Forms and Publications

We've posted here a number of documents relating to the filing of required information, as well as planning guidance and information requests.

List of Publications: Sortable and Searchable
Name Type pdf rtf other Year
Tier 2 Submit Reporting Package:
This is the complete 2013 facility reporting package.
Form 612955-zip
AR-1 Form:
The NEW Standard Maine form to report a hazardous materials spill to SERC, LEPC and DEP
Form 15040-pdf 2012
LEPC Contacts:
Here is a list of all the LEPCs with contact information for the State of Maine.
Form 341033-LEPC Contacts.doc 2012
SERC Facility letter:
Letter sent to facilities describing filing and fee reports for hazardous materials inventories. Also used by Homeland Security grant applicants to review requirements.
Form Grant Guidance 318010-Annual SERC Letter.doc 2011
Maine LEPC Membership Application:
This is an application a person would fill out to become a member of the Local Emergency Planning Committee.
Form 210516-doc 2011
Hazardous Materials Registration and Inventory Fee Worksheet:
NEW combined Hazardous Materials Registration and Facility Inventory Fee Worksheet.
Form 85058-Fee Worksheet 2013.doc 2009
Hazardous Materials Registration and Inventory Fee Instructions:
Instructions for Hazardous Materials Facility combined Registration and Inventory fee form.
Form Instructions 15048-doc 2009
Annual and Legal Requirements for LEPCs:
Summary of LEPC responsibilities.
Guidance Policy 69926-doc 2009
SERC Credit Card Payment Form:
Fill-able form to submit payment for facility chemical inventory fees via credit card or check. Form may be filled out electronically and either emailed, faxed or mailed.
Form 68043-pdf 2009
Toxic Chemical Release Form Instructions:
Instructions for a facility filing Toxic Release Inventory (TRI) forms.
Form Instructions 22230-TRI.docx 2008
Sample SERC Letter:
Sample letter the SERC to verify that a facility no longer meets the requirement to file Chemical Inventory Report Forms
Form 22231-pdf 22231-doc 2008
Hazardous Materials Response Model Plan:
This document is an example of a facility hazardous materials response plan. This can be used as a plan template.
Plan 26716-doc 2004
Hazardous Materials Training Grant Application:
Application for an LEPC to apply to the SERC for a Training Grant
Grant 22235-doc 2006
Right-to-Know Request Form:
This form may be used to request hazardous materials information available under the Emergency Planning and Emergency Right to Know Act (EPCRA).
Form 22523-pdf 22523-doc 2008

 

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