Get Application For Transfer Of Permit Or Notification Of Name Change

This guide provides a clear, step-by-step approach to filling out the Application For Transfer Of Permit Or Notification Of Name Change online. Whether you are changing a facility name or transferring a permit, this comprehensive guide is designed to assist users of all backgrounds in completing the process efficiently and correctly.

Follow the steps to successfully submit your application online.

1. Click ‘Get Form’ button to access the application document and open it in your preferred online editor.
2. In Part I (General Information), fill in your permit number, date issued, expiration date, existing facility name, county, and facility location. Ensure accuracy while entering these details, as they will be critical for processing your application.
3. Complete details about the permittee, including the legal entity name, authorized representative's name, job title, email, and telephone number. Fill in the mailing address accurately, using the appropriate street or P.O. Box information.
4. In Part II, check all boxes that apply to your situation. For example, if financial assurance documentation is required, indicate this and attach the necessary documentation as instructed. For each applicable box, follow any additional directives provided.
5. If you selected box 2 regarding a name change, proceed to Part III and provide the new facility name and new permittee name, or indicate 'no change' if applicable. Ensure that the authorized representative signs and dates this section.
6. For box 3 (transfer of permit), complete Part IV. Both the current permittee and the proposed new permittee must fill out their respective sections, including signatures, dates, and contact information.
7. Once all sections are filled out accurately, review the entire application for completeness. Then, save your changes to ensure no information is lost. You can download or print a copy for your records.
8. Finally, submit the completed form along with any required attachments and payment to the designated Department District Office. Ensure to follow up as necessary to confirm receipt and processing of your application.

Ensure your application is completed accurately by following the steps outlined and submit it online today!