

Food Safety & Drinking Water Forms (Applications/Exemptions)
Food License Application (pdf
)
This is the license application that must be submitted to SDHD for a food license. This application is used for all types of food establishments.
Low Risk Establishment
Fraternal/Benevolent/Charitable Organization
Exemption form (pdf
)
This is a dual purpose exemption form. It is used for establishments that want to sell low-risk food or Fraternal, Benevolent, or Non-Profit organizations that wish to sell no more than one meal per week.
Drinking Water Well Construction Design Checklist (pdf
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This form is supplied by DEQ (Department of Environmental Quality) and is one of two required forms that must be submitted to DEQ to have a private well approved as a public drinking water system.
Public Drinking Water Well Site Evaluation (pdf
)
This form is supplied by DEQ (Department of Environmental Quality) and is one of two required forms that must be submitted to DEQ to have a private well approved as a public drinking water system.
For more information about these forms, contact:
Carolee Cooper, EHS
(208) 239-5274.
All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please visit our contact page or Idaho Careline: 211. Mailing address: ATTN: Web Information Team, Southeastern District Health Department, 1901 Alvin Ricken Drive, Pocatello, ID 83201 or e-mail the webmaster at
Notice of Privacy Practices, for more information visit our contact page.
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