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.

▼GIS

  1. New Address Application

    Application for a new rural building address.

▼Public Health Division

  1. Business Recognition Program Nomination Form

    Business Recognition Program Nomination Form

  2. Community Vaccine Clinic Inquiry

    Please use this form if your organization is interested in a COVID-19 vaccination clinic.

  3. Formulario de Registración de Vacuna COVID-19

    COVID-19 Vaccine Registration

  4. Hope Squad Inquiry
  5. Men's Room Changing Station Registration
  6. Public Health Referral Form
  1. Community Health Education

    Please complete this form if you are interested in learning more about, attending or hosting a health education session.

  2. COVID-19 Compliance Concerns

    Mask Mandate Compliance Concern

  3. Healthy Mom - Happy Baby Inquiry

    Inquiry form for Healthy Mom Happy Baby sessions.

  4. Licensed Establishment Complaints

    To file a complaint about a licensed establishment.

  5. Public Health Community Education Sessions

    Community Education Sessions are a fun, free, and interactive way for schools, business, and community organizations in Walworth County... More…

  6. QPR Inquiry

▼Public Works

  1. Adopt-A-Highway Clean Up

    Adopt - A - Highway clean up form