Forms

To assist you in finding the forms you need, we have grouped them according to the Division. Use the search option to search by Form Name. If you're looking for a publication, please search the Publications page.

Filter by Division

Form #	Form Name	Division	Program Area	Instructions	Effective-Revision Date
62.761.900	Discharge Reporting Form	Division of Law Enforcement	Office of Emergency Response	Discharge-Report-Form-Instr_12Jan17.pdf	January 11, 2017
62B-56.900(10)	Trust Fund Agreement	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(11)	Payment Bond	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(13)	Letter of Credit	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(14)	Standby Trust Agreement	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(2)	Financial Assurance Worksheet	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(3)	Sand Quality Assurance/Quality Control (QA/QC) Plan	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(4)	Reconstructed Dune Environmental/Biological Assessment	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(5)	Permit Transfer Agreement	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(6)	Final Construction Certification of Reconstructed Dune	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(7)	Conversion of Permit from Construction Phase to Maintenance Phase	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(8)	Maintenance Inspection Report (Annual)	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62B-56.900(9)	Periodic Progress Report	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		June 22, 2009
62C-16 Form 1	Application for a Conceptual Reclamation Plan or Modification	Division of Water Resource Management	Mining and Mitigation Program		May 28, 2006
62C-16 Form 2	Annual Mining and Reclamation Report	Division of Water Resource Management	Mining and Mitigation Program		May 28, 2006
62C-16 Form 3	Notice of Disturbance	Division of Water Resource Management	Mining and Mitigation Program		May 28, 2006
62C-16 Form 4	Variance Application	Division of Water Resource Management	Mining and Mitigation Program		May 28, 2006
62C-16 Form 6	Field Change Application	Division of Water Resource Management	Mining and Mitigation Program		May 28, 2006
62C-36 Form 1	Notice of Intent to Mine Limestone	Division of Water Resource Management	Mining and Mitigation Program		July 16, 1987
62C-36 Form 2	Limestone Mine General Information and Conceptual Plan for Mining and Reclamation	Division of Water Resource Management	Mining and Mitigation Program		July 16, 1987
62C-36 Form 3	Limestone Mine Conceptual Change Plan for Mining and Reclamation	Division of Water Resource Management	Mining and Mitigation Program		July 16, 1987
62C-36 Form 4	Limestone Mine Annual Mining and Reclamation Report	Division of Water Resource Management	Mining and Mitigation Program		July 16, 1987
62C-36 Form 5	Limestone Mine Notice of Cessation of Operations	Division of Water Resource Management	Mining and Mitigation Program		July 16, 1987
62C-36 Form 6	Limestone Mine Reclamation Release Request	Division of Water Resource Management	Mining and Mitigation Program		July 16, 1987
62C-38 Form 1	Notice of Intent to Mine Fuller's Earth	Division of Water Resource Management	Mining and Mitigation Program		November 29, 1990
62C-38 Form 2	Fuller's Earth Mine Conceptual Reclamation Plan Modification	Division of Water Resource Management	Mining and Mitigation Program		November 29, 1990
62C-38 Form 3	Fuller's Earth Mine Annual Mining and Reclamation Report	Division of Water Resource Management	Mining and Mitigation Program		November 29, 1990
62C-38 Form 4	Fuller's Earth Mine Notice of Cessation of Mining Operations	Division of Water Resource Management	Mining and Mitigation Program		November 29, 1990
62C-38 Form 5	Fuller's Earth Mine Reclamation Release Request	Division of Water Resource Management	Mining and Mitigation Program		November 29, 1990
62C-38 Form 6	Fuller's Earth Mine Temporary Land Use Request	Division of Water Resource Management	Mining and Mitigation Program		November 29, 1990
62C-39 Form 1	Notice of Intent to Mine or Mining Other Resources	Division of Water Resource Management	Mining and Mitigation Program		January 19, 1989
62C-39 Form 2	Other Resources Mine Reclamation Release Request	Division of Water Resource Management	Mining and Mitigation Program		January 19, 1989
62C-39 Form 3	Other Resources Mine Notice of Cessation of Operations	Division of Water Resource Management	Mining and Mitigation Program		January 19, 1989
7	Form 7 Notice of Completion of Geophysical Operations	Division of Water Resource Management	Oil and Gas Program		March 1, 1998
73-100	CCCL Permit Application	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		November 28, 2018
73-101	General Permit Application	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		October 4, 2018
73-111	Periodic Progress Report	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		September 1, 2013
73-113	Request for Permit Time Extension	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		July 6, 2022
73-114B	Foundation Location Certification	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		July 6, 2022
73-115B	Final Certification	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		July 6, 2022
73-500	Joint Application for Joint Coastal Permit	Office of Resilience and Coastal Protection	Beaches, Inlets and Ports Program		September 12, 2019
73-501	CCCL Elevation Certificate	Office of Resilience and Coastal Protection	Coastal Construction Control Line Program		December 1, 2001
8	Form 8 Well Record	Division of Water Resource Management	Oil and Gas Program		March 1, 1998
9	Form 9 Well Completion Record (First Production or Retest Report)	Division of Water Resource Management	Oil and Gas Program		March 1, 1998
AC Bid App	AC Bid Application for Single or Bundled Sites	Division of Waste Management	Petroleum Restoration Program		October 20, 2024
Application for Transfer of a Permit	Application for Transfer of a Permit	Division of Waste Management	Permitting and Compliance Assistance Program		January 29, 2006
ASA-A	DSCP Advanced Site Assessment Request (Attachment A)	Division of Waste Management	Waste Cleanup Program		July 27, 2017
ASA-B	Real Property Owner Intent to Execute an Interim Restrictive Covenant (Attachment B)	Division of Waste Management	Office of District and Business Support		July 27, 2017
ASA-C	Site Access Agreement (Attachment C)	Division of Waste Management	Waste Cleanup Program		July 27, 2017
ASA-D	Conditional Closure Interim Restrictive Covenant (Attachment D)	Division of Waste Management	Waste Cleanup Program		July 27, 2017

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