Do I need a notary for this license application?

No. The application has signature and date fields but no notary block; the signer just signs and dates it.

How do I submit the bed and breakfast application?

Submit it to the Jo Daviess County Health Department at 9483 US RT. 20 West, P.O. Box 318, Galena, Illinois 61036.

What information does the application request?

It asks for establishment and owner details, guest room count, food service certificates, water and sewage information, liability insurance, fire district, and special use permit status.

What attachments does the application list?

It requests copies of applicable certificates, a private water supply test report, and a private sewage system pumping report. It also asks whether liability insurance is attached.

Jo Daviess County, IL · Jo Daviess County

No notary required

Bed and Breakfast Establishment License Application

Jo Daviess County's Bed and Breakfast Establishment License application is for owners seeking a license and provides establishment, owner, safety, and sanitation information.

At a glance

Issued by: City of Jo Daviess County · Jo Daviess County, Jo Daviess County, Illinois
Notarization: Not required: file this form without a notary.
Official source: jodaviesscountyil.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to provide Jo Daviess County with information about a bed and breakfast establishment and its owners. It asks for guest room, food service, water supply, sewage disposal, insurance, fire district, and special use permit details, and requests copies of applicable certificates and reports.

Who needs it

Bed and breakfast owners seeking an establishment license from Jo Daviess County should complete this application.

How to submit it

Submit the completed application to Jo Daviess County Health Department, 9483 US RT. 20 West, P.O. Box 318, Galena, Illinois 61036.

About notarization

This application is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

1
Download the Application
Download the Bed and Breakfast Establishment License Application PDF.
2
Complete the Application
Enter the establishment, owner, contact, guest room, sanitation, water, sewage, insurance, and permit information requested.
3
Gather Attachments
Attach applicable certificates and, if relevant, the private water sample report and sewage pumping report.
4
Submit to the County
Submit the completed application to the Jo Daviess County Health Department at the address shown on the form.

Frequently asked questions

Do I need a notary for this license application?: No. The application has signature and date fields but no notary block; the signer just signs and dates it.
How do I submit the bed and breakfast application?: Submit it to the Jo Daviess County Health Department at 9483 US RT. 20 West, P.O. Box 318, Galena, Illinois 61036.
What information does the application request?: It asks for establishment and owner details, guest room count, food service certificates, water and sewage information, liability insurance, fire district, and special use permit status.
What attachments does the application list?: It requests copies of applicable certificates, a private water supply test report, and a private sewage system pumping report. It also asks whether liability insurance is attached.

Need something notarized?

This Bed and Breakfast Establishment License Application doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.