ALERT: Boil Water Advisory More Info

South Central Health District of Georgia

The South Central Health District

Bleckley. Dodge. Johnson. Laurens. Montgomery. Pulaski. Telfair. Treutlen. Wheeler. Wilcox.

Bleckley County Environmental Health Forms

View More: Bleckley County Health Department

 
Click the links below to download a form.
 

Bleckley County Septic Certification Request Form
Use this form when certifications of septic systems are required for adoption/foster care, new home loans, or refinancing a home.
Bleckley Septic Certification Form

Bleckley County Septic Intake Form
This form is an application to install a system, repair a system, or move a home.
Bleckley County Septic Intake Form

Bleckley County Well Certification Form
Use this form for Water Samples Only. Sample types available:

  1. Adoption/Foster Care
  2. Bacterial Water Test
  3. Certifications for New Home Loans or Refinancing a HOme
  4. Mineral Analysis
    Bleckley County Well Certification Form