Form Center

The week of February 25, 2019 Humboldt County received significant rainfall which resulted in flooding in agricultural areas of the... More… The week of February 25, 2019 Humboldt County received significant rainfall which resulted in flooding in agricultural areas of the County. The Agricultural Commissioner’s Office is conducting a flood damage assessment to assist the USDA Farm Service Agency in determining if crop damage insurance or other programs may provide benefits for qualifying losses suffered by agricultural producers.Less…

To better serve the needs of the airport tenants, the department offers an online work order request system. Tenants are encouraged to... More… To better serve the needs of the airport tenants, the department offers an online work order request system. Tenants are encouraged to utilize the online system as the preferred method to submit a service request.Less…

The Humboldt County Superior Court, Humboldt County Public Defender and/or Conflict Counsel may request a private defense attorney to... More… The Humboldt County Superior Court, Humboldt County Public Defender and/or Conflict Counsel may request a private defense attorney to represent a defendant. Requests will be received by the County Administrative Office, who will process the request. This form includes certain information that must be included with the request to secure a private defense attorney through the Humboldt County Court Appointed Attorney Program (HCAAP). Please note: Each defendant will need a separate request form to be filled out and submitted.Less…

For Indigent Defense charges

Each quarter, agencies that receive funds from the Humboldt County Local Public Safety and Essential Services tax must submit reports... More… Each quarter, agencies that receive funds from the Humboldt County Local Public Safety and Essential Services tax must submit reports to the county on a quarterly basis detailing their expenditures and activities carried out with the funding they have received. This form is used to submit that information.Less…

This survey is to receive feedback on the draft Humboldt County Cannabis Marketing Assessment. Once finalized, the assessment will... More… This survey is to receive feedback on the draft Humboldt County Cannabis Marketing Assessment. Once finalized, the assessment will inform the county's marketing strategy for cannabis.Less…

Application for the Humboldt County Court Appointed Attorneys Program (HCAAP)

Measure Z, Humboldt County’s Public Safety/Essential Services Measure, is a half-cent sales tax, passed by the voters of Humboldt... More… Measure Z, Humboldt County’s Public Safety/Essential Services Measure, is a half-cent sales tax, passed by the voters of Humboldt County during the November 2014 general election. Measure Z will provide funds to maintain and improve public safety and essential services.Less…

There are currently limited "in-person" services available. For the health of the public and our employees, we strongly encourage phone... More… There are currently limited "in-person" services available. For the health of the public and our employees, we strongly encourage phone and video conferencing options for meeting with Child Support staff. Please schedule your appointment at least 1 business day in advance. Appointments can be scheduled on week days between 10am and 3pm and can last up to a half hour. We are not open on weekends or County holidays, so please do not request appointments for those days. Thank you for contacting us and we look forward to being able to assist you. We will get back to you to confirm your appointment. Child Support Services 2420 6th St., Eureka dcss@co.humboldt.ca.us 866-901-3212 Less…

You can choose to view your voter information guide (sometimes referred to as a sample ballot booklet) and opt out of receiving one in... More… You can choose to view your voter information guide (sometimes referred to as a sample ballot booklet) and opt out of receiving one in the mail. You can also use this form to opt back in to receive a sample ballot in the mail.Less…

If you use assistive technology (such as a Braille reader, a screen reader, or TTY) and the format of any material on this Web site... More… If you use assistive technology (such as a Braille reader, a screen reader, or TTY) and the format of any material on this Web site interferes with your ability to access information, please contact us either by submitting this form, emailing us or calling us by phone through the Federal Information Relay Service at 1-800-877-8339 or at 1-844-365-0352.Less…

This form expresses your interest in participating as a vendor at the county's Vendor/Benefits Fair at All Hands Training Day.

ADA Complaint Form

Use this form to submit feedback related to the website.

This form goes to the webmaster. Use it for specific comments and suggestions about the library website or to report website problems... More… This form goes to the webmaster. Use it for specific comments and suggestions about the library website or to report website problems you have spotted such as broken links, errors or pages that need more information. The library website is intended to serve you. The webmaster appreciates your comments and will read them with care in hopes of improving the site for everyone. QUESTIONS NEEDING ANSWERS: If you have a question that needs an answer, please call the Main Library Reference Desk at 707-269-1905. Librarians will answer questions about the website and information questions over the telephone. Do not use this form to ask questions. ADVERTISEMENTS, PROMOTIONS & "EMAIL FOR THE LIBRARY" Kindly do not send ads or email about topics other than the website. The webmaster will discard these. Less…

Use this form to request a grab bag of up to ten items chosen by library staff for you. Staff will select the items based on choices... More… Use this form to request a grab bag of up to ten items chosen by library staff for you. Staff will select the items based on choices you make on this form.Less…

The library has basic tax forms in stock (you don't need to order them, just ask when you come during Curbside Hours. With this form... More… The library has basic tax forms in stock (you don't need to order them, just ask when you come during Curbside Hours. With this form you can make special requests for most other tax forms that you need. Less…

Fill and print this form when making a donation of money to support the Humboldt County Library System or any of its Branch Libraries.

