Moses Lake, WA · Grant County
Hazardous Materials Inventory Statement (HMIS)
Businesses use this statement to report hazardous chemicals in a building or process when the Fire Department requests an inventory.
What this form is
The Hazardous Materials Inventory Statement helps the Fire Department assess occupancy classification, chemical storage, spill containment, construction requirements, and ventilation. The department may request it when hazardous chemicals could be present or used in a building; the report asks for business and building details, chemical names and concentrations, hazard classes, quantities, storage information, and locations. Separate information and totals are required for each area or room.
Who needs it
A business with hazardous chemicals in a building or process may need to complete the statement when the Fire Department requests an inventory.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is completed without a notary; it has no notarized attachment or sworn step, and the preparer completes the report.
How to submit this form
- 1
Download The Statement
Download the Hazardous Materials Inventory Statement PDF.
- 2
Complete The Inventory
Enter business and building details, then report chemical information separately for each area or room.
- 3
Check Chemical Details
Include each chemical's hazard classes, name and concentration, state, use condition, quantity, storage information, and building location.
- 4
Submit To The City
Submit the completed statement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Hazardous Materials Inventory Statement report?
- It reports hazardous chemicals by area or room, including hazard classes, chemical names and concentrations, quantities, storage details, and locations.
- Who may need to complete the HMIS?
- The Fire Department may request an inventory if hazardous chemicals could be present in a building or used in a process there.
- How do I submit the Hazardous Materials Inventory Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
- Do I need a notary for the Hazardous Materials Inventory Statement?
- No. This document is completed without a notary; it has no notarized attachment or sworn step, and the preparer completes the report.
Need something notarized?
This Hazardous Materials Inventory Statement (HMIS) doesn’t need a notary — but if you have another Moses Lake form that does, a commissioned online notary can help.