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Download KCIW self-monitoring forms in either MS Word or Acrobat PDF format.

We know that the industrial waste authorization and application process is complex. Please contact us if you have questions and our staff will be happy to assist you. If you have difficulty viewing or downloading documents, please visit Software Help.

Please review the instructions for completing self-monitoring report forms . If the MS Word 2010 documents do not open correctly on your computer or device please contact our office.

Type of report form MS Word (.doc) Adobe Acrobat (.pdf)
Monthly
Monthly - food processors only
Quarterly
Semiannual
Annual
Annual - groundwater remediation only
Revised Data 

Totaling the Flow column: Word is capable of adding the Flow column to give Total Monthly Flow. For instructions, go to Help and type that you want "perform calculations in a table." After Word adds a column, be sure to reapply the addition formula if you change any number in the column--the total does not automatically change.

Signature and submittal

  • KCIW forms must be signed by an authorized representative before being submitted.
  • Forms may be submitted to the program by FAX, regular mail, or scanned and sent by e-mail to info.kciw@kingcounty.gov (preferred method). See signature authority.

Important

  • KCIW forms must be signed before being submitted.
  • Forms may be submitted to the program by FAX, regular mail, or scanned and sent by e-mail to info.kciw@kingcounty.gov (preferred method).
Contact us

206-477-5300

206-263-3001