Indiana Department of Environmental Management Forms

This form is used for the Initial Site Characterization (ISC) Report in Indiana. It includes a cover sheet and report format for assessing the characteristics of a site.

This Form is used for disclosing good character information in the state of Indiana. It is required for certain applications and licensing processes.

This document is an entry form for the Governor's Environmental Art Challenge in Indiana. It allows participants to submit their artwork related to the environment for a chance to win prizes.

This Form is used for submitting the Indiana Clean Marina Pledge to the state of Indiana.

This Form is used for self-disclosure and conducting an environmental audit in the state of Indiana.

This form is used for conducting a survey to gather information on the market for recyclable materials in Indiana.

This document is used for the Indiana Environmental Stewardship Program Checklist for Potential Regulatory Incentives in Indiana. It outlines the requirements and checklist items for businesses to qualify for regulatory incentives as part of the program.

This form is used for reporting the residual levels of chlorine and chloramines in water in the state of Indiana.

This Form is used for certifying the Consumer Confidence Report for drinking water in the state of Indiana.

This Form is used for reporting the residual levels of chlorine and chloramines in Indiana's drinking water supply.

This Form is used for certifying electronic delivery of Consumer Confidence Report for drinking water in the state of Indiana.

This Form is used for recordkeeping purposes in Indiana pertaining to the Filter Backwash Recycling Rule (FBRR).

This form is used for monthly monitoring of chlorine dioxide in the state of Indiana.

This Form is used for reporting the presence of inorganic chemicals in drinking water in Indiana.

This form is used for monthly monitoring of the turbidity levels in individual filter effluent (IFE) in Indiana.

This Form is used for the Indiana Clean Community Challenge Annual Performance Summary in Indiana.

This Form is used for reporting the combined filter effluent turbidity in Indiana.

This Form is used for reporting the monthly total organic carbon removal in Indiana.

This Form is used for subscribing and agreeing to the terms of the Electronic Sample Entry (ESE) service in Indiana.

This form is used for testing the levels of nitrate and nitrite in drinking water in the state of Indiana.

This Form is used for reporting the levels of lead and copper in drinking water in Indiana.

This form is used for submitting a monthly report on the operation of a water treatment plant in Indiana.

This Form is used for reporting compliance with the Stage 2 Disinfectants and Disinfection Byproducts Rule in the state of Indiana.

This form is used for reporting the test results of a new public water supply well pump in Indiana.

This document is used to apply for a construction permit for a public water system in the state of Indiana, as required by the Indiana Administrative Code 327 IAC 8-3-3.

This Form is used for conducting a Stage 2 Operational Evaluation on the Distribution System in the state of Indiana.

This Form is used for applying for an Industrial Streamlined Mercury Variance (SMV) in the state of Indiana.

This Form is used for reporting total coliform levels in groundwater and complying with the Groundwater Rule in the state of Indiana.

This form is used for seasonal system start-up requirements for hand pump wells in the state of Indiana. It provides guidelines and requirements for properly starting up hand pump wells during different seasons.

This form is used for analyzing Trihalomethanes (TTHM) and Haloacetic Acids (HAA5) in drinking water in the state of Indiana.

This form is used for reporting monthly operations and package type wastewater treatment plants that have a capacity of less than 0.05 million gallons per day in Indiana.

This Form is used for reporting water quality parameters and source water information in the state of Indiana.

This Form is used for reporting the presence of Synthetic Organic Compounds (SOC's) in drinking water in the state of Indiana.