Forms

Because of the new Adobe forms technology, it is highly recommended that Internet Explorer 11 or later is used for accessing PDF forms whenever possible. If you must use Chrome or Firefox, please follow the instructions listed below.

Adobe PDF Viewer

PDF forms require an Adobe PDF Viewer browser plug-in. The latest versions of Chrome and Firefox do not support this technology by default. Some additional configurations need to be made to these browsers in order for them to work properly. Depending on your version of Chrome or Firefox, the instructions may vary slightly. When possible, use Internet Explorer 11 or higher. Microsoft Edge is not recommended or supported. In any case, Adobe Reader needs to be installed on your machine. After Adobe Reader is installed, proceed with the instructions below for your specific browser.

Chrome

Replace the Chrome built in PDF viewer so that you can open, view, and save PDF's without issues.

  • Type into the address window of Chrome browser: chrome://settings/content
  • Scroll down and click on PDF documents
  • Slide the slider to the right next to Open PDFs using a different application
  • Click on a form number hyperlink
  • Click on the up arrow on the pdf download box in lower left corner of screen
  • Choose Always open in Adobe Reader
Firefox

Trying to open PDFs in Firefox could result in an error message that states "This PDF document contains forms. The filling of form fields is not supported."

To get the form to open in Adobe, you need to do the following:

  • Open Firefox
  • Click the Tools menu button
  • Click Options and select Applications
  • Find Portable Document Format (PDF) in the Content Type column
  • In the Action column, change it to Use Adobe Acrobat

Department of Health - Internal Form(s)

SFNTitleSizeDateFillable
7054 AUTHORIZATION FOR REGISTRATION OF ANTIFREEZE 335 kb 09/06/2012 Y
8387 REQUEST FOR REIMBURSEMENT-ABANDONED MOTOR VEHICLE PROGRAM 251 kb 06/19/2012 Y
8399 RELEASE OF ABANDONED MOTOR VEHICLE/SCRAP METAL-ABAND AUTO 323 kb 06/19/2012 Y
16846 OPOP PRENATAL FLOW RECORD 594 kb 09/04/2015 Y
16847 OPOP POSTPARTUM/NEWBORN RECORD 589 kb 09/04/2015 Y
16849 OPOP REFERRALS 453 kb 09/04/2015 Y
16852 OPOP HEALTH HISTORY 439 kb 09/04/2015 Y
16932 UNDERGROUND STORAGE TANK CLSOURE 386 kb 06/19/2012 Y
17041 OPOP CONTINUATION RECORD 393 kb 09/04/2015 Y
19269 APPLICATION FOR SOLID WASTE MANAGEMENT FACILITY PERMIT 974 kb 06/19/2012 Y
19512 OPOP TICKLER FILE 727 kb 09/04/2015 Y
19513 OPOP AUTHORIZATION FOR RELEASE OF INFORMATION 347 kb 10/20/2015 Y
19534 PERMIT BY RULE NOTIFICATION 519 kb 06/19/2012 Y
50260 OPOP SOCIAL HISTORY 441 kb 09/04/2015 Y
50278 INERT WASTE DISPOSAL VARIANCE APPLICATION 338 kb 06/19/2012 Y
50336 SOIL MONITORING RESULTS FOR LAND-TREATED PETROLEUM CONTAMINA 215 kb 06/19/2012 Y
50912 CHILD SAFETY SEAT CHECKUP 1334 kb 12/13/2016 Y
51098 WASTE DISPOSAL VARIANCE APPLICATION 349 kb 06/19/2012 Y
51259 STATEMENT OF UNDERSTANDING 292 kb 09/04/2015 Y
51450 EMERGENCY WASTE DISPOSAL VARIANCE NOTIFICATION 246 kb 06/19/2012 Y
51601 LAND TREATMENT VARIANCE APPLICATION 631 kb 06/19/2012 Y
51746 REQUEST FOR AUTHORIZATION TO SELL BULK ANTIFREEZE 234 kb 06/19/2012 Y
53326 INERT WASTE LANDFILL ANNUAL REPORT 1409 kb 07/18/2017 Y
54097 NOTIFICATION FOR CONCRETE/ASPHALT RECYCLING FACILITIES 392 kb 09/03/2013 Y
58750 LAND TREATMENT ANNUAL REPORT 324 kb 06/19/2012 Y
59226 REQUEST FOR RESPONSIBILITY EXEMPTION/REGULATORY ASSURANCE 452 kb 06/19/2012 Y
60120 WASTE REJECTION REPORT 469 kb 02/19/2015 Y