Health Department Service Request

 Step 1 of 1

If you'd like to request service from the Environmental Health Division of Whitley County complete the information below.

* Denotes a required field

Environmental Health Division Request

ZIP Code 
Second portion of ZIP Code is optional.

Why Are You Requesting A Visit?

Explain in as much detail as possible the reason for your request for the Environmental Health Division's help.
Date You Are Providing This Request*

Thank You