Get Conn Dep Report Form (below)

Filling out the CONN DEP Report Form is an important task for reporting petroleum or chemical product discharges. This guide will provide you with clear, step-by-step instructions on how to accurately complete the form online.

Follow the steps to effectively complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the time and date of the discharge, spillage, etc., in the designated field.
3. Provide the specific location of the pollution, including the name of the town, river, highway, and the distance from the nearest intersection.
4. Specify the type of oil, petroleum, or chemical pollutant or contaminant involved.
5. Indicate the quantity of discharge, spillage, seepage, or filtration in the space provided.
6. Describe the cause of the pollution or contamination. Include details about the type of vessel or containers involved, as well as a description of what occurred to cause the discharge.
7. If applicable, provide the location of departure and destination for pollutants or contaminants discharged from a moving vessel or vehicle.
8. Fill in the name and address of the owner of the vessel or establishment that caused the pollution.
9. Provide the name and address of the person making this report.
10. Enter the title or relationship to the owner of the person making the report.
11. Affirm the accuracy of the report by signing in the space provided.
12. Once all fields are completed, you can save changes, download, print, or share the form as needed.

Complete the CONN DEP Report Form online today to ensure accurate reporting and compliance.