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Annual Reporting Forms

The Emergency Planning and Community Right-To-Know Act (EPCRA) of 1986 requires facilities meeting certain criteria to register with the State Emergency Response Commission (SERC) for Hazardous Materials. The links below comprise a reporting package to assist these facilities in meeting the Act's annual reporting requirements and obligation to submit an annual registration fee as required by Florida law (Chapter 252, Part II, Florida Statutes). Annual registration fees and forms must be submitted to the SERC by March 1 of each year. Governmental bodies are exempt from paying the annual registration fees, and certain agricultural facilities may be eligible for adjusted annual fees. In addition, Section 312 facilities are required to submit an annual chemical inventory report (Tier Two form) to the SERC, their Local Emergency Planning Committee, and their local fire department by the March 1 deadline.

If you have any questions or need assistance determining your reporting or fee payment status, please call the SERC's Compliance Planning Section at (850) 413-9970 or (800) 635-7179 (in Florida).

The following forms are available for downloading.
(
If you have any difficulty downloading these forms please right click on the link and choose "Save as ...".  This will save the form to your computer. Remember where you saved the form and open it  from there.)

2008 Annual Fee Package   (Contains the Consolidated Annual Registration Form, Tier Two Form, and the Tier Two Instructions)

Consolidated Annual Registration Form:   WPD DOC  PDF  

Tier Two Form:  DOC 

the NEW interactive Tier Two Form: PDF   
(Note: You must have Acrobat Writer to save any data enter into the PDF Tier Two Form)

Tier Two instructions  

Statement of Determination:   DOC  PDF  

Section 302/303 Form:   WPD  DOC  PDF  
(Emergency Planning Notification/
Facility Representative Notification)

Section 311 Reporting Form:  WPD  DOC  PDF  

Section 313 Toxic Chemical Release Inventory (TRI) Fee Form:   WPD  DOC  PDF  

Tier Two Confidential Information Sheet  

LEPC Contact Information

Section 304 Hazardous Substance Release Questionnaire

This web site publishes numerous documents using Adobe's(R) Portable Document Format (PDF). These files may be displayed or printed exactly as the author created the document. Click here to download free Adobe Acrobat Reader for pdf documents.

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