Clark County Health Department

997 N York Street
PO Box 266
Martinsville, IL 62442
P: 217-382-4207
F: 217-382-4226

Hours:
8 am-4 pm
Monday-Friday
By Appointment

Home | WIC Eligibility Guidelines / Freedom of Information Act / Fit Walk Registration 2011 / Private Sewage System App / Water Well Sealing Request

Water Well Sealing Request

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Complete the Water Well Sealing Request form and submit to the address at the top of the form.

"In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited
from discriminating on the basis of race, color, national origin, sex, age, ancestry, disability or handicap,
or on the basis of genetic information. CCHD is an Equal opportunity provider and employer."

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