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  • Pa 3800-fm-bcw0424 2022

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Opening 'EMR PERMITTED REGISTRATION FORM ' (174 KB). Depending on your connection speed, this document may take several minutes to open. Please wait.

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How to fill out the PA 3800-FM-BCW0424 online

This guide provides clear and comprehensive instructions on how to fill out the PA 3800-FM-BCW0424 form online. The form is essential for facilities registering for the eDMR system under the Pennsylvania Department of Environmental Protection, ensuring compliance and proper data management.

Follow the steps to complete the eDMR permittee registration form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
  2. In Part A, enter the Permittee name, Permit number, Facility name, and Mailing address in the appropriate fields.
  3. Proceed to Part B. For each required User Account Information section, select the Account Security requested (Viewer, Preparer, Certifier) and fill in the Last Name, Middle Name/Initial, First Name, Employer Name, Email Address, Job Title, Keystone Username, and Phone Number. For Certifiers, ensure the 'Authorized' box is checked 'Yes' to grant permission to submit reports.
  4. If modifying certifiers or transferring permits, specify the Action Requested in the User Account Information section. Indicate whether to Add or Remove Certifiers and complete the corresponding fields.
  5. For Part C, type or print your Name and Official Title, and provide your Signature and Date to certify that the information is accurate.
  6. Review the completed form for accuracy. Users can then save changes, download, print, or share the form through the online platform.

Ensure your facility is registered correctly by filling out the PA 3800-FM-BCW0424 form online today.

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