Get Ma Adjudicatory Hearing Fee Transmittal Form 2017-2026

This guide provides clear and comprehensive instructions for completing the Massachusetts Adjudicatory Hearing Fee Transmittal Form online. It is designed to assist users of all backgrounds in navigating the form efficiently.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to obtain the Adjudicatory Hearing Fee Transmittal Form and open it for editing.
2. In section A, provide the name and address of the person or party making the request. Ensure that you use the tab key to navigate through the fields, avoiding the return key.
3. Include the project information by entering the project’s street address, city, DEP file or ID number, and the amount of the filing fee being submitted.
4. If applicable, complete section B by entering the name and address of the applicant. Again, provide the street address, city, state, and zip code along with the email address.
5. Refer to section C for instructions. Prepare to send the completed form along with a check or money order for $100.00 made payable to the Commonwealth of Massachusetts to the specified MassDEP Lockbox address.
6. Make sure to send a copy of the filled-out form and the payment to the Office of Appeals and Dispute Resolution along with your Request for Adjudicatory Appeal.
7. After completing the form, you can save the changes, download it for your records, or print a hard copy.

Complete your documents online today and ensure a smooth submission process.