If you live outside of Humboldt County, you may fill this form, print it out and mail it to submit a question that requires local... More… If you live outside of Humboldt County, you may fill this form, print it out and mail it to submit a question that requires local library research to be done on your behalf. There is a ten dollar fee for each request. Requests will be filled in the order received. Note: if your request is for an obituary, please use our Obituary Request Form instead.Less…

For those making long-distance requests, our Obituary Search service is available by mail for a fee of ten dollars ($10.00). You may... More… For those making long-distance requests, our Obituary Search service is available by mail for a fee of ten dollars ($10.00). You may enter information into this form, print, and send it, with a self-addressed stamped envelope, to: Obituary Search Request Public Services Division Humboldt County Library 1313 3rd Street, Eureka CA 95501Less…

Use this form to request a grab bag of up to ten items chosen by library staff for you.

Use this form to ask a library question, make a comment, or sign up for a Library e-Account.

Use this form to ask for a grab bag of up to ten items chosen by library staff. This bag can be used for one or more children. There... More… Use this form to ask for a grab bag of up to ten items chosen by library staff. This bag can be used for one or more children. There are no guarantees about what you will find in your grab bag, but tell us the sort of books or movies you are looking for and we'll do our best to send you the right mix to match your request! This type of grab bag may be available on the library's next open day.Less…

If the Humboldt County Library System doesn't have an older book you need in its collection, use this form to ask the library to borrow... More… If the Humboldt County Library System doesn't have an older book you need in its collection, use this form to ask the library to borrow the book for you from another library anywhere in the United States.Less…

A special way to get books that are not in the Library Catalog, Zip Books are real books that can be sent to your home. Humboldt... More… A special way to get books that are not in the Library Catalog, Zip Books are real books that can be sent to your home. Humboldt County Library thanks the California State Library for the generous grant that allows us to participate in this program.Less…

Use this form to suggest that the library purchase a book or other item not in the collection. The library appreciates your... More… Use this form to suggest that the library purchase a book or other item not in the collection. The library appreciates your suggestion. Note: Since not all requests will be purchased, for books you may want to consider using our Interlibrary Loan service instead. In an Interlibrary Loan, any BOOK may be requested in person at the Reference Desk. You will be notified when your interlibrary loan book arrives. Please have your library card in hand.Less…

Use this form to request tax forms, available free from your library by curbside service. The library has basic tax forms in stock, and... More… Use this form to request tax forms, available free from your library by curbside service. The library has basic tax forms in stock, and will also take special requests for most other forms that you need. Less…

Use this form to ask for a grab bag of up to ten items chosen by library staff. This bag can be used for one or more children.

Please provide information regarding damages related to the January 2023 winter storms. This information can aid the county and those... More… Please provide information regarding damages related to the January 2023 winter storms. This information can aid the county and those affected in their recovery efforts. This is not an insurance form. You will not be compensated for damages by filling out this form.Less…

To be used for housing initiatives

Survey is to obtain community input on upcoming Tiny House Village zoning amendments, released August 2022.

Please take a few minutes to fill in this form before you come in for your first office appointment with your attorney. We will use... More… Please take a few minutes to fill in this form before you come in for your first office appointment with your attorney. We will use this information to better represent you in your case. **IMPORTANT** DO NOT FILL IN THIS FORM UNLESS THE COURT HAS APPOINTED A PUBLIC DEFENDER TO REPRESENT YOU.Less…

This form is used to notify the Department of accessibility issues on County maintained roads. If the issue is located in an... More… This form is used to notify the Department of accessibility issues on County maintained roads. If the issue is located in an incorporated city (Arcata, Blue Lake, Eureka, Ferndale, Fortuna, Rio Dell, Trinidad) or is on the state highway (Caltrans), you will need to contact those entities directly. If the issue is located on a privately maintained road, you will need to contact the party responsible for maintaining the private road.Less…

Reservation request form for beach wheelchairs available for use at Clam Beach County Park.

