Environmental Health

REQUEST FOR PUBLIC RECORDS

Please use this form to request public records.
We will get back to as soon as possible.

* Required
1. Requestor Information
* Name:
* Phone:
2. Please provide the address or parcel number and township of the public record(s) you are requesting:
* Address or Parcel Number:
3. Type of record(s) you are requesting:
	Septic System Drawings
	Septic System Permits
	Pump Card
	Evaluation Reports
	Well Permits
	Other:
Water Well Logs can be located at: https://secure1.state.mi.us/wellogic/ Water Quality Reports can be located at: http://www.kalcounty.com/eh/wellsearch.php
4. I wish to	Examine the record
	Receive a copy of the record via mail, fax (less than 20 pages), or e-mail:
	Mail:
	Fax:
	E-Mail:
* Verification Code:	(This helps prevent automated e-mails.)
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The Kalamazoo County Health and Community Services Department programs are open to all without regard to race, sex, color, national origin, religion, height, weight, marital status, political affiliation, sexual orientation, gender identity, or disability.

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