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U.S. Environmental Protection Agency (EPA)
Forms in Microsoft Word

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Form

Description

Price

Buy Now in Word

SWPPP Checklist Construction Storm Water Pollution Prevention Plan Checklist (SWPPP Checklist) (7 pages - see PDF)
$24.99
SWPPP Template Template for a Storm Water Pollution Prevention Plan
$24.99

OAR 0783

CEFIS (Certification and Fuel Economy Information System)

$9.99

OARM EPA Form 1900-10

Contractor Cumulative Claim and Reconciliation

$9.99

OW 3320-1

Discharge Monitoring Report

$9.99

OW 3510-1

General Information - Consolidated Permits Program

$9.99

OW 3510-11

No Exposure Certification for Exclusion from NPDES Stormwater Permitting

$9.99

OW 3510-2A

Standard Form A - Municipal

$59.00

OW 3510-2B

Application For Permit To Discharge Wastewater
Concentrated Animal Feeding Operations And Aquatic Animal Production Facilities

$59.00

OW 3510-2C

Application for Permit to Discharge Wastewater
Existing Manufacturing, Commercial, Mining and Silviculture Operations

$59.00

OW 3510-2D

New Sources and New Dischargers Application for Permit to Discharge Wastewater

$28.50

OW 3510-2E

Facilities Which Do Not Discharge Wastewater

$28.50

OW 3510-2F

Application for Permit to Discharge Storm Water Discharges Associated with Industrial Activity

$28.50

OW 3510-2S

Application for sewage sludge (biosolids) permit for treatment works treating domestic sewage (TWTDS)

$28.50

OW 3510-6

Notice of Intent for Storm Water Discharges Associated with Industrial Activity Under the Multi-sector NPDES General Permit

$9.99

OW 3510-7

Notice of Termination of Coverage Under NPDES General Permit for Storm Water Discharges Associated with Industrial Activity

$9.99

OW 3510-9

Notice of Intent (NOI) for Storm Water Discharges Associated with Construction Activity

$9.99

OAR 3520-12

Fuel Manufacturer Notification for Motor Vehicle Fuel

$9.99

OAR 3520-12A

Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel

$9.99

OAR 3520-12Q

Fuel Manufacturer Quarterly Report for Motor Vehicle Gasoline or Diesel Fuel

$9.99

OAR 3520-13

Fuel Additive Manufacturer Notification

$9.99

OAR 3520-13A

Fuel Additive Manufacturer Annual Report

$9.99

OAR 3520-13B

Supplemental Additive Manufacturer Annual Report

$9.99

OAR 3520-20A

Reformulated Gasoline and Anti-Dumping Company Registration

$9.99

OAR 3520-20B

Reformulated Gasoline and Anti-Dumping Facility Registration

$9.99

OAR 3520-20C

Reformulated Gasoline and Anti-Dumping Batch Report

$9.99

OAR 3520-20C e-Alternate

Reformulated Gasoline and Anti-Dumping Batch Report

$9.99

OAR 3520-20D

Reformulated Gasoline and Anti-Dumping Quarterly Certification

$9.99

OAR 3520-20E

Reformulated Gasoline and Anti-Dumping Annual Compliance Designation

$9.99

OAR 3520-20F

Reformulated Gasoline and Anti-Dumping Report for Batches Containing Previously Certified Gasoline

$9.99

OAR 3520-20H

Anti-Dumping Program Annual Report

$9.99

OAR 3520-20I

Reformulated Gasoline Program Toxics Emissions Performance Averaging Report

$9.99

OAR 3520-20J

Reformulated Gasoline Program Benzene Content Averaging Report

$9.99

OAR 3520-20L

Reformulated Gasoline Program NOx Emissions Performance Averaging Report

$9.99

OAR 3520-20M

Reformulated Gasoline Program VOC Emissions Performance Averaging Report

$9.99

OAR 3520-20N

Reformulated Gasoline Program Averaging Areas Report

$9.99

OAR 3520-20P

Reformulated Gasoline Program Credit Transfer Summary Report

$9.99

OAR 3520-20Q

Reformulated Gasoline Program Oxygen Content Averaging Report

$9.99

OAR 3520-27

Load Port/Port of Entry Independent Sampling, Testing and Refinery/Import ID Frm

$9.99

OARM 4700-4

Preaward Compliance Review Report

$9.99
EPA 3560 Water Compliance Inspection Report
$9.99
EPA 3560-3 NPDEs Compliance Inspection Report
$9.99

OARM 5700-52 A

MBE/MBE Utilization Under Federal Assistance Agreements and Interagency Agreements

