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Health Department: Forms/Documents

Town of Middleborough Health Department
20 Center Street
Middleborough, MA 02346
Phone: 508-946-2408
Fax: 508-946-2321

Health Officer – Robert Buker, rbuker@middleborough.com
Health Inspector- Catherine Hassett
Public Health Nurse-Jaclyn Johnson

Applications:

Body Art Practitioner Permit - PDF
Body Art Apprentice Permit - PDF
Catering Permit - PDF
Cesspool Pumping Permit - PDF
Collection/Transportation Rubbish - PDF

Common Victualler License Application - PDF
Disposal Works Installer Permit - PDF
Food Establishment Permit - PDF

Grant of Restrictive Covenant - PDF
Maintain Stable Permit - PDF
Operate Family Type Campground - PDF
Operate Hotel-Motel Permit - PDF
Operate Lodging/Rooming House Permit - PDF
Operate Recreation Camp for Children Permit - PDF
Operate Trailer Coach Park Permit - PDF
Operate Swimming Pool Permit - PDF
Perc Application Form - PDF
Residential Pool Permit - PDF
Septic Betterment Packet - PDF
Tanning Facilities Permit - PDF
Tax Paid Statement - PDF
Tobacco Sales Permit - PDF

Workers Compensation Insurance Affidavit - PDF

Regulations:

Tobacco Regulation Adopted April 21, 2012 - PDF