Environmental Assessment Record Request - Cobb & Douglas Public Health

If you are performing an environmental assessment for a property and need to make an inquiry about related public health records, please complete the following Environmental Assessment Record Request form:

Requestor’s Name:(Required)

First Last

Company Name:

Email:(Required)

Phone Number:

Property Address for Records Request:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Type of Records Requested (septic systems, complaints, e