Forms

Fillable Forms and Resources

  • This site supports Fillable PDF forms and can be found by searching by the state form number (SFN), title or agency that owns the form.
  • Definitions:
    • Internal Forms: Forms used by customers internal to North Dakota State Government.
    • Public Forms: Forms used by the general public or entities external to North Dakota State Government
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Department of Environmental Quality - Internal Form(s)

SFNTitleSizeDateFillable
7657 SWORN STATEMENT IN PROOF OF LOSS 383 kb 07/30/2019 Y
8387 REQUEST FOR REIMBURSEMENT-ABANDONED MOTOR VEHICLE PROGRAM 66 kb 11/17/2020 Y
8399 RELEASE OF ABANDONED MOTOR VEHICLE/SCRAP METAL-ABAND AUTO 553 kb 06/21/2019 Y
10706 BOILER REPORT OF INSPECTION 427 kb 10/28/2021 Y
16932 UNDERGROUND STORAGE TANK CLOSURE 78 kb 11/16/2020 Y
17017 APPLICATION PETROLEUM TANK RELEASE COMP. FUND 438 kb 09/30/2021 Y
17132 PETROLEUM TANK REGISTRATION 935 kb 05/14/2024 Y
17331 EXCAVATION EXPENSES WORKSHEET 478 kb 09/30/2021 Y
17972 CERTIFICATE OF REGISTRATION 311 kb 07/30/2019 Y
18731 ENVIRONMENTAL CONSULTANT EXPENSE WORKSHEET 519 kb 09/30/2021 Y
19269 APPLICATION FOR SOLID WASTE MANAGEMENT FACILITY PERMIT 1050 kb 06/21/2019 Y
19534 PERMIT BY RULE NOTIFICATION 810 kb 06/14/2019 Y
50278 INERT WASTE DISPOSAL VARIANCE APPLICATION 577 kb 06/14/2019 Y
50336 SOIL MONITORING RESULTS FOR LAND-TREATED PETROLEUM CONTAMINA 59 kb 11/16/2020 Y
50884 SALE OR DISPOSAL OF PETROLEUM STORAGE TANKS 380 kb 09/30/2021 Y
51098 WASTE DISPOSAL VARIANCE APPLICATION 578 kb 06/14/2019 Y
51450 EMERGENCY WASTE DISPOSAL VARIANCE NOTIFICATION 467 kb 06/14/2019 Y
51601 LAND TREATMENT VARIANCE APPLICATION 638 kb 06/14/2019 Y
51746 REQUEST FOR AUTHORIZATION TO SELL BULK ANTIFREEZE 464 kb 06/14/2019 Y
53326 INERT WASTE LANDFILL ANNUAL REPORT 985 kb 06/14/2019 Y
54097 NOTIFICATION FOR CONCRETE/ASPHALT RECYCLING FACILITIES 389 kb 06/14/2019 Y
58750 LAND TREATMENT ANNUAL REPORT 447 kb 06/14/2019 Y
58784 APPLICATION FOR HOBBY BOILER LICENSE 383 kb 10/28/2021 Y
58785 APPLICATION FOR HOBBY BOILER LICENSE EXAMINATION 380 kb 10/28/2021 Y
58786 HOBBY BOILER LICENSE AFFIDVIT AND APPLICATION 417 kb 10/28/2021 Y
59530 BOILER OR WATER HEATER INSTALLATION REPORT 649 kb 10/28/2021 Y
60120 WASTE REJECTION REPORT 463 kb 06/21/2019 Y
60444 RENEWAL OF A HOBBY BOILER LICENSE 379 kb 10/28/2021 Y