Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

▼Air Quality

  1. Air Quality Violation Report
  2. Air Quality Web Contact Form
  3. Education Outreach Request
  4. Smoking Vehicle Complaint
  1. Air Quality Violations Report
  2. Dust Violation Report
  3. Educator Survey

    Your feedback is important to us. Please take a moment to complete our survey. your feedback will be used to help improve our program.

▼Animal Care & Control

  1. Dog Status Change

    Use this form to notify ACC of your pet's status (pet is deceased, no longer the owner, etc.)

  2. Leash Law Violation

    Use this form to report a violation of Maricopa County's leash law.

  3. Pet Owner Info Update

    Use this form to notify ACC of a change of Address, Phone Number or Email for the current owner.

  4. Stray Dog

    Use this form to report a stray dog.

  1. Human Attacked by Animal

    Use this form to report an animal attack (with or without a bite)

  2. Pet Attacked by Wildlife

    Use this form to report an attack on your pet by wildlife or other dogs and cats.

  3. Received a Notice in Error

    If you have received a notice from us in error, let us know.

▼Contact

  1. General Website Feedback or Contact a Department

    Submit general website feedback or contact a department/program.

▼Correctional Health Services

  1. CHS HIM WEB FORM

    Correctional Health Services (CHS) Health Information Management (HIM) maintains all previous and current incarcerated patient health... More…

  1. Clinic Liaison Form

▼Employment

  1. Ask a Question

    Use this form to ask an Employment or Human Resources related question.

  1. Report a Concern

    Please use this form to report a concern about your interaction with us today.

▼Environmental Services

  1. 30 Day Transition Application for Food Establishments - Permanent/Fixed locations only (Web Form)

    30 Day Transition Application for Fixed/Permanent Food Establishments. (Does not include Mobile, Temporary, or Seasonal Establishments)... More…

  2. Administrative Change Request Form
  3. Dog Friendly Patio Permit Application (Web Form)
  4. Farmers' Market Coordinator Form/Application (Web Form)
  5. Inspection Upon Request (Web Form)

    To request a plan reviewer to identify all possible construction related items that need to be addressed to qualify for a permit to... More…

  6. Mobile Food Establishments & Food Caterers Operating at Special Events (If not operating within permit guidelines, you must apply for a Temporary Permit) (Web Form)
  7. NEW OWNER/NEW PERMIT APPLICATION FOR A PUBLIC OR SEMI-PUBLIC SWIMMING POOL OR SPA
  8. Online Septic Research Request Form
  9. Onsite Wastewater Systems Program Inspection Request Form
  10. Plan Review/Construction Inspection Request Form

    To request plan review/construction inspections for Food Establishments, School Grounds, Public Accommodations, Swimming Pools/Spas,... More…

  11. School Grounds Permit Application - Applies only to public/charter schools (Web Form)
  12. Stormwater Event Request
  13. Stormwater Program Request
  14. Subdivision Program Permit Application Submittal Form
  15. Swimming Pool Plan Review Program Permit Application Revision Submittal
  16. Temporary / Seasonal Permit Application (Web Form)
  17. Vending Machine Permit Application (Web Form)
  1. ADMINISTRATIVE CHANGE FORM PUBLIC OR SEMI-PUBLIC SWIMMING POOL OR SPA
  2. Campgrounds Permit Application (Web Form)
  3. Environmental Services Complaint Form
  4. Food Establishment Permit Application - Permanent/Fixed locations only (Web Form)

    Application for Fixed/Permanent Food Establishments.

