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
Important: These forms MUST be downloaded to function properly (may contain automatic calculations, field validations, tab order, etc.). Using the PDF viewer within the browser disables this functionality.

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 521 kb 11/01/2023 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