Online Asbestos Annual Notice Instructions/Help

Do you need to submit a quarterly report for an Annual Asbestos Removal Project? Use this web form to supply a request for a new Annual Notice. Simply:

1. Use the guides below to assist in completing the form
2. No fees are required for submitting quarterly project reports
3. Review your fields for accuracy
4. Click the reCaptcha box
5. Complete the Challenge Pictures if requested
6. Click the SUBMIT button

Year/Asbestos Disposal

Select the calendar year for the Annual Notice. Select the Yes check box if you have the ability to store asbestos-containing material onsite. If you check the No check box then select the disposal site to be used to house the material.

Property Information

Describe the property where re-ocurring asbestos removal will occur.

• Enter the first and last name of the property owner and phone number
• Supply the Mailing Address of the property owner
• Enter a short name of the equipment or object containing asbestos

Company Information

Supply the Company information for this Notice.

• Enter the name of the company and the company phone number
• Enter the mailing address of the company

Contact

Describe the responsible party and site contact persons for this Notice.

• Supply the first and last names, title and phone number of the person responsible for the project
• Supply the first and last names, title and phone number of the site contact person

Payment

A Fee of $735.00 is required to process this Annual Notice. You may pay by Credit/Debit Card or Electronic Check.

For Credit/Debit card: Select the Pay by Debit Card radio button. Enter your 16 digit Credit Card Number (no spaces or dashes), Expiration Date as mm/yy, 3-digit CVV number from the back of your card, and complete billing address information in the boxes provided. Don't forget your Cardholder Phone Number as ###-###-#### and email address. All fields must be completed in this section.

For Electronic Check: Select the Pay by Electronic Check radio button. Enter your 9 digit ABA Routing Number, Account Number, select Account type, Bank Name, and Accountholder information. All fields must be completed in this section.

Certification

This section requests the identification of the person submitting this Annual Notice request. Enter the full first and last name, optional title or job position, the name of the company being represented, a valid email address, and phone number.

To prevent erroneous submissions from automated spam processes, click the check box in the reCAPTCHA box. If presented with a challenge picture, select the panels that correspond to the question asked. Upon successful completion the check box will be replaced with a green check mark.

After you review your content, click the SUBMIT button at the bottom of the form. Your entries will be validated and if there are errors a red error box appears at the top of the page. Correct the fields listed in the error box and click SUBMIT button again.

After a few moments you will be directed to a confirmation page. If there are no process errors an email notice of your request is sent to our staff. If an error occurs during processing an error message appears instructing you as to what needs to be done to complete your request.