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Forms

Permits

Forms
  1. Air District
  2. Forms
  3. Permits

View and download application, renewal, and related forms for Air District Permit, Title V and Synthetic Minor programs.

New requirements for facilities in Overburdened Communities
New requirements apply to facilities located in overburdened communities. Use the interactive mapping tool, Overburdened Communities Map, to determine if a project is located in an overburdened community and consult Frequently Asked Questions (FAQs) for 2022 Permit Reform(423 Kb PDF, 5 pgs, revised 8/15/2022).

Support for Businesses Aiding COVID-19 Response
The Air District will prioritize and expedite permits for businesses and organizations changing or repurposing operations to aid in the public health response to COVID-19.

Read our full instructions to apply for Expedited Permits for COVID-19.

Special Instructions During Shelter-in-Place
Due to the Bay Area's emergency Shelter-in-Place Order, the Air District’s office staff began working from home on March 17.

* Please do not visit our office to meet with staff or drop off materials.

Read our full instructions for handling Permit business, which will be in effect for the duration of California’s Shelter-in-Place Order.

Permit Application Forms

Form NameDivisionDocumentTable Mobile Only Column
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123
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 27 items in 3 pages
Abatement DeviceEngineeringA - Abatement Device
(78 Kb PDF, 2 pgs, posted 12/2/2020)
Abatement Device
Division:
Engineering
Document:
A - Abatement Device
(78 Kb PDF, 2 pgs, posted 12/2/2020)
Environmental InformationEngineeringAppendix H
(197 Kb PDF, 3 pgs, revised 7/20/2016)
Environmental Information
Division:
Engineering
Document:
Appendix H
(197 Kb PDF, 3 pgs, revised 7/20/2016)
Boiler RegistrationEngineeringBoiler Registration
(155 Kb PDF, 2 pgs, posted 7/15/2020)
Boiler Registration
Division:
Engineering
Document:
Boiler Registration
(155 Kb PDF, 2 pgs, posted 7/15/2020)
Combustion OperationsEngineeringC
(221 Kb PDF, 2 pgs, posted 7/12/2021)
Combustion Operations
Division:
Engineering
Document:
C
(221 Kb PDF, 2 pgs, posted 7/12/2021)
Coater Data WorksheetEngineeringCD
(14 Kb PDF, 2 pgs, revised 12/11/2012)
Coater Data Worksheet
Division:
Engineering
Document:
CD
(14 Kb PDF, 2 pgs, revised 12/11/2012)
Dry Cleaner - Use the New Permit Technology SystemEngineeringD
(83 Kb PDF, 1 pg, revised 9/21/2016)
Dry Cleaner - Use the New Permit Technology System
Division:
Engineering
Document:
D
(83 Kb PDF, 1 pg, revised 9/21/2016)
Dry Cleaning Risk Screening Form - Use the New Permit Technology SystemEngineeringD
(83 Kb PDF, 1 pg, revised 9/21/2016)
Dry Cleaning Risk Screening Form - Use the New Permit Technology System
Division:
Engineering
Document:
D
(83 Kb PDF, 1 pg, revised 9/21/2016)
Dry Cleaner Ventilation GuidelinesEngineeringD Guidlines
(93 Kb PDF, 7 pgs, revised 12/11/2012)
Dry Cleaner Ventilation Guidelines
Division:
Engineering
Document:
D Guidlines
(93 Kb PDF, 7 pgs, revised 12/11/2012)
Semiconductor Fabrication AreaEngineeringSemiconductor Fabrication Area
(254 Kb PDF, 4 pgs, revised 7/20/2016)
Semiconductor Fabrication Area
Division:
Engineering
Document:
Semiconductor Fabrication Area
(254 Kb PDF, 4 pgs, revised 7/20/2016)
Semiconductor Fabrication WorksheetEngineeringF Worksheet
(491 Kb PDF, 6 pgs, revised 9/1/2016)
Semiconductor Fabrication Worksheet
Division:
Engineering
Document:
F Worksheet
(491 Kb PDF, 6 pgs, revised 9/1/2016)

