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ORPS Facility Registration Form

June 9, 2014

Add, Change or Delete a Facility for Occurrence Reporting and Processing System

Submit completed form to:
U.S. Department of Energy
HSS InfoCenter, HS-1.22, 270CC
1000 Independence Ave., SW
Washington, DC 20585-0270

FAX: 301-903-9823
PHONE: 800-473-4375

Note:

  • Only one facility per form
  • Type or print all entries

TYPE OF CHANGE:

  • Add a Facility (Complete Section 1.A, then go to Section 2)
  • Change a Facility (Complete Section 1.B, then go to Section)
  • Delete a Facility (Complete Section 1.C, then go to Section 2)