Coweta County, GA · Coweta County
Hazardous Materials Inventory Statement
This statement records hazardous materials at a facility and is completed by the facility representative providing the inventory information.
At a glance
- Issued by
- City of Coweta County · Coweta County, Coweta County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- coweta.ga.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The statement records a facility’s hazardous materials, including chemical names, quantities, storage types, capacities, and NFPA 704 ratings. It also includes sections for hazardous materials classifications and facility details. An executive officer or authorized representative must sign the affidavit declaring the information true and correct; the document does not specify when the county requires it.
Who needs it
A facility representative completing a hazardous materials inventory statement and its affidavit needs this document.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the executive officer or authorized representative signs and dates the affidavit.
How to submit this form
- 1
Download the Statement
Download the Hazardous Materials Inventory Statement PDF.
- 2
Complete the Inventory
Enter chemical names, quantities, storage details, capacities, NFPA 704 ratings, and facility information.
- 3
Review and Sign
Have an executive officer or authorized representative sign and date the affidavit.
- 4
Submit to the County
Submit the completed statement to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- What information does the Hazardous Materials Inventory Statement request?
- It requests chemical names, quantities, storage types and capacities, NFPA 704 ratings, hazardous materials classifications, and facility details.
- Who must sign the affidavit?
- The form says the affidavit must be signed by an executive officer or that officer’s authorized representative. The signer declares the information true and correct to the best of their knowledge.
- Do I need a notary for the Hazardous Materials Inventory Statement?
- No. The document has no notary block; the executive officer or authorized representative signs and dates the affidavit.
- How do I submit the Hazardous Materials Inventory Statement?
- The document does not provide submission instructions or contact details. Submit it to the county department named on the form, and check the county website for current contact details.