Forms and Publications

We've posted here a number of documents relating to the filing of required information, as well as planning guidance and information requests.

List of Publications: Sortable and Searchable
Name Type pdf rtf other Year
Emergency Information for Farmers, Food Processors and Distributors:
This brochure is intended for use in the event of a nuclear plant release to the ingestion pathway that affects Maine.
Brochure 638592- 2014
Facility Plan Review Document:
This is for EHS facilities that have to review their plan annually.
Form 637150-PDF 637150-DOC
Toxic Chemical Release Form Instructions:
Instructions for a facility filing Toxic Release Inventory (TRI) forms.
Form Instructions 22230-TRI.docx 2008
Hazardous Materials Registration and Inventory Fee Worksheet:
NEW combined Hazardous Materials Registration and Facility Inventory Fee Worksheet.
Form 85058- 2009
SERC Facility letter:
Letter sent to facilities describing filing and fee reports for hazardous materials inventories. Also used by Homeland Security grant applicants to review requirements.
Form Grant Guidance 318010-SERC Letter.pdf 2011
LEPC Contacts:
Here is a list of all the LEPCs with contact information for the State of Maine.
Form 341033-LEPC Contacts.doc 2012
Tier 2 Submit Reporting Package:
This is the complete 2014 facility reporting package.
Form 612955-zip
Hazardous Materials Registration and Inventory Fee Instructions:
Instructions for Hazardous Materials Facility combined Registration and Inventory fee form.
Form Instructions 15048-doc 2009
ICS-201 SAMPLE for Transportation Incidents:
Sample ICS-201 Incident Briefing Form showing important information for Hazmat Transportation Incidents
Form 630582-pdf 2014
AR-1 Form:
The NEW Standard Maine form to report a hazardous materials spill to SERC, LEPC and DEP
Form 15040-pdf 2012
Suspicious Substance Protocol:
Guidelines for first responders' use when dealing with a suspicious substance, including suspicious packages or envelopes. Revised August 2011 to combine previous protocols and screening tool into one document.
Guidance Policy 15072-pdf 15072-doc 2011
Maine LEPC Membership Application:
This is an application a person would fill out to become a member of the Local Emergency Planning Committee.
Form 210516-doc 2011
Suspicious Substance Protocol Presentation:
Training presentation on Suspicious Substance Protocol.
Form Guidance 83359-pdf 83359-ppt 2009
Annual and Legal Requirements for LEPCs:
Summary of LEPC responsibilities.
Guidance Policy 69926-doc 2009
Credentialing Card Development Guide:
Guide for gathering base data and photos for credential cards for special teams.
Guidance Instructions Policy 69928-doc 2009
SERC Credit Card Payment Form:
Fill-able form to submit payment for facility chemical inventory fees via credit card or check. Form may be filled out electronically and either emailed, faxed or mailed.
Form 68043-pdf 2009
Sample SERC Letter:
Sample letter the SERC to verify that a facility no longer meets the requirement to file Chemical Inventory Report Forms
Form 22231-pdf 22231-doc 2008
Hazardous Materials Response Model Plan:
This document is an example of a facility hazardous materials response plan. This can be used as a plan template.
Plan 26716-doc 2004
Hazardous Materials Training Grant Application:
Application for an LEPC to apply to the SERC for a Training Grant
Grant 22235-doc 2006
Right-to-Know Request Form:
This form may be used to request hazardous materials information available under the Emergency Planning and Emergency Right to Know Act (EPCRA).
Form 22523-pdf 22523-doc 2008


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