Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Regulated Substance Activity Inventory Report (RSAIR) Form - Online Submition

  1. 3. CERTIFICATION OF COMPANY OFFICIAL*

    I certify that all information and data contained in this notification form are true and correct to the best of my knowledge.

  2. MAILING ADDRESS:

  3. DIRECTOR, DEPARTMENT OF WATER
    ATTENTION: ENVIRONMENTAL MANAGEMENT
    320 W. MONUMENT AVE.
    DAYTON, OH 45402

  4. For assistance completing the RSAIR call the Division of Environmental Management at 937-333-3725.

    Email Contact: Eric.Borth@daytonohio.gov or Zachary.Schultz@daytonohio.gov

  5. Leave This Blank:

  6. This field is not part of the form submission.