Form Center

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Community Development

  1. Berrien County Economic Support Questionnaire
  1. Land Bank Side Lot Marketing Form

    Homeowners in the City of Benton Harbor who live adjacent to vacant land owned by the Berrien County Land Bank Authority have the... More…

Contact Us

  1. Comment & Suggestion Form
  2. Vital Records - Contact Us Form

    Vital Records - Contact Us Form

  1. Probate - Contact Us

    Fill out this form if you have questions for the probate office.

Emergency Management

  1. 2021 Hazard Mitigation Task Force

    This task force will be involved in providing data and organizing their constituents to update the County's Hazard Mitigation Plan.

  2. Berrien County Event "Hotwash" Form

    This form should be completed after every shift of every emergency. This is not an After Action Review, but can help inform one.

  3. BERRIEN COUNTY SCHOOL EMERGENCY DRILL SCHEDULING FORM

    Public Act 12 of 2014 (an act to amend 1941 PA 207) requires all schools to notify their local Office of Emergency Management of school... More…

  4. Emergency Management - Exercise Registration
  5. Emergency Management Contact Form

    Use this form to contact the emergency management staff.

  6. Public Alert Testing Feedback Form

    This form is used to report testing issues related to the IPAWS-WEA and B-WARN! system during regularly scheduled tests on the First... More…

  7. Report Disaster Damage

    Use this form to report property damage caused by a Disaster in Berrien County. Do not use this form to request emergency assistance.... More…

  8. Request For Training - School Programs

    This form will help the Sheriff's staff schedule and manage training programs being offered specifically for schools in Berrien County... More…

  9. Sharefile Account Request

    This form is designed to track user accounts for the Berrien County EMHSD Sharefile access.

  1. Berrien County EOC Event "After Action Review" Survey

    This survey tracks items for consideration learned from either an actual event or exercise.

  2. BERRIEN COUNTY SCHOOL EMERGENCY DRILL REPORT COMPLETION FORM

    Public Act 12 of 2014 (an act to amend 1941 PA 207) requires all schools to post on their website when school safety drills are... More…

  3. CERT Academy Wait List (Interest)

    Use this form to express interest in the next CERT academy. They are usually run one time each year. You will be notified directly... More…

  4. Emergency Management - Training Feedback Form

    This form is used to assess the training programs delivered, or hosted, by the BC EMHSD.

  5. Emergency Management Transportation Asset Survey
  6. Register Disaster Resources

    This form is used if your agency would like to register resources you may have that can be called upon during an emergency or disaster... More…

  7. Request For Training - General

    This form will help the Sheriff's staff schedule and manage training programs being offered specifically for schools in Berrien County... More…

  8. School Emergency Contact Directory

    Registration of School Emergency Contact Information for Emergency Management and 911.

  9. Special Needs, Functional Needs, or Transportation Needs Notification

    This form mirrors the functional needs card that is published in the yearly mailer to the community. Those who may need special... More…

Equalization

  1. Entry Screening Questionnaire

    For screening Equalization employees entering the workplace

  1. RPA Applicants (State, local, tribal governments, and certain non-profit) NOT local Police and Fire

    This form is used by municipal partners (City, Township, Village) to designate a point of contact as the likely applicant for future... More…

Friend of the Court

  1. Alleged Denial of Parenting Time Form
  2. S.M.I.L.E. Program Quiz

    After watching the Smile Program video, please complete this post-presentation questionnaire to receive credit for completing the... More…

  1. Response to Alleged Parenting Time Denial Form
  2. Support Review Application

Health Department

  1. COVID-19 Vaccine Information Form for Health Care Workers in Phase 1A

    This form is to be completed by those who fall into Phase 1A of the COVID-19 vaccination prioritization guidance. This includes health... More…

  2. Long-Term Care Facility COVID-19 Response
  3. Request for Notice of Quarantine/Isolation Letter

    If you have been exposed to someone with COVID-19 or you have tested positive for COVID-19 and need documentation for work or school,... More…

  4. Wear One Condom Order Form
  1. Facility Complaint or Request for Investigation Form
  2. Questions, Comments or Feedback
  3. Voice Change Hope Free Medication Lock Box Giveaway Entry Form

Sheriff's Department

  1. Crime Victim Notification
  2. Property Check Form
  3. State of Michigan COVID-19 Restrictions Tip Form

    This tip form is utilized to report alleged non-emergency violations of State of Michigan COVID-19 Restrictions.

  1. Deputy Donut Program
  2. Request for Motorcycle Unit Assistance
  3. Tip Form

Social Media

  1. Local Photography

    Let’s highlight our local photography! Would you like one of your photos to be featured in a County Social Media Channels? Submit a... More…

Treasurer

  1. Foreclosure Information Request

    Utilize this form to request information about foreclosures. There is a $25.00 charge for each packet requested.

  1. Name and/or Address Change Request

    Utilize this form to submit a name and/or address change request to the Berrien County Treasurer's Office.