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Environmental Online Forms

The following forms are web-based and may be submitted electronically

If you are not contacted by GCHD within 24 hours of submitting a form, please call (409) 938-2411. 


Other Forms 

The forms below are Adobe Acrobat Reader fillable forms. Using a different PDF viewer to fill out the form may result in incorrect information being sent. You may download a free version of Adobe Acrobat Reader at this link.

If you do not have Adobe Acrobat Reader and do not want to download it, you may print the form and choose one of the following options to submit it:

  • E-mail the form to environmental@gchd.org
  • Mail the form to PO BOX 939, La Marque, TX 77568
  • Deliver the form to GCHD Consumer Health Services at 9850-D Emmett F. Lowry Expressway in Texas City.
  • Fax the form to (409) 938-2271

If you are using a smartphone or tablet, an app available at this link will allow you fill out, sign and submit a form

Helpful Information

Classes

Records

  • Requests for records can be made through the open records page.

Outdoor Burning

Storm Water

Public Health Complaint Form

Please correct the field(s) marked in red below:

1
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2
About the subject of the complaint
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3
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