Who uses the Hazardous Waste Site Disclosure Form?

Applicants for development projects use it to disclose whether the project or its alternatives are on the specified hazardous waste site lists.

What information does the form request?

It requests applicant and project-site details, the local agency, parcel information, and details about any applicable list, including its regulatory identification number and date.

Do I need a notary for the Hazardous Waste Site Disclosure Form?

No. The applicant signs without a notary and declares under penalty of perjury that the information is true and correct.

How do I submit the Hazardous Waste Site Disclosure Form?

Submit the completed form to the City of Los Alamitos Development Services Department at 3191 Katella Ave., Los Alamitos, CA 90720-5600.

Los Alamitos, CA · Orange County

No notary required

Hazardous Waste Site Disclosure Form

Development project applicants use this form to disclose whether a project is on or near a hazardous waste site identified on specified state-prepared lists.

What this form is

The City of Los Alamitos requires a signed hazardous waste site disclosure statement for a development project application to be considered complete. The form asks the applicant to indicate whether the project or its alternatives appear on the specified lists and provide applicant, project-site, local agency, parcel, and list information. The applicant signs and dates a declaration that the information is true and correct.

Who needs it

Applicants for development projects in Los Alamitos use this form to report whether their project is on or near an identified hazardous waste site.

How to submit it

Submit the completed form to the City of Los Alamitos Development Services Department, 3191 Katella Ave., Los Alamitos, CA 90720-5600, as listed on the form.

About notarization

This form is signed without a notary; the applicant declares under penalty of perjury that the information is true and correct.

How to submit this form

1
Download The Form
Download the Hazardous Waste Site Disclosure Form.
2
Complete The Disclosure
Check whether the project and any alternatives appear on the specified lists, then provide the requested applicant and site details.
3
Review Project Details
Check the site address, local agency, parcel number, and any applicable list information for accuracy.
4
Sign And Submit
Sign and date the declaration, then submit the form to Development Services at the address printed on it.

Frequently asked questions

Who uses the Hazardous Waste Site Disclosure Form?: Applicants for development projects use it to disclose whether the project or its alternatives are on the specified hazardous waste site lists.
What information does the form request?: It requests applicant and project-site details, the local agency, parcel information, and details about any applicable list, including its regulatory identification number and date.
Do I need a notary for the Hazardous Waste Site Disclosure Form?: No. The applicant signs without a notary and declares under penalty of perjury that the information is true and correct.
How do I submit the Hazardous Waste Site Disclosure Form?: Submit the completed form to the City of Los Alamitos Development Services Department at 3191 Katella Ave., Los Alamitos, CA 90720-5600.

Need something notarized?

This Hazardous Waste Site Disclosure Form doesn’t need a notary — but if you have another Los Alamitos form that does, a commissioned online notary can help.