Department of Public Health Forms and Office Locations – Government Agency in Alabama

161 - 180 of 195 forms

Form Title	Topics
Registration of General License Devices	Radiation
Registration of Radiation Services For Medical X-Ray Equipment	Radiation
Registration of Radiation Services For Non-Medical X-Ray Equipment	Radiation
Renovation Project Notification	Lead Certification
Renovation Recordkeeping Checklist	Lead Certification
Report of Assembly of Non-Certified X-Ray Systems (i.e., those not reported on Federal Form	Radiation
Request for Accounting of Disclosures	Compliance And Ethics
Request for a Certified Copy of Acknowledgement of Paternity	Vital Records
Request for a Vital Event (Birth, Death, Divorce, Marriage) Which Occurred in Alabama	Madison County
Request for Disability Accommodation for Industrial Radiography Examination - Radiography Disability	Radiation
Request for Handheld Dental X-Ray Exemption	Radiation
Request for Pre-Adoption or Other Birth Certificate From an Alabama Sealed File	Madison County
Request to Add Father to Child's Birth Certificate	Vital Records
Request to Amend or Limit PHI	Compliance And Ethics
Request to be Taken to a Hospital on Diversion	EMS, EMS
Request to Work In Alabama Under Reciprocity	Radiation
Save the file to your desktop before using	Soils and Onsite Sewage
Screening Form	ABCCEDP, ABCCEDP
Septage Management Plan	Madison County
Site Evaluation	Madison County

All 2 contact points

Address:
201 Monroe Street
The RSA Tower
Montgomery, AL 36104

Phone numbers:

EAST CENTRAL DISTRICT

Address:
219 N. Court St
Prattville, AL 36067

Phone numbers:

Fax numbers:

Department of Public Health