Arkansas Department of Health

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Forms

*NOTICE* Due to the ongoing fight against COVID-19, the Plumbing and Food Service Plan Review section of the Arkansas Department of Health is encouraging plan submissions to be sent electronically via our online plan portal or by Mail or delivery service.

Form Downloads
Cost Estimate Worksheet

Food Protection
Food Plan Review Guidelines
Manufactured/Wholesale Plan Review Guidelines for Food Establishments
Retail Plan Review Guideline
Food Permit Application
Service Area Letter
Food Establishment Complaint Form

General Sanitation
Guidelines for the Submission of Plans for Mobile Home and Recreational Vehicle Parks Utilizing Onsite Wastewater Systems or Small (less than 2,000 gpd) Discharging Systems

Onsite Wastewater
Approved Products and Materials List
Designated Representative Application form
Guidelines for Submission of Plans for Non-Individual Sewage System
Individual Onsite Wastewater Systems Appendix F
Individual Onsite Wastewater System Permit Application
Individual Sewage Disposal System installation Specifications
Recertification of Licenses
Guidelines for the Submission of Plans for Mobile  Home and Recreational Vehicle Parks Utilizing Onsite Wastewater Systems

Pools
Guidelines for Pool and Spa Operators
Pool Plan Review Guidelines
Pool Report of Accidental Drowning at Pools, Spas or Other Related Facilities
Pool Operator Record