There is reportedly confirmed that the number of epidemics of dengue fever has increased. Use of health surveillance system on epidemic of dengue fever at the district level is restricted. A study to develop a suitable Model for Outbreak of Dengue Fever Surveillance System (MODFSS) in district level. The 60 participants, including 3 government officers leaders, 10 local leaders, 3 specialists, and 44 village health volunteer of participating in the development of the model. The present study utilized three sets of a database, reported on a monthly basis. These included dengue fever cases, notification in advance of the mosquito breeding sources, problems and obstacles of the related organization and epidemic of dengue fever by the local community leaders. The five approaches to develop of the MODFSS included situational analysis, prototype system design, system test, system improvement and model dissemination. This study was conducted in 10 communities. The MODFSS model application was created at the district level. The model evaluated and monitored epidemic of dengue fever practices of prevention and control actions in communities. The five important constituents of the MODFSS were 1) organizations of epidemiology networks, 2) indicators of epidemic, 3) data collection tools, 4) data analysis and 5) dissemination of information. The MODFSS consisted of six core activities (detection, registration, confirmation, reporting, analysis and suggestion) and four support activities (communication through meeting and brainstorming, training, supervision and resource-provision). The developed MODFSS is an effective of health surveillance suitable for district level.