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Community Right To Know Facility Identification Number Request Form

Please provide the following information in order to receive a Facility ID Number from our office.

 

*Company Name:


Trading as Name:


   

*FEIN (Federal Employer Identification Number):
*Description of Business Activity:
**Mailing Address: Street Address, City, Zip
City State: Zip
**Physical Address: Street Address, City, Zip
City State: Zip
*Contact Name:
*Phone Number :  
*Email Address: *
 

* Required Fields
**Please include Suite # or Unit # if applicable.

   

 

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Copyright © State of New Jersey, 1996-2003
Department of Environmental Protection
P. O. Box 402
Trenton, NJ 08625-0402

Last Updated: April 16, 2013