$9.99

OARM 5700-53

Lobbying and Litigation Certification for Grants and Cooperative Agreements

$9.99

OARM 5700-54

Key Contacts Form

$9.99

OARM 5770-2

Fellowship Application

$9.99

OARM 5770-3

Fellowship Facilities and Commitment Statement

$9.99

OARM 5770-4

Fellowship Applicant Qualifications Inquiry

$9.99

OARM 5770-5

Agency Fellowship Certification

$9.99

OARM 5770-7

Fellowship Activation Notice

$9.99

OARM 5770-9

Fellowship Termination Notice

$9.99

OSWER 6850-00-6002

Technical Assistance Grant Application

$9.99

OSWER 6850-00-6003

Reporting of ARARs

$9.99

OSWER 6850-00-6004

Citizen inquiries

$9.99

OW 7520-1

Part I: Permit Review and Issuance/Wells in Area of Review

$9.99

OW 7520-10

Completion Report For Brine Disposal
Hydrocarbon Storage. or Enhanced Recovery

$9.99

OW 7520-11

Annual Disposal/Injection Well Monitoring Report

$9.99

OW 7520-12

Well Rework Record

$9.99

OW 7520-14

Plugging and Abandonment Plan

$9.99

OW 7520-16

Inventory of Injection Wells

$9.99

OW 7520-2A

Part II:  Compliance Evaluation

$9.99

OW 7520-2B

Part II:  Compliance Evaluation Significant Noncompliance

$9.99

OW 7520-3

Part III:  Inspections Mechanical Integrity Testing

$9.99

OW 7520-4

Part IV:  Quarter Exceptions List

$9.99

OW 7520-6

Permit Application

$9.99

OW 7520-7

Application to Transfer Permit

$9.99

OW 7520-9

Completion Form for Injection Wells

$9.99

OAR 7610-1

Acid Rain Program Certificate of Representation

$9.99

OAR 7610-12

Test Notification

$9.99

OAR 7610-14

Certification Application Form

$9.99

OAR 7610-15

Electronic Data Reporting (EDR) Format

$9.99

OAR 7610-19

Acid Rain Program New Unit Exemption

$9.99

OAR 7610-20

Acid Rain Program Retired Unit Exemption

$9.99

OAR 7610-5

Acid Rain Program Allowance Account Information

$9.99

OAR 7610-6

Acid Rain Program Allowance Transfer

$9.99

OAR 7620-13

Acid Rain Program Phase II Annual Compliance Certification Report

$9.99

OAR 7620-4

Acid Rain Program Allowance Deduction (Optional)

$9.99

OPPTS 7710-25

Premanufacture Notice (PMN) Form for New Chemical Substances (19 pages)

$79.99

OPPTS 7710-3 C

Chemical Substances Inventory Report Correction Form

$9.99

OPPTS 7710-35

Manufacturer's Report - Preliminary Assessment Information Rule (PAIR)

$9.99

OPPTS 7710-53

Notification of PCB Activity Form

$9.99

OPPTS 7710-56

Notice of Commencement (NoC) of Manufacture or Import

$9.99

OPPTS 7710-58

TSCA Health & Safety Study Cover Sheet

$9.99

OPPTS 7710-58 C

TSCA Health &OPPTS amp; Safety Study Cover Sheet - continuation page

$9.99

OPPTS 7720-12

PCB Transformer Registration Form

$9.99

OPPTS 8500-25

Accreditation Application For Training Programs

$9.99

OPPTS 8500-27

Application for Firms to Conduct Lead-Based Paint Activities

$9.99

OPPTS 8500-28

Application For Individuals to Conduct Lead-Based Paint Activities

$9.99

OPPTS 8570-1

Application for Pesticide Registration/Amendment

$9.99

OPPTS 8570-17

Application for Experimental Use Permit to Ship and Use a Pesticide for Experimental Uses Only

$9.99

OPPTS 8570-25

Application for Notification of State Registration of a Pesticide to Meet a Special Local Need

$9.99

OPPTS 8570-27

Formulator's Exemption Statement

$9.99

OPPTS 8570-28

Certification of Compliance with Data Gap Procedures

$9.99

OPPTS 8570-32

Certification of Attempt to Enter into an Agreement with other Registrants for Development of Data

