Berrien County, MI · Berrien County
Registration for On-Site Sewage System Installer
This form registers an on-site sewage system installer with Berrien County and is completed by the installer or business owner.
At a glance
- Issued by
- City of Berrien County · Berrien County, Berrien County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- berriencounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Berrien County uses this registration to collect information about an on-site sewage system installer and the business. The form asks for business and owner contact details, service locations, training or experience, and applicable contractor, septage hauler, or plumber license information. It also includes a statement affirming that the information is true and accurate.
Who needs it
An on-site sewage system installer or business owner seeking registration with Berrien County should complete this form.
How to submit it
Submit the completed registration to Berrien County Health Department, P.O. Box 706, Benton Harbor, Michigan 49023. The form lists a $115.00 registration fee.
About notarization
This document is signed without a notary; it includes a sworn or affirmed statement, and the signer signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Registration for On-Site Sewage System Installer form.
- 2
Complete the Registration
Enter the business and owner details, service locations, training or experience, and applicable license information.
- 3
Sign and Date
Sign and date the form, affirming that the information provided is true and accurate.
- 4
Submit to the County
Send the completed form and the listed $115.00 registration fee to Berrien County Health Department at the address on the form.
Frequently asked questions
- Who should complete the on-site sewage installer registration?
- An on-site sewage system installer or business owner seeking registration with Berrien County should complete the form.
- What information does the registration request?
- It requests business and owner contact information, service locations, training or experience, and applicable contractor, septage hauler, or plumber license details.
- Do I need a notary for the on-site sewage installer registration?
- No. The form has no notary block. It includes a sworn or affirmed statement, and the signer signs and dates the form.
- How do I submit the on-site sewage installer registration?
- Send it to Berrien County Health Department, P.O. Box 706, Benton Harbor, Michigan 49023. The form lists a $115.00 registration fee.