Wayne County Health Department
Executive Director: Eric Coulter
Located West of the Courthouse at 201 East Main
Vital Records and Environmental Health:
E-Mail:
Phone: (765) 973-9245
Clinic and Nursing Division:
Phone: (765) 973-9294
Although the Wayne County Health Department provides many services
to the citizens of Wayne County, Indiana our most common inquiry
from Internet users is for birth and death certificates for
people who are doing genealogical research. To aid these researchers,
we have provided scans of the forms used to request certificates
through the mail below. Choose the appropriate form, fill it
out, and then print the page from your browser. Instructions
are on the forms. Note: You must have Adobe Acrobat Reader which
you can get for free from Adobe's
website
Address:
Wayne County Health Department
201 East Main
Richmond, IN 47375
Fee Schedule
Fee Schedule, The following fee schedule as established by
the Board of Health and hereby approved by the Board of Commissioners
of Wayne County, Indiana, pursuant to Indiana Code Section
16-20-1-27, shall be collected by the Health Department when
providing those services described therein, or when furnishing
to a person copies of vital records as set out therein:
|
FOOD
SERVICES |
AMOUNT |
| Food
Service Establishment Permit and Retail Food Store Permit
Up to 3,000 square feet, |
$200.00 |
| Food
Service Establishment Permit and Retail Food Store Permit
From 3,001 square feet to 8,000 square feet |
$300.00 |
| Food
Service Establishment Permit and Retail Food Store Permit
8,001 square feet and over |
$450.00 |
| Mobile
Food Unit Permit (12 months) |
$150.00 |
| Temporary
Food Service Establishment Permit |
$15.00
per day |
| Retail
Food Establishment-Bed & Breakfast Permit |
$100.00 |
| Reinstatement
of any Retail Food Establishment Permit or Mobile Retail
Establishment Permit |
$200.00 |
| Retail
Food Establishment Plan Review (Application filed prior
to commencement of any construction) |
$200.00 |
| Retail
Food Establishment Plan Review (Application filed after
commencement of any construction) |
$300.00 |
| Retail
Food Establishment Plan Review (Application for remodel on existing construction) |
$150.00 |
| Retail
Food Establishment Plan Review (Application filed after remodel) |
$250.00 |
| Retail
Food Establishment Permits-issued after July 1st of any
calendar year |
One
half the applicable annual fee |
Note: All Retail Food Establishment fees are to be
paid annually based on a calendar year.
No fees will be prorated during any calendar year except as
noted herein.
|
RESIDENTIAL
SEWAGE DISPOSAL SERVICES |
AMOUNT |
| Residential
Sewage Disposal - Written Permit (New Construction) |
$300.00 |
| Residential
Sewage Disposal - Written Permit (Replacement) |
$200.00 |
| Residential
Sewage Disposal - Written Permit (Repair) |
$100.00 |
| Registration
Fee for Residential Sewage Disposal System (Contractors) |
$150.00 |
| Registration
Fee for Residential Sewage Disposal System (Employee of
Contractor) |
$50.00 |
| Contractors
indemnity bond (minimum amount of bond) |
$5,000.00 |
|
PUBLIC
& SEMI POOL SERVICES |
AMOUNT |
| Public
and Semi-Public Pool License (12 months) |
$150.00 |
| Public
and Semi-Public Pool License (Seasonal-6 months or less) |
$100.00 |
| Wading
Pool, Spa, and Diving Pool (12 months) |
$75.00 |
| Wading
Pool, Spa, and Diving Pool (6 months) |
$50.00 |
|
VITAL
RECORDS SERVICES |
AMOUNT |
| Birth
Certificate- first copy (Paper Copy) |
$9.00 |
| Each
additional paper copy of birth certificate when issued
at the same time on the same record |
$3.00 |
| Birth
Certificate- Laminated |
$11.00 |
| Death
Certificate (includes $1.75 for Coroner's training fund) |
$12.00 |
| Each
additional copy of death certificate when issued at the
same time on the same record |
$6.00 |
| Correction
to Birth Certificate |
$35.00 |
| Paternity
Affidavit Upon Marriage |
$35.00 |
| Paternity
Affidavit |
$35.00 |
|
