Get Dep Adjudicatory Hearing Fee Transmittal Form

The Dep Adjudicatory Hearing Fee Transmittal Form is a crucial document for anyone seeking to file a request for an adjudicatory hearing. Filling out this form accurately and completely is essential for a smooth filing process.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. In the 'Person/Party Making Request' section, enter your name and address. If applicable, include the name of a group representative. Ensure that you fill in the street address, city, state, and zip code.
3. Next, provide the project information. Fill in the street address, city, and the DEP file or ID number. Include the amount of the filing fee, which is $100.00.
4. Enter your email address in the designated field to ensure proper communication regarding your submission.
5. If applicable, fill out the 'Applicant' section with the name and address of the applicant. Like before, include the name of the group representative if necessary, along with the street address, city, state, zip code, and email address.
6. Review all information entered to verify its accuracy. Be sure to use the tab key to navigate while filling out the form.
7. After confirming that all details are correct, save your changes, download the completed form, and print it. Make sure to keep a copy for your records.
8. Include the completed form with your check or money order made payable to the Commonwealth of Massachusetts and send it to the provided MassDEP Lockbox address. Also, send a copy of this form and payment with the Request for Adjudicatory Appeal to the appropriate Case Administrator.

Start filling out your documents online today to ensure your request is processed efficiently.