Forms, Permits, and Applications

Departments

Forms, Permits, and Applications Table
Title	Attachments	Submit Online
Nurse-Family Partnership (NFP)	NFP Referral Form
Nursery/Phyto	Shasta County Nursery License Application Shasta County Fee Exempt Nursery License Application Shasta County Nursery Stock Fact Sheet Quarantine Compliance State Phyto/Certificate Application Strawberry Phytosanitary Application Addendum Shasta County Phytosanitary Application
Onsite Wastewater Treatment Systems	OWTS Application Sample Plot Plan Shasta County OWTS Technical Standards Manual Consultants List for Soil Testing Percolation Test and Test Pit Soil Profile Data Sheet Alternative Groundwater Level Determination Preventing Septic Tank Leaks Brochure Permit Waiver Application Supplemental Treatment Reporting Form Land Division Standards for Parcel Served by Onsite Wastewater Treatment Systems
Our Services
Personnel Forms
Pest Detection	Insect Trapping Property Registration
Pesticide Enforcement Training	Employer's Written Handler Training Program Employer's Handler Safety Training Record Programa de Capacitación para Manejadores Escritos del Empleador Registro de entrenamiento de seguridad del manejador Fieldworker Training Record Registro de entrenamiento de los trabajadores de campo Pesticide Handler and Fieldworker Safety Links
Pesticide Regulation - Use Reporting	Logging in to your account Navigating the home page Production Agriculture Pesticide Use Report (PUR) Monthly Summary Pesticide Use Report Notice of Intent (NOI) Navigating the PUR/NOI list
Pesticide Regulation FAQ	NOI Form for Faxing
Planning Forms & Applications
Property Tax Relief for Military Personnel	Military Application for Property Tax Relief
Public Pools & Spas	Health Notice for Public Pool and Spa Operations in Shasta County Signage - Swimming Guidelines - COVID-19 Pool/Spa Chemistry Fact Sheet Pool Request for Plan Review Pool/Spa Permit Application Swimming Pool Construction Application Pool Cyanuric Acid Letter Pool/Spa Maintenance Log Form Swimming Pools Impacted by Smoke and Ash Public Pool Code AB 1020, Public Pool Regulations
Public Record Requests
Real Estate Fraud	Real Estate Fraud Complaint Form Instructions Real Estate Fraud Complaint Form
Recorder Forms	Authority to Ask for Information - Legal Entity Review Birth Certificate Application Cover Sheet Death Certificate Application DTT & SB2 Exemption Cover Page Documentary Transfer Tax Valid Exemption Reasons (DTT) Housing Fee Exemption Cover Sheet (SB2) Marriage Certificate Application Military Discharge (DD-214) Certified Copy Request Preliminary Change of Ownership (PCOR) Restrictive Covenant Modification Transfer Tax Affidavit (DTT)
Records	Record Review LiveScan Records Request Arson Registration 290 Registration - ENGLISH Criminal History Letter 290 Registration - SPANISH Records Frequently Asked Questions
Request for Investigation	Request for Investigation
Request to Speak Form	Request to Speak Before the County Board of Supervisors (or other Board) Form
Resources
SCRAM Registration Form		Submit Online
Seed Inspection	Request For Services Form
Septic Pumper Trucks	Pumper Application Pumper Requirements
Shasta County Pesticide Business Registration Forms	Pest Control OPERATOR Registration Pest Control ADVISER Registration Pest Control PILOT Registration Farm Labor Contractor FLC Registration Structural Branch 1 - Fumigation Registration (Must be submitted in person) Structural Branch 2-3 Registration Letter of Authorization Equipment Registration Form
Short-Term Rentals	Short-Term Rental Ordinance Vacation Rental Application Hosted Homestay Application Short-Term Renewal Application
Solid & Medical Waste	Medical Waste Registration / Application Medical Waste Management Plan Medical Waste Off-Site Event Notification Form Medical Waste Management Act Sharps Disposal Sites Guidelines for Disposal of Fire‐Generated Waste at West Central Landfill
Structural Pest Control Registration Forms	Branch 1 Structural Fumigation Registration Form Branch 2-3 Registration Form
Submit an Inquiry		Submit Online
Supplemental Assessment Roll	Claim for New Construction Exclusion From Supplemental Assessment
Support for Resource Parents	Caregiver Information Form Caregiver Information Instructional Guide Foster Child Inventory Form
Title VI Coordinator	Shasta County Title VI Program Title VI Brochure Title VI Poster Complaint Form (English) Complaint Form (Spanish) Limited English Proficiency (LEP) Brochure
Transient Occupancy Tax	Transient Occupancy Tax Ordinance TOT Ordinance Amendment - 3.16.030 Ordinance No. 95-2 TOT Clearance Request TOT Registration Form TOT Information Sheet Affidavit of Extended Occupancy TOT Guidelines Policies Procedures FAQs TOT Tax Return Yearly TOT Statistics
Transportation Permits	Annual Permit Application Single-trip Permit Application
Underground Tanks	Application to Construct, Modify or Upgrade Statement of Understanding and Compliance Form Response Plan Chief Financial Officer Letter Financial Responsibility Certification Removal/Closure Application Installation Form Management of Waste Generated at Motor Vehicle Fuel Dispensing Stations Designated UST Operator Identification Form Facility Employee Training Certificate Designated UST Operator Visual Inspection Report UST Temporary Closure Application Request for Plan Review
Victim Services	Capital Case Process Execution and Clemency in California Marsy's Law Resource Card Preventing and Reporting Elder Abuse Request for Criminal Appeal Status
Weed Eradication	Certified Weed Free Forage General Information Certified Weed Free Forage Inspection Protocols Request for Services/Work Order
Weights & Measures Complaint Forms	Measuring Devices Complaint Form (Vapor meter, Electric meter, LPG meter) Overcharge / Scanner Complaint Form Placed in Service Report Form Retail Motor Fuel Complaint Form Weighing Devices Complaint Form (Vehicle, Cattle, Platform, Counter Scales) Firewood Complaint Form
Well-Child Check-Ups (CHDP)	Shasta County Medi-Cal Optometrists Shasta County Doctors/Clinics For CHDP Exams Shasta County Medi-Cal Audiologists CHDP Referral Form CHDP Dental Referral Form Shasta County Medi-Cal Dentists
Women's Recovery & Resiliency Services	Perinatal Services brochure Perinatal Treatment flyer

Forms, Permits, and Applications

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