Administrative and Permit Renewal Forms

 

Form NameDivisionDocumentTable Mobile Only Column
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 5 items in 1 pages
Device and Facility Shutdown FormEngineeringDevice and Facility Shutdown Form
(488 Kb PDF, 2 pgs, posted 1/21/2021)
Device and Facility Shutdown Form
Division:
Engineering
Document:
Device and Facility Shutdown Form
(488 Kb PDF, 2 pgs, posted 1/21/2021)
Device Data UpdateEngineeringDDU
(265 Kb PDF, 2 pgs, revised 7/20/2016)
Device Data Update
Division:
Engineering
Document:
DDU
(265 Kb PDF, 2 pgs, revised 7/20/2016)
Data Update InstructionsEngineeringDU
(242 Kb PDF, 14 pgs, revised 7/20/2016)
Data Update Instructions
Division:
Engineering
Document:
DU
(242 Kb PDF, 14 pgs, revised 7/20/2016)
Facility Information UpdateEngineeringFIU
(241 Kb PDF, 2 pgs, revised 7/20/2016)
Facility Information Update
Division:
Engineering
Document:
FIU
(241 Kb PDF, 2 pgs, revised 7/20/2016)
Additional InformationEngineeringX
(282 Kb PDF, 2 pgs, revised 7/20/2016)
Additional Information
Division:
Engineering
Document:
X
(282 Kb PDF, 2 pgs, revised 7/20/2016)

Title V and Synthetic Minor Forms

Form NameDivisionDocumentTable Mobile Only Column
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12
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 17 items in 2 pages
Detailed Emission ReportEngineeringDetailed Emissions Report
(174 Kb PDF, 1 pg, revised 7/20/2016)
Detailed Emission Report
Division:
Engineering
Document:
Detailed Emissions Report
(174 Kb PDF, 1 pg, revised 7/20/2016)
Exempt Source ListEngineeringExempt Source List
(83 Kb PDF, 2 pgs, revised 7/20/2016)
Exempt Source List
Division:
Engineering
Document:
Exempt Source List
(83 Kb PDF, 2 pgs, revised 7/20/2016)
Abatement DevicesEngineeringAbatement Devices
(87 Kb PDF, 1 pg, revised 7/20/2016)
Abatement Devices
Division:
Engineering
Document:
Abatement Devices
(87 Kb PDF, 1 pg, revised 7/20/2016)
Instructions for Application Package for Major Facility ReviewEngineeringInstructions for Application Package for Major Facility Review
(15 Kb PDF, 6 pgs, revised 5/27/2016)
Instructions for Application Package for Major Facility Review
Division:
Engineering
Document:
Instructions for Application Package for Major Facility Review
(15 Kb PDF, 6 pgs, revised 5/27/2016)
Applicable Requirements and Compliance SummaryEngineeringApplicable Requirements and Compliance Summary
(196 Kb PDF, 1 pg, revised 7/20/2016)
Applicable Requirements and Compliance Summary
Division:
Engineering
Document:
Applicable Requirements and Compliance Summary
(196 Kb PDF, 1 pg, revised 7/20/2016)
Certification StatementEngineeringCertification Statement
(98 Kb PDF, 1 pg, revised 7/20/2016)
Certification Statement
Division:
Engineering
Document:
Certification Statement
(98 Kb PDF, 1 pg, revised 7/20/2016)
Compliance Certification ScheduleEngineeringCompliance Certification Schedule
(120 Kb PDF, 1 pg, revised 7/20/2016)
Compliance Certification Schedule
Division:
Engineering
Document:
Compliance Certification Schedule
(120 Kb PDF, 1 pg, revised 7/20/2016)
Operating ScenariosEngineeringOperating Scenarios
(37 Kb PDF, 1 pg, revised 7/20/2016)
Operating Scenarios
Division:
Engineering
Document:
Operating Scenarios
(37 Kb PDF, 1 pg, revised 7/20/2016)
Permit Shield (Type A)EngineeringPermit Shield (Type A)
(38 Kb PDF, 1 pg, revised 7/20/2016)
Permit Shield (Type A)
Division:
Engineering
Document:
Permit Shield (Type A)
(38 Kb PDF, 1 pg, revised 7/20/2016)
Sources Not In ComplianceEngineeringCompliance Certification Schedule
(125 Kb PDF, 1 pg, revised 7/20/2016)
Sources Not In Compliance
Division:
Engineering
Document:
Compliance Certification Schedule
(125 Kb PDF, 1 pg, revised 7/20/2016)

