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  • 20 W. Prospect Street, Waldwick, NJ 07463
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    • 201-885-3572 (Emergencies Only)
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NWBRHC

NORTHWEST BERGEN REGIONAL HEALTH COMMISSION

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Forms & Files

Application for a Non-Genealogical Certification or Certified Copy of Vital Record (Birth, Marriage, Death Certificates)

Form REG-37a (Updated January 2020)
Download

Application for License: Marriage, Remarriage, Civil Union, or Reaffirmation of Civil Union

Form REG-77 (Updated April 8, 2019)
Download

Application for Using Time Only as the Public Health Control

Fill out this form for approval to use time only, rather than time in conjunction with temperature as the public health control for ready-to-eat potentially hazardous foods that is displayed
Download

CHAPTER 24 (N.J.A.C. 8:24)

Sanitation in Retail Food Establishments and Food and Beverage Vending Machines.
Download

Cleaning and Disinfection Practices for Animal Facilities 

Cleaning products and protocols for properly cleaning and disinfecting animal facilities.
Download

Cleaning Schedule

A detailed schedule to keep track of cleaning important items in your food establishment.
Download

Cooling Log with Instructions

A tracking chart to monitor the proper cooling down of foods.
Download

Emergency Action Planning Guidance

Practical guidance for food production facilities in planning for and responding to emergencieswith the potential to create an imminent health hazard.
Download

Employees Must Wash Hands Sign

Download and print this bilingual sign to post in your establishment to meet hand washing requirements.
Download

Food Establishment Plan Review Requirements

A detailed list of requirements for plan review to ensure compliance.
Download

Food Establishment Pre-Opening Requirements

A detailed list of pre-opening requirements needed for health department approval prior to opening.
Download

Food Establishment Requirements

A checklist of requirements pertaining to: Toilet Facilities, Handwashing Facilities, Physical Facilities, Plumbing, Food Equipment, Waste Disposal, and Certification Requirements.
Download

Food Recall Flyer

Information on staying informed and how to handle food recalls.
Download

Grease Trap Cleaning Schedule

Download this file to keep track of your grease trap cleaning.
Download

It’s The Law Sign

Downloadable sign dealing with handling of ready-to-eat foods.
Download

Midland Park Regular License Application

Midland Park, NJ Regular Health Department License application for the 2023 calendar year.
Download

Midland Park Temporary Event License Application

2023 Temporary Event License Application for Midland Park
Download

Pre-Operational Inspection Requirements FOR NWBRHC Pools

A thorough check list that includes: Emergency Equipment/ Waterfront Safety, Log Books, signage, facility requirements, and more.
Download

Protocol for Unsatisfactory Pool/ Hot Tub/ Spa Samples

Information regarding the levels a swimming pool or wading pool exceeding the microbiological water quality standards and who to notify.
Download

Self Inspection Checklist

Use this checklist to conduct food defense assessments of your establishment.
Download

Septic Abandonment Procedures

A list of procedures and the application for the proper abandonment of a septic system.
Download

ServSafe Food Handler and Certified Food Protection Manager Classes

NWBRHC staff hosts several classes throughout the year. If you need a Food Manager or FoodHandler at your establishment, you have several options to fulfill this requirement
Download

Temperature Logs

Easy to use form to keep track of all refrigeration and freezer temperatures
Download

Temporary Food Event Guidelines

A detailed guide on food safety for community events ensuring all food is handled safely.
Download

Temporary Food Event Licenses FAQ

Get answers to questions you may have about your temporary event.
Download

Waldwick Regular License Application

Waldwick, NJ Regular Health Department License application for the 2023 calendar year.
Download

Waldwick Temporary Event License Application

2023 Temporary Event License Application for Waldwick.
Download

Water Testing Application and Pricing

Information regarding water testing, water testing application and what it will be tested.
Download

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    Northwest Bergen
    Regional Health Commission

    • 20 W. Prospect Street, Waldwick, NJ 07463
    • 201-445-7217
    • 201-885-3572 (Emergencies Only)
    • 201-445-4001 (Fax)
    • info@nwbrhc.net

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    • Home
    • About
      • About NWBRHC
      • Our Staff
      • Communities Served
      • Back
    • Services
      • Health Education and Wellness
        • About Health Education
        • Community Resources
        • School and Community Programs
        • Back
      • Nursing Services
        • Nursing Services
        • Back
      • Vital Statistics
        • Marriage Licenses
        • Marriage Certificates
        • Birth Certificates
        • Death Certificates
        • Back
      • Consumer and Environmental Health
        • About Consumer & Environmental Health
        • Retail Food Establishments & Temporary Events
        • Food Handler Classes
        • Public Recreational Bathing
        • Rabies Control and Clinics
        • Drinking Water and Septic Information
        • Public Health Alerts
        • Back
      • Back
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    • News
    • Contact Us