Get 2630-pm-becb0506 Application.pdf - Pennsylvania Department Of ... - Elibrary Dep State Pa

This guide provides a clear and comprehensive approach to filling out the 2630-PM-BECB0506 Application form online. By following the steps outlined below, users will be able to complete the application efficiently and accurately.

Follow the steps to fill out the application form online.

1. Click the ‘Get Form’ button to access the application. This will allow you to open the form in an editable format.
2. Begin by filling out Section I – Applicant Information. Enter your full name, Social Security Number (SSN), home address, and contact details including telephone numbers and email address.
3. In Section II – Application Type, indicate the type of application you are submitting: whether it's your first certification request, a modification or addition to an existing certification, or a renewal. Additionally, answer the questions regarding any prior enforcement actions or letters of denial.
4. Move to Section III – Current Employer Information. Provide your employer's details including the Federal Tax ID number, hire date, and the name and contact information for the employer.
5. In Section IV – Mail Correspondence Address, specify whether correspondence should be sent to your address or your employer’s address. If choosing the employer’s address, include their name.
6. Proceed to Section V – Certification Categories. Select the certification categories you are applying for, and ensure you include any required training certificates as attachments.
7. In Section VI – Applicant’s Certifying Statement, review and confirm the truthfulness of the information provided by signing and dating the form.
8. Complete Section VII – Employer’s Certifying Statement with the employer's signature and date.
9. Finally, ensure your application is complete by reviewing the Applicant’s Checklist. Once verified, save your changes, download a copy for your records, and prepare to submit the application by mail to the Pennsylvania Department of Environmental Protection, Bureau of Environmental Cleanup and Brownfields.

Complete your application online today to ensure smooth processing.