Stand-alone Gasoline Dispensing Facilities - Permit Application Forms

Form NameDivisionDocumentTable Mobile Only Column
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 9 items in 1 pages
Facility Creation and Contacts FormEngineeringMust be submitted for all new facilities
(416 Kb PDF, 5 pgs, posted 6/29/2022)
Facility Creation and Contacts Form
Division:
Engineering
Document:
Must be submitted for all new facilities
(416 Kb PDF, 5 pgs, posted 6/29/2022)
Application Cover FormEngineeringApplication Cover Form
(405 Kb PDF, 5 pgs, revised 5/27/2016)
Application Cover Form
Division:
Engineering
Document:
Application Cover Form
(405 Kb PDF, 5 pgs, revised 5/27/2016)
GDF Form and Equipment Worksheet EngineeringGDF Form and Equipment Worksheet
(1 Mb PDF, 12 pgs, revised 5/27/2016)
GDF Form and Equipment Worksheet
Division:
Engineering
Document:
GDF Form and Equipment Worksheet
(1 Mb PDF, 12 pgs, revised 5/27/2016)
Permit Condition Change Request FormEngineeringPermit Condition Change Request Form
(309 Kb PDF, 2 pgs, revised 5/27/2016)
Permit Condition Change Request Form
Division:
Engineering
Document:
Permit Condition Change Request Form
(309 Kb PDF, 2 pgs, revised 5/27/2016)
Health Risk Assessment (HRA) FormEngineeringHealth Risk Assessment (HRA) Form
(820 Kb PDF, 6 pgs, posted 10/24/2017)
Health Risk Assessment (HRA) Form
Division:
Engineering
Document:
Health Risk Assessment (HRA) Form
(820 Kb PDF, 6 pgs, posted 10/24/2017)
Emission Point FormEngineeringEmission Point Form
(370 Kb PDF, 4 pgs, revised 5/27/2016)
Emission Point Form
Division:
Engineering
Document:
Emission Point Form
(370 Kb PDF, 4 pgs, revised 5/27/2016)
Fleet ORVR Exemption FormEngineeringFleet ORVR Exemption Form
(540 Kb PDF, 4 pgs, posted 4/18/2022)
Fleet ORVR Exemption Form
Division:
Engineering
Document:
Fleet ORVR Exemption Form
(540 Kb PDF, 4 pgs, posted 4/18/2022)
Startup Notification FormEngineeringStartup Notification Form
(319 Kb PDF, 2 pgs, posted 6/19/2019)
Startup Notification Form
Division:
Engineering
Document:
Startup Notification Form
(319 Kb PDF, 2 pgs, posted 6/19/2019)
How to Declare Confidential/Trade Secret InformationEngineeringHow to Declare Confidential/Trade Secret Information
(138 Kb PDF, 1 pg, revised 5/27/2016)
How to Declare Confidential/Trade Secret Information
Division:
Engineering
Document:
How to Declare Confidential/Trade Secret Information
(138 Kb PDF, 1 pg, revised 5/27/2016)

