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

Form

Description

Price

Buy Now in Word

OAR 0783

CEFIS (Certification and Fuel Economy Information System)

OARM EPA Form 1900-10

Contractor Cumulative Claim and Reconciliation

OW 3320-1

Discharge Monitoring Report

OW 3510-1

General Information - Consolidated Permits Program

OW 3510-11

No Exposure Certification for Exclusion from NPDES Stormwater Permitting

OW 3510-2A

Standard Form A - Municipal

OW 3510-2B

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

OW 3510-2C

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

OW 3510-2D

New Sources and New Dischargers Application for Permit to Discharge Wastewater

OW 3510-2E

Facilities Which Do Not Discharge Wastewater

OW 3510-2F

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

OW 3510-2S

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

OW 3510-6

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

OW 3510-7

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

OW 3510-9

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

OAR 3520-12

Fuel Manufacturer Notification for Motor Vehicle Fuel

OAR 3520-12A

Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel

OAR 3520-12Q

Fuel Manufacturer Quarterly Report for Motor Vehicle Gasoline or Diesel Fuel

OAR 3520-13

Fuel Additive Manufacturer Notification

OAR 3520-13A

Fuel Additive Manufacturer Annual Report

OAR 3520-13B

Supplemental Additive Manufacturer Annual Report

OAR 3520-20A

Reformulated Gasoline and Anti-Dumping Company Registration

OAR 3520-20B

Reformulated Gasoline and Anti-Dumping Facility Registration

OAR 3520-20C

Reformulated Gasoline and Anti-Dumping Batch Report

OAR 3520-20C e-Alternate

Reformulated Gasoline and Anti-Dumping Batch Report

OAR 3520-20D

Reformulated Gasoline and Anti-Dumping Quarterly Certification

OAR 3520-20E

Reformulated Gasoline and Anti-Dumping Annual Compliance Designation

OAR 3520-20F

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

OAR 3520-20H

Anti-Dumping Program Annual Report

OAR 3520-20I

Reformulated Gasoline Program Toxics Emissions Performance Averaging Report

OAR 3520-20J

Reformulated Gasoline Program Benzene Content Averaging Report

OAR 3520-20L

Reformulated Gasoline Program NOx Emissions Performance Averaging Report

OAR 3520-20M

Reformulated Gasoline Program VOC Emissions Performance Averaging Report

OAR 3520-20N

Reformulated Gasoline Program Averaging Areas Report

OAR 3520-20P

Reformulated Gasoline Program Credit Transfer Summary Report

OAR 3520-20Q

Reformulated Gasoline Program Oxygen Content Averaging Report

OAR 3520-27

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

OARM 4700-4

Preaward Compliance Review Report

OARM 5700-52 A

MBE/MBE Utilization Under Federal Assistance Agreements and Interagency Agreements

OARM 5700-53

Lobbying and Litigation Certification for Grants and Cooperative Agreements

OARM 5700-54

Key Contacts Form

OARM 5770-2

Fellowship Application

OARM 5770-3

Fellowship Facilities and Commitment Statement

OARM 5770-4

Fellowship Applicant Qualifications Inquiry

OARM 5770-5

Agency Fellowship Certification

OARM 5770-7

Fellowship Activation Notice

OARM 5770-9

Fellowship Termination Notice

OSWER 6850-00-6002

Technical Assistance Grant Application

OSWER 6850-00-6003

Reporting of ARARs

OSWER 6850-00-6004

Citizen inquiries

OW 7520-1

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

OW 7520-10

Completion Report For Brine Disposal
Hydrocarbon Storage. or Enhanced Recovery

OW 7520-11

Annual Disposal/Injection Well Monitoring Report

OW 7520-12

Well Rework Record

OW 7520-14

Plugging and Abandonment Plan

OW 7520-16

Inventory of Injection Wells

OW 7520-2A

Part II:  Compliance Evaluation

OW 7520-2B

Part II:  Compliance Evaluation Significant Noncompliance

OW 7520-3

Part III:  Inspections Mechanical Integrity Testing

OW 7520-4

Part IV:  Quarter Exceptions List

OW 7520-6

Permit Application

OW 7520-7

Application to Transfer Permit

OW 7520-9

Completion Form for Injection Wells

OAR 7610-1

Acid Rain Program Certificate of Representation

OAR 7610-12

Test Notification

OAR 7610-14

Certification Application Form

OAR 7610-15

Electronic Data Reporting (EDR) Format

OAR 7610-19

Acid Rain Program New Unit Exemption

OAR 7610-20

Acid Rain Program Retired Unit Exemption

OAR 7610-5

Acid Rain Program Allowance Account Information

OAR 7610-6

Acid Rain Program Allowance Transfer

OAR 7620-13

Acid Rain Program Phase II Annual Compliance Certification Report

OAR 7620-4

Acid Rain Program Allowance Deduction (Optional)

OPPTS 7710-25

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

OPPTS 7710-3 C

Chemical Substances Inventory Report Correction Form

OPPTS 7710-35

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

OPPTS 7710-53

Notification of PCB Activity Form

OPPTS 7710-56

Notice of Commencement (NoC) of Manufacture or Import

OPPTS 7710-58

TSCA Health & Safety Study Cover Sheet

OPPTS 7710-58 C

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

OPPTS 7720-12

PCB Transformer Registration Form

OPPTS 8500-25

Accreditation Application For Training Programs

OPPTS 8500-27

Application for Firms to Conduct Lead-Based Paint Activities

OPPTS 8500-28

Application For Individuals to Conduct Lead-Based Paint Activities

OPPTS 8570-1

Application for Pesticide Registration/Amendment

OPPTS 8570-17

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

OPPTS 8570-25

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

OPPTS 8570-27

Formulator's Exemption Statement

OPPTS 8570-28

Certification of Compliance with Data Gap Procedures

OPPTS 8570-32

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

OPPTS 8570-34

Certification with Respect to Citations of Data

OPPTS 8570-35

Data Matrix

OPPTS 8570-35

Summary of Physical and Chemical Properties

OPPTS 8570-37

Self-Certification Statement for the Physical and Chemical Properties

OPPTS 8570-4

Confidential Statement of Formula

OPPTS 8570-5

Notice of Supplemental Distribution of a Registered Pesticide Product

OEI 9350-1

Toxic Chemical Release Inventory Form

OEI 9350-2

Toxic Chemical Release Inventory Reporting Form

DSF-0900

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

Form No.

Form Description

Price

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Biomaterial

Burning of bio-material: annual report 

Dangerous goods licensing

Driver license application

Bulk vehicle license application

Environment protection licenses

Application - premises

Application - mobile plant

Application - waste transporter

Transfer

Variation - premises

Variation - mobile plant

Variation - waste transporter

FOI

Freedom of information application form

Radiation

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

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

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

Renewal of license and change of licensee details

Registration application: Ionising radiation apparatus used in diagnostic imaging 

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

Registration application: Sealed source devices

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

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

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

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

Application for transfer of registration - premises that keep radioactive substances

Notification of sale or give away: Ionising radiation apparatus 

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

Certificate of Compliance order form for Consulting Radiation Experts

Stormwater Trust grants

Stormwater trust grant financial statement

28.50

Waste reporting forms

Monthly form for payment of the section 88 contribution

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

Yearly form for non-licensed facilities

Quarterly hazardous waste form

Waste data form (waste tracking form)

Illegal waste dumping notice

Waste immobilisation application form

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

General Information and Summary (GIS) form

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

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

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

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

$28.50

$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