Health Department Service Request

 Step 1 of 1

If you'd like to request service from the Environmental Health Division of Whitley County complete the information below.

* Denotes a required field

Environmental Health Division Request

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ZIP Code 
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Second portion of ZIP Code is optional.
 

Why Are You Requesting A Visit?

Explain in as much detail as possible the reason for your request for the Environmental Health Division's help.
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Date You Are Providing This Request*
 Date You Are Providing This Request

Thank You