Auto Bodies and Dry Cleaners - Permit Application Forms

Form NameDivisionDocumentTable Mobile Only Column
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1
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 6 items in 1 pages
Auto Body FormEngineeringAuto Body Form
(1 Mb PDF, 3 pgs, revised 6/29/2018)
Auto Body Form
Division:
Engineering
Document:
Auto Body Form
(1 Mb PDF, 3 pgs, revised 6/29/2018)
Facility Creation and Contacts FormEngineeringMust be submitted for all new facilities
(416 Kb PDF, 5 pgs, posted 6/29/2022)
Facility Creation and Contacts Form
Division:
Engineering
Document:
Must be submitted for all new facilities
(416 Kb PDF, 5 pgs, posted 6/29/2022)
Application Cover FormEngineeringApplication Cover Form
(405 Kb PDF, 5 pgs, revised 5/27/2016)
Application Cover Form
Division:
Engineering
Document:
Application Cover Form
(405 Kb PDF, 5 pgs, revised 5/27/2016)
Dry Cleaner FormEngineeringDry Cleaner Form
(539 Kb PDF, 2 pgs, revised 6/29/2018)
Dry Cleaner Form
Division:
Engineering
Document:
Dry Cleaner Form
(539 Kb PDF, 2 pgs, revised 6/29/2018)
Permit Condition Change Request FormEngineeringPermit Condition Change Request Form
(309 Kb PDF, 2 pgs, revised 5/27/2016)
Permit Condition Change Request Form
Division:
Engineering
Document:
Permit Condition Change Request Form
(309 Kb PDF, 2 pgs, revised 5/27/2016)
How to Declare Confidential/Trade Secret InformationEngineeringHow to Declare Confidential/Trade Secret Information
(138 Kb PDF, 1 pg, revised 5/27/2016)
How to Declare Confidential/Trade Secret Information
Division:
Engineering
Document:
How to Declare Confidential/Trade Secret Information
(138 Kb PDF, 1 pg, revised 5/27/2016)

Stand-alone Auto Body, Gasoline Dispensing and Dry Cleaner Facilities - Information Update and Maintenance Forms

Form NameDivisionDocumentTable Mobile Only Column
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1
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 4 items in 1 pages
Device and Facility Shutdown FormEngineeringDevice and Facility Shutdown Form
(312 Kb PDF, 2 pgs, revised 5/27/2016)
Device and Facility Shutdown Form
Division:
Engineering
Document:
Device and Facility Shutdown Form
(312 Kb PDF, 2 pgs, revised 5/27/2016)
Facility Contacts FormEngineeringFacility Contacts Form
(327 Kb PDF, 3 pgs, revised 5/27/2016)
Facility Contacts Form
Division:
Engineering
Document:
Facility Contacts Form
(327 Kb PDF, 3 pgs, revised 5/27/2016)
Facility Name and NAICS Code Change FormEngineeringFacility Name and NAICS Code Change Form
(526 Kb PDF, 2 pgs, revised 5/27/2016)
Facility Name and NAICS Code Change Form
Division:
Engineering
Document:
Facility Name and NAICS Code Change Form
(526 Kb PDF, 2 pgs, revised 5/27/2016)
Transfer of Ownership FormEngineeringTransfer of Ownership Form
(502 Kb PDF, 2 pgs, revised 5/16/2019)
Transfer of Ownership Form
Division:
Engineering
Document:
Transfer of Ownership Form
(502 Kb PDF, 2 pgs, revised 5/16/2019)

 

