Get Responsible Official Add/change Form - Dec Alaska

Completing the Responsible Official Add/Change Form accurately is essential for effective digital document management. This guide provides clear, step-by-step instructions for filling out the form online, ensuring users can navigate the process confidently.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to access the Responsible Official Add/Change Form and open it in your preferred editing tool.
2. In the 'Stationary Source Name' field, provide the complete name of the stationary source involved.
3. Next, input the permit number in the 'Permit #' section to identify the specific permit associated with the stationary source.
4. Make sure to attach supporting documentation that demonstrates how the individual fits the selected definition.
5. If you are removing a Responsible Official, enter their name, title, and any additional individuals as necessary in the 'REMOVE THE FOLLOWING RESPONSIBLE OFFICIAL(S)' section.
6. Include their contact information, such as phone number and email address.
7. If there are any changes to the mailing address for the new Responsible Officials, provide the updated information as required.
8. For the 'Responsible Official Certification' section, ensure the designated official signs the form, includes their title, printed name, and date of signing, confirming the authenticity of the information provided.
9. After completing all sections, review the form for accuracy, make any necessary edits, and then save changes. You can download, print, or share the completed form as needed.

Complete your Responsible Official Add/Change Form online today to stay compliant and organized!