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Document Request Form

  1. Description

    Use this form to request information from the health department on a property or food service located within Lenawee County. This information is free to those who own the property or establishment; a fee is assessed for non-owners. This form is NOT to be used for FOIA requests for Environmental Health Assessments.

  2. Property Information

    Include the address and tax number (if available) on the property for which you are seeking information

  3. Include the tax number for the property if you have it

  4. Are you the property owner?*

  5. Type of Record Requested*

  6. Please provide us with your name and contact information

  7. Thank you!

    Health Department staff will review your request and contact you with a summary of results and any applicable fees. Questions may be directed to 517-264-5214 or

  8. Leave This Blank:

  9. This field is not part of the form submission.