Forms, Permits & Registrations

Commercial Industrial Inspection Program

  1. Commercial Building Computer Version Checklist (PDF)
  2. Commercial Building Registration Form (PDF)
  3. Pre-Plan Walk-Through Worksheet (PDF)

HIPAA

  1. Authorization to Use and Disclose Specific Protected Health Information (PDF)
  2. HIPAA-Authorization to Release PHI
  3. List of Designated Privacy Officials (PDF)
  4. Notice of Privacy Practices
  5. Patient Request for Restriction Form (PDF)
  6. Procedure for Filing Complaints About Privacy Practices (PDF)
  7. Request for Amendment of Protected Health Information (PDF)

License Applications

  1. Directions For Applying for a Fire-Life Safety License (PDF)
  2. Fire-Life Safety Application (PDF)
  3. Hotel Motel Inspection and License Application (PDF)
  4. Rooming House Application (PDF)

Open Burning

  1. Burn Permit (PDF)

Special Needs

  1. DeKalb Resident Information Sheet (PDF)
  2. Northern Illinois University (NIU) Student Information Sheet (PDF)