Forms, Applications, & Records Requests

Forms & Applications

FOIL & Records Requests

There is a 25-cent, per-page fee for copying most records and copies of medical records cost 75 cents per-page. The fees for paper copies of Source Water Assessment Program records are 25 cents per-page and 50 cents per color map (8.5”x11”). The fees for duplicating engineering plans vary from plan to plan, therefore you will be notified of the cost for the specific plans you request.


Communicable Disease Control


Environmental Health

Fee Schedule


Food Protection

For a Food Service Establishment Permit, please contact the Office of Food Protection at 516-227-9717 or visit their webpage for more information.

Temporary Events Applications


Petroleum Bulk Storage (NCPHO, Article XV) 

Small Heating Tank Closure Program: All closures (abandonments or removals) of small (< 1,100 gallons) heating oil tanks located at facilities that DO NOT fall under NCPHO Article XV regulation, such as small heating oil tanks at homes, must be scheduled with this office using the online scheduling system. Paper applications should no longer be submitted to this office for these types of tank closures.


Rodent Free Certification Before Demolition


Toxic & Hazardous Material Storage Facilities (NCPHO, Article XI)


Swimming Pools & Bathing Beaches


Medical Reserve Corps

The Nassau County Medical Reserve Corps (MRC) is a community based, civilian, volunteer program that is committed to help strengthen local public health initiatives, as well as respond to disasters in our area. For more information and to download the MRC brochure and application, please click here.