File Search Request Form

Ref Form Payment Amountfield type number
Health Unit File Search for Outstanding Requirements against:
Food premises (commercial kitchen that serves food to the public), seasonal farm worker housing, recreational water (swimming pools, spas and hot tubs), public facilities with a well (i.e. campgrounds, trailer parks), personal services settings (hair salons, nail salons, tattoo shops, barber shops), licensed daycares, group homes, lodging homes, retirement homes, long term care facilities, premises regulated by the Smoke Free Ontario Act
Date of Submission (submission to be made 14 business days prior to closing date)field type date
Date and time will be captured on form submission
Name of Requesting Party/Organization*field type single line
Input blocked. Maximum character limit of 200 characters reached.
Contact Name*field type single line
Input blocked. Maximum character limit of 100 characters reached.
Primary Phone Number*field type single line
Input blocked. Maximum character limit of 40 characters reached.
Email*field type email
Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
I request a File Search of the Address listed below (one form per address). I have enclosed a payment in the amount of $141.25 ($125 + 13% HST) for the following address.
Payment Method*field type radio button
Payment MethodOnline PaymentCheque
A PayPal payment option will appear once you submit this form. Please ensure you pay the correct amount. If you do not have a PayPal account, you can create one or click "Buy Now" and checkout as a guest.

Location of the Property

Current Business Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Property Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Proof of authorization is required from current owner for file search*field type file upload
Drop files here
You have reached the maximum file limit: .
File Extension allowed: pdf. File Size: no larger than 200 MB
Closing Date for File Search*field type date
Please Note: The information retrieved is provided from our records as a convenience and we cannot warrant its correctness. This information does not include a check of the files of Property Standards Section of the municipalities within the region of Southwestern Public Health. The Health Unit’s files do not contain information on the installation of Urea Formaldehyde Foam Insulation.

If required, the bacterial quality of private water supply systems can be determined by having samples analyzed at the Ministry of Health Regional Public Health Laboratory. Sample bottles can be obtained from the two offices of Southwestern Public Health or from the Public Health Laboratory (519-455-9310).

Alternatively, analysis of private water systems for chemical parameters and bacterial parameters can also be obtained from a private laboratory. Visit the Government of Ontario site for a list of laboratories licensed to perform drinking water tests www.ontario.ca/page/list-licensed-laboratories.

Contact the local municipal office for private sewage disposal system file inquiries.
The Personal Information on this File Search Request Form is collected under the authority of the Health Protection and Promotion Act and applicable privacy legislation. This information will be used for delivery of public health programs and services and may be used for evaluation or statistical/research purposes. Any questions about the collection of this information should be directed to:

SWPH Privacy Officer
1230 Talbot Street, St. Thomas, ON N5P 1G9
Phone: (519) 631-9900; Fax: (519) 631-3745
E-mail: info@swpublichealth.ca