$9.99

OPPTS 8570-34

Certification with Respect to Citations of Data

$9.99

OPPTS 8570-35

Data Matrix

$9.99

OPPTS 8570-35

Summary of Physical and Chemical Properties

$9.99

OPPTS 8570-37

Self-Certification Statement for the Physical and Chemical Properties

$9.99

OPPTS 8570-4

Confidential Statement of Formula

$9.99

OPPTS 8570-5

Notice of Supplemental Distribution of a Registered Pesticide Product

$9.99
EPA 8700-22 Uniform Hazardous Waste Manifest
$9.99
EPA 8700-22A Uniform Hazardous Waste Manifest Continuation Sheet
$9.99
EPA 8700-23 (44 pages) RCRA Hazardous Waste Part A Permit Application
$55
;

OEI 9350-1

Toxic Chemical Release Inventory Form

$9.99

OEI 9350-2

Toxic Chemical Release Inventory Reporting Form

$9.99

DSF-0900

Facility Diesel Sulfur Annual Reports, Motor Vehicle Diesel Fuel Pre Compliance

$9.99

Form No.

Form Description

Price

Buy Now in Word

Biomaterial

 

Burning of bio-material: annual report 

28.50

Dangerous goods licensing

 

Driver license application

59.00

 

Bulk vehicle license application

10.00

Environment protection licenses

 

Application - premises

9.99

 

Application - mobile plant

9.99

 

Application - waste transporter

9.99

 

Transfer

9.99

 

Variation - premises

9.99

 

Variation - mobile plant

9.99

 

Variation - waste transporter

9.99

FOI

 

Freedom of information application form

9.99

Radiation

 

Application for license to use ionising radiation apparatus and/or radioactive substances

9.99

 

Application for license to sell and/or possess ionising radiation apparatus and/or radioactive substances

9.99

 

Application to vary a license to use or to sell and/or possess radiation apparatus and/or radioactive substances

9.99

 

Renewal of license and change of licensee details

9.99

 

Registration application: Ionising radiation apparatus used in diagnostic imaging 

9.99

 

on application: Ionising radiation apparatus used for radiotherapy or radiotherapy planning purposes

9.99

 

Registration application: Sealed source devices

9.99

 

Application for registration: Premises on which a radioactive substance that is not kept in a sealed source device is kept

9.99

 

Renewal and notification of change of registration details: Ionising radiation apparatus used in diagnostic imaging, radiotherapy and planning of radiotherapy

9.99

 

Application for transfer of registration and notification of sale or give away: Ionising radiation apparatus used in diagnostic imaging, radiotherapy and planning of radiotherapy 

9.99

 

Application for transfer of registration and notification of sale or give away of sealed source devices

9.99

 

Application for transfer of registration - premises that keep radioactive substances

9.99

 

Notification of sale or give away: Ionising radiation apparatus 

9.99

 

Notification of disposal: Ionising radiation apparatus used in diagnostic imaging, radiotherapy and planning of radiotherapy 

9.99

 

Certificate of Compliance order form for Consulting Radiation Experts

7.50

Stormwater Trust grants

 

Stormwater trust grant financial statement

28.50

Waste reporting forms

 

Monthly form for payment of the section 88 contribution

79.99

 

Quarterly form for licensed facilities not required to pay the section 88 contribution

59.99

 

Yearly form for non-licensed facilities

59.00

 

Quarterly hazardous waste form

9.99

 

Waste data form (waste tracking form)

9.99

 

Illegal waste dumping notice

9.99

 

Waste immobilisation application form

9.99

AIR PERMITS

FORMS FOR INITIAL PART 71 PERMIT APPLICATION - avail. at EPA web site

 

Initial Compliance Plan and Compliance Certification (I-COMP), and Certification of Truth, Accuracy, and Completeness (CTAC) forms

28.50

 

General Information and Summary (GIS) form

28.50

 

Emission Unit Description forms (EUD1, EUD2, and EUD3)

28.50

 

Insignificant Emissions (IE), Emission Summary (EMISS), and Potential to Emit (PTE) forms

28.50

 

Fee Calculation Worksheet (FEE), and Fee Filing (FF) forms

49.99

FORMS USED AFTER PART 71 PERMIT APPLICATION SUBMITTAL

 

Prompt Deviation Report (PDR) form, with instructions

28.50

 

Annual Compliance Certification form, with instructions

28.50

 

6-Month Monitoring Report form (SIXMON), with instructions

28.50

 

Fee Calculation Worksheet (FEE), and Fee Filing (FF) forms, with instructions

49.99

 

Certification of Truth, Accuracy, and Completeness (CTAC) form, with instructions

