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Home Forms & Applications
Forms & Applications
This section contains a variety of forms used by the Department of Health. 
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Vital Statistics Forms
   Affidavit for Release of Certified Copy of Birth Record
Application for Certified Copy of Birth Record
Affidavit for Release of Certified Copy of Death Record
Application for Certified Copy of Death Record
Reportable Diseases or Disease Reporting
   Notification of Infectious Disease Form (EPI-1)
Dengue, Chikungunya and Zika Reporting Form (EPI-2)
Dengue and Chikungunya Reporting Instructions
Instructions for Reporting Suspected Zika Cases to USVI Department of Health
Environmental Health
   Health Permit Application
Infants and Toddlers Program
   Notice/Consent for Multi-Disciplinary Evaluations and Assessments
Referral to Infant and Toddlers Program and Intake Form
Notice of Infant/Toddler and Family Rights
Office of Professional Licensure and Health Planning
To view professional licensing and application materials, please visit the Office of Professional Licensure and Health Planning page, here
Human Resources Office
To view recent job postings or to find employment application materials, please visit the Office of Human Resources page, here
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