Forms & Permits
All information related to forms, permits, and fees can be found here.
The forms below may be downloaded, completed, and submitted the following ways:
- Save electronically or scan, then email to email@nddh.org
- Fax to NDDH at (860) 774-1308
- Mail to NDDH at 69 South Main Street, Unit 4, Brooklyn CT 06234
- Forms and payments may be left in our outdoor drop box (please do not leave cash in the drop box)
The fillable forms may be completed online, but still require submission by the above-listed methods.
Fillable PDFs may be signed electronically by downloading Adobe Acrobat Reader. Open, and fill out, the PDF with Adobe Acrobat Reader. Then use the digital signature button on the toolbar to add your signature. Save a copy for your records, and email the completed form to email@nddh.org.
The above fee schedule is effective starting 07/01/2024. To view the 2023 – 2024 fee schedule, click here.
Ordinances and Technical Standards
Forms
Submit the permit, and payment, for your permitted business by Friday, December 15, 2023 to avoid late fees and penalties. See packet information for new payment options for 2024 permits:
Food Service: Class I – IV
Apply for an annual food service permit. This form is used for Class I, II, III, and IV food service establishments and caterers.
General PDF | Fillable PDF | RTF File
Food Service: Multi / Non-Commercial
For multiple class food service establishments. Any business with department(s) that are classified as separate food establishments; and non-commercial function. (A function where food is sold or distributed by a person not regularly engaged in the business of selling such food for profit).
General PDF | Fillable PDF | RTF File
Food Service: Itinerant
For vehicle-mounted, self-contained, mobile food establishments. All itinerant food vending establishments are required to have a hand-washing sink with hot and cold running water under pressure, holding tank, and mechanical refrigeration.
General PDF | Fillable PDF | RTF File
Bed & Breakfast
Apply for a required annual registration for a bed and breakfast.
General PDF | Fillable PDF | RTF File
Cosmetology / Barbershop: Owners
For owners of personal services establishments with employees.
General PDF | Fillable PDF | RTF File
Nail Salon: Owners
For nail salon establishment owners with employees.
General PDF | Fillable PDF | RTF File
Independent Contractors: Cosmetology, Barbershop, Nail Salon, Other
For independent contractors who rent a chair in a permitted cosmetology, barbershop, nail salon, or other personal services establishment.
General PDF | Fillable PDF | RTF File
Hotel / Motel
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.
General PDF | Fillable PDF | RTF File
Swimming Pools: Indoor
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 permit is for PUBLIC pools only. If you are looking to install a pool at a private residence you need to fill out the B100a form under Building, Construction, and Property Projects.
B100a
Convert an existing structure or change the use of an existing building such as adding a pool, garage, deck, or other structures.
See the B100a informational brochure below for more details.
General PDF | Fillable PDF | RTF File
B100a Informational Brochure
Learn more about putting an addition on your property.
B51d
Build a new home, replace, or add to an existing property, that is served by city (public) sewer, but will have a private well.
Brooklyn Fair
Food vendor permit application for the 2024 Brooklyn Fair.
General PDF | Fillable PDF | RTF File
Woodstock Fair
Food vendor permit application for the 2024 Woodstock Fair.
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.
General PDF | Fillable PDF | RTF File
Temporary Food Permits
Serve food to the public at an event for a duration of 1 – 14 days.
General PDF | Fillable PDF | RTF File
Itinerant Food Vending Application
Apply for an annual food service permit for a vehicle-mounted, self-contained, mobile food establishment. All itinerant food vending establishments are required to have a hand-washing sink with hot and cold running water under pressure, holding tank, and mechanical refrigeration.
“Pushcarts” are limited to the sale of hot dogs and pre-packaged foods only.
General PDF | Fillable PDF | RTF File
Food Service Establishment Plan Review Application
Open a new food service establishment or make major renovations to the kitchen facilities in an existing food service establishment.
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.
Visit our FAST class page for more information.
General PDF | Fillable PDF | RTF File
Certified Food Protection Manager Course (CFPM)
Become a Certified Food Protection Manager. This is a one day course for Class II, Class III, and Class IV food service establishments, as required by the Connecticut Public Health Code, 2022 FDA Model Food Code. CFPM Certifications are valid for five years.
Class size is limited to 20 people. Please call our office at (860)774-7350 to make sure space is available before sending in payment.
There are no NDDH sponsored CFPM classes currently scheduled. Please visit our CFPM Class page for information on other available options.
General PDF | Fillable PDF | RTF File
Simple Ownership Transfer Form (Food Service Application also required)
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.
File Application “B” and Letter of Consent
Install a new septic system, repair or replace an existing septic system, complete a soil test, or have a plan reviewed.
General PDF | Fillable PDF | RTF File
Installer’s As-Built Check List
Check your work after installing or repairing a septic system.
General PDF | Fillable PDF | RTF File
Sewage Disposal Regulations and Technical Standards for latest revision
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.
Water Treatment Wastewater System Installation Application
Application for the installation of a water treatment wastewater system.
General PDF | Fillable PDF | RTF File
Water Treatment Wastewater Installation Form As-Built
Check your work after installing or repairing a water treatment wastewater system.
Water Treatment Wastewater System Installation Information
Information on water treatment wastewater system installation.
Submit the permit, and payment, for your permitted business by Monday, April 15, 2024 to avoid late fees and penalties.
Campgrounds
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.
General PDF | Fillable PDF | RTF File
Food Service: Itinerant
Apply for an annual food service permit for a vehicle-mounted, self-contained, mobile food establishment. All itinerant food vending establishments are required to have a hand washing sink with hot and cold running water under pressure, holding tank, and mechanical refrigeration. “Pushcarts” are limited to the sale of hot dogs and pre-packaged foods only.
General PDF | Fillable PDF | RTF File
Food Service: Seasonal
Apply for an annual seasonal food service permit. This form is used for food establishments that operate for a period of six months or less at the same geographic location.
General PDF | Fillable PDF | RTF File
Swimming Pool: Outdoor
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 to be used by private homeowners seeking to install a pool on their property.
Bed and Breakfast
Apply for a required annual registration for a bed and breakfast.
General PDF | Fillable PDF | RTF File
Campground
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.
General PDF | Fillable PDF | RTF File
Cosmetology, Barber, Nail Salon – Owners
Apply for a new permit or renewal for nail salons, hair salons, and barbershops. Note – This application is for personal services establishment owners who have employees. Independent Contractors who rent chairs or space from an owner / operator are to fill out the Independent Contractor application listed below.
General PDF | Fillable PDF | RTF File
Day Care
Apply for a required inspection conducted every two years for a group day care facility licensed by the State of Connecticut.
General PDF | Fillable PDF | RTF File
Hotel / Motel
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.
General PDF | Fillable PDF | RTF File
Independent Contractor – Personal Services
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 a salon or company and perform services under an expressed or implied agreement. Note – This application is not for owners / operators.
General PDF | Fillable PDF | RTF File
Request for Copies of Public Information
Request copies of public documents on file.
General PDF | Fillable PDF | RTF 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 used by private homeowners seeking to install a pool on their property. For that, use a B100A.
General PDF | Fillable PDF | RTF File
Tick Submission
NDDH is now submitting ticks to CAES for testing! Please visit our Tick Testing and Information page for more information.
