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.

▼Health Department

  1. Contact the Health Department
  2. Kent City Health Department- Health Board Meeting Sign-Up

    Sign up to attend Kent City Health Board meeting(s).

  3. Request to Job Shadow / Waiver and Release
  4. Service Request Intake Form
  5. Volunteer Service Application

    Use the form to apply for volunteer service at the Kent City Health Department.

  1. Customer Satisfaction Survey

    Please take a moment to help us improve your experience at the Kent City Health Department.

  2. Kent SAFER Business Pledge

    Business owners can sign the pledge to let citizens know they are taking steps to remain safe as businesses reopen after COVID-19.

  3. Resident Mosquito Control Service Request Form
  4. Submit for an Internship