A release of reportable quantities of Extremely Hazardous Substances (EHS) (listed in 40 CFR 355, appendix A) or chemicals that require release reporting under section 103 (a) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) must be reported to the local emergency planning committee (LEPC). 

The Chemical Release Follow-Up Notification Form must be used for this notification.

Basic Instructions:

  • If the incident involves reportable releases of more than one chemical, prepare one report form for each chemical released.

  • If the incident involves a series of separate releases of chemical(s) at different times, the releases should be reported on separate reporting forms.
  • The completed form satisfies the Emergency Planning & Community Right-to-Know Act Section 304 requirement. Ensure that all information is complete.

A written follow-up notice must be submitted to the LEPC as soon as practicable after the release.