4100

Swimming Pool and Hotel/Motel Applications
Public Swimming Facility Permit Application For public swimming facilities (pools, spas, bathing beaches).

 

Click here to pay on EPAY

Hotel/Motel Permit Application For facilities offering temporary lodging (hotel, motels, bed & breakfasts) and rooming houses.

Based on number of rooms: $40.00 - $525.00

Click here to pay on EPAY

Mortgage / Loan Inspection Applications
Loan Inspection Request Well and/or septic inspection for realty transaction.

$160.00

Click here to pay on EPAY

Loan Inspection Request (FHA/VA) Well and/or septic inspection for realty transaction (includes lead water test)

$205.00

Click here to pay on EPAY

Wells and Septic Applications
Site Verification Application For verification that proposed construction will not adversely affect existing well/septic systems (additions, garages, pools, decks, etc.)

$60.00

To pay, call 815-720-4100

Well & Septic Variance (You may need additional information to submit with your variance application. Please contact Todd Marshall at 815-720-4118.) For proposed well/septic installations that cannot meet all state/county codes to apply for a petition. (Please note, approvals are subject to review and are not guaranteed.) $60.00

To pay, call 815-720-4100

Septic System Contractor/Installer License Application For contractors performing installation and/or repair of private sewage disposal systems. (Requires valid IL state license.)

$65.00

Click here to pay on EPAY

Septic Tank Cleaner/Pumper License Application For contractors servicing, pumping, and/or cleaning private sewage disposal tanks. (Requires valid IL state license.)

$65.00

Click here to pay on EPAY

Portable Sanitation Technician/Trainee License Application For contractors providing, servicing, and hauling portable restrooms. (Requires valid IL state license.)

 

Click here to pay on EPAY

Plat Review For review of lot sizes for proposed new subdivisions where public water or sewer are not available.

$35.00 plus $15.00 each lot

Click here to pay on EPAY

Waste Hauler Application For businesses operating refuse hauling vehicles in or through Winnebago County (i.e. residential garbage, construction waste, etc.)

$110.00 for first vehicle,

$60.00 each additional vehicle

Click here to pay on EPAY

ATP Homeowners with a Aerobic Treatment Plant as part of their non-conventional septic system are required to have an operational permit.

 

Click here to pay on EPAY