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Get Mi Eqp 5122a 2021-2026

Michigan Department of Environment, Great Lakes & Energy Materials Management Division INSTRUCTIONS FOR COMPLETING LIQUID INDUSTRIAL BYPRODUCT UNIFORM PROGRAM FEE WORKSHEET (ATTACHMENT A to EQP.

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How to fill out the MI EQP 5122A online

This guide provides comprehensive instructions on completing the MI EQP 5122A form online. It is designed to assist users at all experience levels, ensuring a smooth filing process.

Follow the steps to successfully complete the MI EQP 5122A form.

  1. Press the ‘Get Form’ button to access the MI EQP 5122A form. This will allow you to open the document in your preferred editor for completion.
  2. In Section 1, Item 1.2.A., provide the average number of power units that you own, lease, or operate. Ensure to count all vehicles in your fleet, regardless of their state. Exclude vehicles solely used for personnel transport.
  3. For Item 1.2.B., calculate the total transportation activity involving Liquid Industrial By-Product (LIBP) from the previous year, reporting this as a percentage. If you only transport LIBP, report it as 100%. Otherwise, use the number of LIBP shipments over total shipments to derive the percentage.
  4. Complete Item 1.2.C. by calculating the total transportation mileage in Michigan. Again, represent this data as a percentage, using similar methods as in the previous step. If all mileage is within Michigan, use 100%.
  5. In the following section, compute your apportioned fees based on your calculations from the previous items. Multiply the number of power units by the percentages from items B and C.
  6. Section 2 requires your company information. Provide your company name, mailing address, contact name, phone number, and email address.
  7. In Section 3, provide details related to the Alliance Program, including your base state and Uniform Hazardous Materials Program credential number. Ensure all information is accurate.
  8. Review your work for accuracy. Ensure that the necessary certifications on Attachment A are completed and signed by an authorized official of your company.
  9. Finally, save your changes, and download the completed form. You may also print or share the document as required. After ensuring all attachments and the payment receipt are ready, submit your application via email.

Complete your MI EQP 5122A form online today for efficient processing!

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