Get State Of New Hampshire Department Of Environmental Services Asbestos Management And Control Program

This guide provides a clear, step-by-step approach to completing the State of New Hampshire Department of Environmental Services Asbestos Management and Control Program application for license as an asbestos abatement entity. By following these instructions, users can ensure that their application is filled out accurately and submitted properly.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it in your document editor.
2. In the 'Applicant' section, fill in the name of your firm, business location, city or town, state, and zip code. Provide your telephone number, fax number, email address, and mailing address, using the same formatting as above.
3. In the 'Application Information' section, indicate whether this is a new application or a renewal application by checking the correct box. If it is a renewal, ensure you attach a copy of your current license.
4. Specify the type of applicant by checking the appropriate option: Individual/Sole Proprietorship, Corporation, Partnership, Unincorporated Association, or Other. If 'Other,' please specify.
5. Indicate whether you have previously applied for an asbestos-related certificate in New Hampshire. If yes, enter the name under which you filed with the NH Secretary of State and your entity status.
6. List any names, acronyms, or identifiers under which you are known in business.
7. If applicable, declare whether you hold any certifications or official permits for asbestos abatement in other states and list the states and license numbers.
8. In the 'Responsible Persons' section, list the names and legal addresses of responsible persons who manage asbestos work in your organization.
9. Attach documentation confirming attendance and completion of an approved training course for at least one responsible person, including the name of the course, the sponsor, date, and exam grade.
10. In the 'Site Supervisors' section, list any New Hampshire certified asbestos abatement site supervisors employed by your organization. Attach additional sheets if necessary.
11. Attach a list of asbestos abatement projects completed or ongoing in the last twelve months, including details such as project date, project owner, contact person, and site supervisor.
12. Indicate if there are any state or federal enforcement actions against your organization regarding asbestos abatement work. If yes, provide detailed information about the action.
13. In the 'Statement of Compliance,' confirm your understanding of New Hampshire Asbestos Management Rules and certify that all information provided is accurate. Sign, print your name, indicate your title, and specify the date.
14. Finally, ensure to send the completed application with the appropriate application fee of $1,000 for a new application or $750 for a renewal application, payable to 'Treasurer, State of New Hampshire.'
15. Save the changes to your document, and consider downloading, printing, or sharing the completed form as necessary.

Complete your asbestos management application online today!