Industrial Work Camp Notification

Industrial Work Camp Notification
Welcome to our online notification form!

Complete and submit to AHS Environmental Public Health when setting up or moving a work camp.

Before you get started, please ensure you have internet access and access to email.

If for any reason you cannot complete the application, you may save your progress by scrolling to the bottom of the page and clicking the SAVE BUTTON.

Information to set up a camp is available in Industrial Work Camp Start-Up Checklist.

More information for silviculture work camps are available in Environmental Public Health Guidelines for Silviculture Camps.

Send questions to workcamps@ahs.ca or call 1-833-476-4743.
Camp Information
Camp Name
e.g., Best Logging Camp
AHS Mobile decal ID number (if issued, leave blank if unknown)
e.g., NTH-123 (often located on or near ventilation system in main kitchen trailer)
Camp Identification Number
Company's identifying number e.g., Camp 12345
Start Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
End Date (if known)

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Will the work camp be operating more than one year in the same location?
Operator Information
Name

First NameLast Name
Company Name (if applicable):
Logging Company A; Camp Service Company A
Address

Mailing Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
Operator E-mail
example@example.com
19913 (Rev2026-08)

Is the camp operator completing this form
If no, who is completing this form?

First NameLast Name
Job Title/ Role
e.g., Wood Buffalo Regional Manager
Office Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail (person completing this form)
example@example.com
Date Completed

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Camp Location and Access
Quarter
Section
Township
Range
W_Meridian
Detailed directions to the camp
Phone Number for Access
Format: (000) 000-0000.
Radio frequency number
e.g., 161.820 MHz
19913 (Rev2026-08)

Food Service Facilities
What type of kitchen facility
AHS Food Handling Permit Unit ID Number
Top right corner of permit
Mobile kitchen unit(s) supplied by

Other
Mobile unit serial number
Serial number on vehicle or trailer
AHS Mobile decal ID number (if issued and known)
e.g., NTH-123
AHS Food Handling Permit Unit ID number
Top right corner of permit
19913 (Rev2026-08)

Food Service Company
Is the food service company the same as the camp name above?
If no, provide food service company name
e.g., Wood Camp Services
Contact Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Office number
Format: (000) 000-0000.
Cell number
Format: (000) 000-0000.
19913 (Rev2026-08)

Housekeeping Service Company
Is the housekeeping service company the same as the camp name above?
If no, provide housekeeping service company name
Contact Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Office number
Format: (000) 000-0000.
Cell number
Format: (000) 000-0000.
Planned Maximum Occupancy
Number of staff
Camp company and related contractors.
Number of clients
Camp residents not involved in camp services (i.e., industrial workers)
19913 (Rev2026-08)

Additional comments about the camp
Once submitted, you will receive an email of your submission. At the bottom of the email, there is a link to allow you to edit your submission.

Information on the Industrial Work Camp Notification form and the supporting documentation are collected under Alberta’s Protection of Privacy Act (POPA) for the purpose of responding to your notification (which may include but is not limited to the use of contact information and sharing information as permitted by the POPA Act). If you have questions about the collection and use of any information on this form, please call us at 1-833-476-4743 or email us at SafeHealthyEnvironments@ahs.ca.

19913(Rev2026-08)
Should be Empty:

Industrial Work Camp Notification

Camp Information

Operator Information

Camp Location and Access

Food Service Facilities

Food Service Company

Housekeeping Service Company

Planned Maximum Occupancy

Water Source

Water Sampling