Get Disclosure Statement For Adeq Form

Filling out the Disclosure Statement for ADEQ is a crucial requirement for applicants seeking permits or licenses from the Arkansas Department of Environmental Quality. This guide provides a clear, step-by-step approach to help users accurately complete the form online.

Follow the steps to complete the Disclosure Statement for ADEQ form online.

1. Click the ‘Get Form’ button to access the form and open it in the editor.
2. Fill in the applicant's full name in the designated field. Ensure the name matches any legal documents.
3. Provide the mailing address, including the street number, P.O. Box, or rural route. Double-check for accuracy.
4. Indicate the city, state, and ZIP code for the mailing address in the appropriate fields.
5. Select all applicable checkboxes regarding the type of application by choosing the options that suit your circumstances (e.g., Individual, Permit, Corporate, etc.).
6. If there's been no change since your last submission, check the 'Declaration of No Changes' box and provide the date of the last submission.
7. Describe your experience and credentials in environmental regulations in the corresponding section. Feel free to attach additional pages if needed.
8. List any civil or criminal legal actions involving environmental protection laws in the past ten years. Include details and additional pages if necessary.
9. Complete the sections for listing all officers, directors, partners, and supervisory personnel as instructed. Ensure that names and addresses are clear.
10. Fill in the ownership details regarding individuals or entities controlling over five percent of the applicant's equity, as required.
11. Provide details of any legal entities in which the applicant holds a significant interest. Include relationships that may influence operations.
12. List and explain the organizational relationships between the applicant and parent or subsidiary companies.
13. Ensure compliance declarations regarding historical adherence to environmental laws are clearly stated.
14. Complete the acknowledgment section, affirming the information is correct and understanding the penalties for providing false information.
15. Once all sections are complete, review the form for accuracy. Save the changes, and download, print, or share the completed disclosure statement as needed.

Complete your disclosure statement online today to ensure your application is processed without delays.