Form NameDivisionDocumentTable Mobile Only Column
Data pager
Data pager
1
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 8 items in 1 pages
Facility Creation and Contacts Form - Gasoline Dispensing StationsEngineeringFacility Creation and Contacts Form
(416 Kb PDF, 3 pgs, posted 6/29/2022)
Facility Creation and Contacts Form - Gasoline Dispensing Stations
Division:
Engineering
Document:
Facility Creation and Contacts Form
(416 Kb PDF, 3 pgs, posted 6/29/2022)
Application Cover Form - Gasoline Dispensing StationEngineeringApplication Cover Form
(405 Kb PDF, 3 pgs, revised 5/27/2016)
Application Cover Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Application Cover Form
(405 Kb PDF, 3 pgs, revised 5/27/2016)
GDF Form and Equipment Worksheet - Gasoline Dispensing StationEngineeringGDF Form and Equipment Worksheet
(1 Mb PDF, 3 pgs, revised 5/27/2016)
GDF Form and Equipment Worksheet - Gasoline Dispensing Station
Division:
Engineering
Document:
GDF Form and Equipment Worksheet
(1 Mb PDF, 3 pgs, revised 5/27/2016)
Permit Condition Change Request Form - Gasoline Dispensing StationEngineeringPermit Condition Change Request Form
(309 Kb PDF, 1 pg, revised 5/27/2016)
Permit Condition Change Request Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Permit Condition Change Request Form
(309 Kb PDF, 1 pg, revised 5/27/2016)
HRSA Form - Gasoline Dispensing StationEngineeringHRA Form - Gasoline Dispensing Station
(820 Kb PDF, 6 pgs, posted 10/24/2017)
HRSA Form - Gasoline Dispensing Station
Division:
Engineering
Document:
HRA Form - Gasoline Dispensing Station
(820 Kb PDF, 6 pgs, posted 10/24/2017)
Emission Point Form - Gasoline Dispensing StationEngineeringEmission Point Form
(370 Kb PDF, 2 pgs, revised 5/27/2016)
Emission Point Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Emission Point Form
(370 Kb PDF, 2 pgs, revised 5/27/2016)
Fleet ORVR Exemption Form - Gasoline Dispensing StationEngineeringFleet ORVR Exemption From
(540 Kb PDF, 2 pgs, posted 4/18/2022)
Fleet ORVR Exemption Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Fleet ORVR Exemption From
(540 Kb PDF, 2 pgs, posted 4/18/2022)
Startup Notification Form - Gasoline Dispensing StationEngineeringStartup Notification Form
(319 Kb PDF, 2 pgs, posted 6/19/2019)
Startup Notification Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Startup Notification Form
(319 Kb PDF, 2 pgs, posted 6/19/2019)

 

Form NameDivisionDocumentTable Mobile Only Column
Data pager
Data pager
1
Items per Page:
PageSizeComboBox
select
 4 items in 1 pages
Device and Facility Shutdown Form - Gasoline Dispensing StationEngineeringDevice and Facility Shutdown Form
(312 Kb PDF, 1 pg, revised 5/27/2016)
Device and Facility Shutdown Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Device and Facility Shutdown Form
(312 Kb PDF, 1 pg, revised 5/27/2016)
Facility Contacts Form - Gasoline Dispensing StationsEngineeringFacility Contacts Form
(327 Kb PDF, 2 pgs, revised 5/27/2016)
Facility Contacts Form - Gasoline Dispensing Stations
Division:
Engineering
Document:
Facility Contacts Form
(327 Kb PDF, 2 pgs, revised 5/27/2016)
Facility Name and NAICS Code Change Form - Gasoline Dispensing StationEngineeringFacility Name and NAICS Code Change Form
(526 Kb PDF, 1 pg, revised 5/27/2016)
Facility Name and NAICS Code Change Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Facility Name and NAICS Code Change Form
(526 Kb PDF, 1 pg, revised 5/27/2016)
Transfer of Ownership Form - Gasoline Dispensing StationEngineeringTransfer of Ownership Form
(502 Kb PDF, 2 pgs, revised 5/16/2019)
Transfer of Ownership Form - Gasoline Dispensing Station
Division:
Engineering
Document:
Transfer of Ownership Form
(502 Kb PDF, 2 pgs, revised 5/16/2019)

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Last Updated: 6/9/2022