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Applications and forms

Due to extreme staffing shortages, significant delays may be experienced in responses to inquiries, complaints, and new applications. Inspection and investigations will be prioritized based on (potential) risk to the public. We appreciate the patience and understanding of stakeholders and community members as we work to stabilize staffing and improve services. For more information, see this related Northern Health news release (July 5, 2022)

Please email all forms to php@northernhealth.ca or contact 250-565-7322.

Application for food facility

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Application for health approval (Fillable PDF)

Use this package when:

  • Opening a new food facility (restaurant, stores, processor, food mobile, etc.)
  • Changing ownership or renovating an existing food facility.
  • This form is to be submitted with the completed package.

To prepare for inspection: 

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Application for personal service

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Application for personal service (Fillable PDF)

Use this form when:

  • Opening a new personal service facility (salons, spas, esthetics, tattoo shops etc.)
  • Requesting to change/modify services provided within an existing facility.
  • This form is to be submitted with the completed package.

To prepare for inspection: 

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Application for waiver of operating permit fee

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Food service establishment application for waiver (Fillable PDF)

Use this form when:

  • You are applying to have your permit fee waived.
  • Your facility is operated by a charitable on non-profit organization.
  • Your organization has the mandate for the relief of poverty.
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Drinking water system applications

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Water system construction permit application (Fillable PDF)

Use this form when:

  • When designing a public water system prior to any construction work.
  • Choosing a new water source.
  • Making significant modifications to an existing water system.

Water system operating permit application (Fillable PDF)

Use this form when:

  • Permitting an existing water system as a public water system.
  • Permitting a new water system as a public water system.
  • Updating information for a permitted public water system.

Water system operating permit application guide (PDF)

Use this form when:

  • Guidance is required to assist with entry of the water system application.
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General application for health approval

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Application for health approval (Fillable PDF)

Use this form when:

  • Obtaining an operating permit for a public/commercial pool.
  • Change of status (ownership. address, services, etc.)
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On-site sewage applications

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File search request form (Fillable PDF)

Use this form when:

  • Looking for the records on an existing onsite wastewater system.
  • A non-refundable $50 fee is required and records may or may not be available depending on the age of the system and whether documentation was filed properly at the time of installation.

Holding tank application form (Fillable PDF)

Use this form when:

  • You have consulted preliminarily with your local Environmental Health Officer regarding the suitability of holding tank for your property.
  • Apply for a permit for a holding tank.

Holding tank record of installation (Fillable PDF)

Use this form when:

  • The installation of a holding tank is complete. The applicant must submit this form with supporting documentation to the local Health Protection Office. A holding tank must not be used until the Record of Installation has been accepted by the Health Authority.
  • A non-refundable $400 fee is required at time of application.

Industrial camp sewage system approval application (PDF)

Use this form when:

  • You have consulted with your local Environmental Health Officer regarding setting up a new industrial camp.
  • Setting up a industrial camp that requires onsite waste water disposal.

Letter of certification form (Fillable PDF)

Use this form when:

  • You are an onsite wastewater practitioner or a professional.
  • You are have completed installation of an onsite wastewater system that has been filed previously and now certifying it.

Record of sewerage system form (Fillable PDF)

Use this form when:

  • You are a registered onsite wastewater practitioner or a professional.
  • You are filing a sewerage system that you have designed.
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Temporary food applications

Temporary food permit guideline (PDF)

Temporary food permit application (PDF)

Use these forms when:

  • Operating a temporary food facility for less than 14 days a year.
  • Special events when food will be served to the public such as fundraisers and fairs.
  • A caterer or a permitted food facility operator catering an event where food preparation will be done outside of your own facility.
  • Please note that a $50 processing fee will be applied to this application if it is received less than 14 days prior to date of event.

Exempt foods

The following foods are exempt and do not require a permit. If you are only serving these foods, no application is required.

  • Cotton candy, hard candy
  • Donuts/bannock (no dairy, meat fillings or toppings)
  • Whole fresh fruit or vegetables
  • Coffee (black with individual creamers)
  • Lemonade, ice tea, shaved ice, hot chocolate (commercial mixes)
  • Muffins, baked goods (commercial source, no dairy filling)
  • Pancakes, waffles (no whipped cream topping)
  • Popcorn
  • Popsicles, novelty ice creams
  • Pre-packaged shelf stable foods (commercial source, sold in package)
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