Reporting: Hardcopy Forms and Instructions
Instructions and forms used to make a paper submission of the Emissions Statement. These are not necessary if an electronic submission is made.
Blank forms can be found in the forms catalog at the Indiana Commission on Public Records in either Microsoft Word or Adobe Acrobat. If you have any questions regarding these forms please contact state staff. The required forms are;
- Micorsoft Word Versions
- AES-01 Air Emission Statement Certification State Form 52052
- AES-02 General Facility Information State Form 52053
- AES-03 Stack Information State Form 52054
- AES-04 Abatement Equipment State Form 52055
- AES-05 Group/Process/Emissions Information State Form 52056
- AES-06 Voluntary Hazardous Air Pollutant Reporting Form 52057
- Adobe Acrobat PDF Versions
- AES-01 Air Emission Statement Certification State Form 52052
- AES-02 General Facility Information State Form 52053
- AES-03 Stack Information State Form 52054
- AES-04 Abatement Equipment State Form 52055
- AES-05 Group/Process/Emissions Information State Form 52056
- AES-06 Voluntary Hazardous Air Pollutant Reporting Form 52057
Source Specific Forms
Contact state staff for a set of source specific forms. These forms will contain much of the from the last report and have blank fields where updates are most likely needed.
Top FAQsI Want To...
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