7.50

EPA 2550-9

Commitment Notice

$28.50

EPA 3320-1 NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) in Word

$28.50

EPA 3320-1 NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) in Excel

$28.50

EPA 3510-2a

NPDES Form 2A Application Overview

$59.00

EPA 3510-2b

Application for Permit to Discharge Wastewater

28.50

EPA 3510-2c

Application Form 2C – Wastewater Discharge Information

28.50

EPA 3510-2d

Application Form 2D – New Sources and New Dischargers

28.50

EPA 3510-2e

Application Form 2E – Faciliities Which Do Not Discharge Process Wastewater

28.50

EPA 3510-2f

Application for Permit to Discharge Storm Water – Discharges Associated with Industrial Activity

49.99

EPA 3520-20a

Fuels Programs Company/Entity Registration

19.99

EPA 3520-20b

Reformulated Gasoline and Anti-Dumping Facility Registration

28.50

EPA 3520-20c

Reformulated Gasoline and Anti-Dumping Batch Report

59.00

EPA 3520-20d

Reformulated Gasoline and Anti-Dumping

9.99

EPA 3520-20e

Reformulated Gasoline and Anti-Dumping – Report for Batches Containing Previously Certified Gasoline

28.50

EPA 3520-20h

Anti-Dumping Program Annual Report

59.00

EPA 3520-20i

Reformulated Gasoline Program Toxics Emissions Performance Averaging Report

59.00

EPA 3520-20j

Reformulated Gasoline Program Benzene Content Averaging Report

28.50

3520-20l

Reformulated Gasoline Program NOx Emissions Performance Averaging Report (Complex Model Only)

28.50

3520-20m

Reformulated Gasoline Program VOC Emissions Performance Averaging Report (Complex Model Only)

28.50

3520-20n

Reformulated Gasoline Program Averaging Areas Report

9.99

3520-20p

Reformulated Gasoline Program Credit Transfer Summary Report (Complex Model)

9.99

3520-20q

Reformulated Gasoline Program Oxygen Content Averaging Report (Complex Model)

28.50

3520-20B1

Diesel Programs Facility Registration

28.50

3520-27

Load Port/Port of Entry Independent Sampling, Testing and Refinery/Importer Identification Form

9.99

4128

Environmental Assessment and Compliance Findings for the Related Laws

49.99

4700-4

Pre-award Compliance Review Report for All Applicants Requesting Federal Financial Assistance

$28.50

5700-54

Key Contacts Form

$28.50

5700-53

Close Out - Lobbying and Litigation Certification for Grants and Cooperative Agreements EPA

$28.50

5700-52A

MBE/MBE Utilization Under Federal Assistance Agreements and Interagency Agreements EPA

$28.50

5700-14

Assistance Funding Order

$8.99

5770-9

EPA Fellowship Termination Notice

$28.50

5770-7

EPA Fellowship Activation Notice

$28.50

5770-5

Agency Fellowship Certification

$28.50

5770-4

Fellowship Applicant Qualifications Inquiry

$28.50

5770-3

Fellowship Facilities and commitment statement

9.99

5770-2

Fellowship Application

$28.50

5770

Fellowship Facilities and Commitment Statement

$28.50

5770

Fellowship Applicant Qualifications Inquiry

$28.50

7015-15

Request for Release of Funds and Certification

9.99

7520-16

Inventory of Injection Wells

9.99

7520-14

Plugging and Abandonment Plan

9.99

7520-12

Well Rework Record

9.99

7520-11

Annual Disposal/Injection Well Monitoring Report

9.99

7520-10

Completion Report for Brine Disposal, Hydrocarbon Storage, or Enhanced Recovery

9.99

7520-9

Completion Form for Injection Wells

9.99

7520-8

Injection Well Monitoring Report

9.99

7520-7

Application to Transfer Permit

9.99

7520-6

Underground Injection Control Permit Application

9.99

7520-5

UIC Federal Reporting System – Part V: Summary of UIC Grant Utilization

9.99

7520-4

UIC Federal Reporting System – Part IV: Quarterly Exceptions List

9.99

7520-3

UIC Federal Reporting System – Part III: Inspections Mechanical Integrity Testing

9.99

7520-2a

UIC Federal Reporting System – Part II: Compliance Evaluation

9.99

7520-2b

UIC Federal Reporting System – Part II: Compliance Evaluation Significant Noncompliance

9.99

7520-1

UIC Federal Reporting System – Part I: Permit Review and Issuance/Wells in Area of Review

9.99

8570-17

UIC Federal Reporting System - Part II: Compliance Evaluation

9.99

8570-4

Office of Pesticide Programs (7505C) – Confidential Statement of Formula

9.99

8700-23

RCRA Hazardous Waste Part A Permit Application

59.99

8700-12

Notification of Regulated Waste Activity

28.50

9350-2

Toxic Chemical Release Inventory

28.50

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