Sign-up to receive information on wildfire preparedness, Humboldt County Fire Safe Council meetings and activities, and more.

Holders of an Annual Encroachment Permit (AKA "Special Permit") shall notify the Department when performing work in the County right of... More… Holders of an Annual Encroachment Permit (AKA "Special Permit") shall notify the Department when performing work in the County right of way under the annual permit. [Reference: County Code 411-11(k) and (l)]. Anyone performing emergency work within the County right of way shall notify the Department of Public Works. [Reference: County Code Section 411-11(a)] Submittal of this form electronically on the County website shall be done to notify the Department of Public Works - Land Use Division of work done under the annual permit or to report work that was done in during an emergency. EXEMPTIONS: This form does not need to be completed if both conditions exist: (1) the work does not involve working in the traveled way of the road; and (2) the work does not disturb the ground. Less…

This form is used to notify the Department of road maintenance needs on County maintained roads.

This list is comprised of contractors and subcontractors who have bid within the past 5 years on a public works construction project.... More… This list is comprised of contractors and subcontractors who have bid within the past 5 years on a public works construction project. In addition, DBE contractors who are registered with the Calcert program and are willing to work in Caltrans District 1 are also listed herein.Less…

This Comment Card is to be used to solicit public comment for ongoing public work projects. This is a generic form that does not... More… This Comment Card is to be used to solicit public comment for ongoing public work projects. This is a generic form that does not describe the project, the project's title or identification (contract) number.Less…

This form is to create a list of property owners, stakeholders, newspapers and the general public who wish to be notified of events,... More… This form is to create a list of property owners, stakeholders, newspapers and the general public who wish to be notified of events, meetings, environmental reviews, etc., for Public Works Projects.Less…

This form is for individuals or groups to file a Title VI Discrimination Complaint with the Department of Public Works. It is taken... More… This form is for individuals or groups to file a Title VI Discrimination Complaint with the Department of Public Works. It is taken directly from the Caltrans Form (EEO-0006 (Rev 11/2008))Less…

Purchasing Vendor Enrollment Form

The Humboldt County Sheriff's Office needs your help in crime detection and prevention by taking part in registering your camera in our... More… The Humboldt County Sheriff's Office needs your help in crime detection and prevention by taking part in registering your camera in our dispatch center. When a crime occurs in your neighborhood, HCSO will be able to quickly identify the locations of nearby residential video cameras and enlist the assistance of the community to help deputies collect video evidence and follow up on leads.Less…

Welcome to the Humboldt County Sheriff's Office Online Police Reporting System. If this is an Emergency please call 911. Using this... More… Welcome to the Humboldt County Sheriff's Office Online Police Reporting System. If this is an Emergency please call 911. Using this online police report system allows you to submit a report immediately and print a copy of the report for free. Please confirm the following to find out if online citizen police report filing is right for you: This is not an Emergency. This incident occurred within the Humboldt County Sheriff's Office City limits. There are No Known suspects. This did not occur on a State Freeway. I am the victim of a crime. If you answered yes to all of the above questions, you are ready to file your report online. Less…

The Humboldt County Sheriff's Office has an established process for requesting copies of cases, coroner reports, and other information... More… The Humboldt County Sheriff's Office has an established process for requesting copies of cases, coroner reports, and other information gathered during a law enforcement investigation entitled to specific individuals as defined in California Government Code § 6254(f). This form is not a Public Records Act Request. To request documents through the California Public Records Act, please visit our Public Records Portal at https://humboldtgov.nextrequest.com/. Following completion of this form, your request will be processed by the Humboldt County Sheriff's Office Records Division within 7 to 10 business days. You will be notified when records are available for pick up. All fees are due at the time of pick up. Less…

This form was designed to accept crime tip information. If you are a victim of a crime, please use our online crime reporting form:... More… This form was designed to accept crime tip information. If you are a victim of a crime, please use our online crime reporting form: https://humboldtgov.org/FormCenter/Sheriffs-Office-7/Sheriffs-Online-Crime-Report-102Less…

This form is meant for community members to submit on behalf of a child or dependent adult detailing special considerations law... More… This form is meant for community members to submit on behalf of a child or dependent adult detailing special considerations law enforcement should take upon contact with that individual. This information will be used to by deputies to formulate a specialized response should the individual need to be contacted during a law enforcement investigation.Less…