  5. Micro Market Permit Application (Web Form)
  6. Mobile Food Permit Application - MF Type I, MF Type II, MF Type III, Annual Event Food Establishment only (Web Form)

    Application for MF Type I, MF Type II, MF Type III and Annual Event Food Establishments. (Does not fixed food establishments, Temporary... More…

  7. Notice of Transfer of Ownership For Onsite Wastewater Treatment Facility (Septic System)
  8. Online Septic Search
  9. Onsite Wastewater Systems Program Permit Application Submittal Form
  10. Public Accommodations Permit Application (Web Form)
  11. Special Event Coordinator Event Registration Form/Application (Web Form)
  12. Stormwater Pollution Awareness Survey
  13. Subdivision Program Permit Application Revision Submittal
  14. Swimming Pool Construction Inspection Request Form
  15. Swimming Pool Plan Review Program Permit Application Submittal Form
  16. Variance/HACCP Application (Web Form)

▼Flood Control

  1. Adopt-a-Structure Program Question

    Form for requesting more information about the Adopt-a-Structure program.

  2. Special Flood Hazard Area Information Request

    Need more information about a property? Fill out this request form and a District representative will provide zone and map information... More…

  1. Adopt-a-Structure Volunteer Application

    Apply individually or as a group to participate in the program to pick up litter along Flood Control District (FCD) structures.

▼Improvement Districts

  1. Contact OSoS

    Send questions or concerns about improvement districts to the Office of Superintendent of Streets

▼MCDOT

  1. Jackrabbit CIS Comment Form
  2. Real Estate Contact

    Submit questions about property auctions and sales.

  1. Northern Parkway Comments

    Public comment form for the Northern Parkway (99th Ave to Grand Ave) project segment.

  2. Rio Verde Comment Form

    Questions and comments regarding the Small Area Transportation Study: Rio Verde

▼Public Advocate

  1. Application for Internship Program

    (Letter of Interest and Resume Must be Attached for Consideration) Application Deadlines Summer: March 1st Fall: June 1st... More…

  2. Restoration of Rights Pre-Registration

    Pre-register for the upcoming Restoration of Rights help session here. Registration is for the UPCOMING session only. Sessions are... More…

  1. Public Advocate Feedback Form

    We welcome and encourage your feedback. Please complete the information below and if you would like someone to get back with you,... More…

▼Public Health

  1. 2019 Climate and Health Champion Award

    This countywide recognition program will identify and celebrate local youth, individuals, businesses, organizations and researchers... More…

  2. Media Inquiry Contact Form
  3. Public Health Contact Us Form

    If you would like to call our administration office, please dial (602) 506-6900.

  4. Refer Clients to South Phoenix Healthy Start

    Complete this form to refer someone to South Phoenix Healthy Start.

  5. Request WIC at Your Event

    Submit a request to have a WIC presentation at your upcoming event.

  1. Community Health Assessment Survey Request
  2. Por favor llene esta forma para ponerse en contacto con salud pública.

    Por favor llene esta forma para ponerse en contacto con salud pública.

  3. Quiere hacer una cita con WIC

    Complete this form to request an appointment at one of our WIC clinics.

  4. Request HIPAA Training CD

    CAREWare is a HIPAA compliant system and all users will need HIPAA training on the treatment of protected health information. Please... More…

  5. WIC Appointment Request

    Complete this form to request an appointment at one of our WIC clinics.

▼Regulatory - Planning & Development

  1. Appeal of Planning and Zoning Commission Recommendation

    If the Planning & Zoning Commission recommends approval of a particular case it will be placed on a consent agenda for the Board of... More…

  2. Comment on a Planning Case

    Comment on a Planning Case for public hearing/meeting

  3. Report a Code Violation
  1. Comentario sobre un caso de planificación

    Comentario sobre un caso de planificación

  2. Register as an Area of Interest Group for Planning Cases

    Register as an Area of Interest Group for Planning Cases in the Unincorporated Areas of Maricopa County.

  3. Reporte Una Violación al Código

▼Waste Resources

  1. Contact Us

    BrianKehoe@mail.maricopa.gov, halls003@mail.maricopa.gov, JeremyTurnbow@mail.maricopa.gov

  2. Waste Tire Generator Registration Form
  1. Customer Feedback

    WRR transfer station customer feedback. Your feedback is welcomed and will be used to improve the overall services we provide.