Annual Emission Report Forms

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  1. Right-click on the link and select "Save link as..." to download the form to your local drive.
  2. Use Acrobat Reader to open the downloaded file from your local drive.

To download the forms to your computer, click on the form name with the right mouse button and choose "Save Target As..." or "Save Link As...".

The blank forms have been modified so that they can be filled out and saved electronically to your computer. After downloading, open the form, fill it out and then choose "Save A Copy" and give it an appropriate name. You can then print the pages and submit them with your Annual Emission Report.

  • Annual Emission Report Rule: This is a link to the Illinois Pollution Control Board's site which includes all regulations by the Agency. You will need to scroll down to Part 254.
  • Instructions: These are the instructions for all sources that are required to submit an Annual Emission Report.
  • Address/Source Emissions: This form is used to report company information and source-wide emissions. This form is required to be submitted for all types of annual emission reports.
  • Combustion Emission Units: This form is used to report data for fuel combustion emission units. It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Process Emission Units: This form is used to report data for process emission units (reactors, crushers, coaters, etc.). It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Storage Tanks: This form is used to report data for storage tanks. It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Other Emission Units: This form is used to report data for emission units that are not combustion units, process units or storage tanks. Typically, emissions units in this category will be fugitive in nature (storage piles, roadways, clean-up solvent, etc.). It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Emission Unit Emissions: This form is used to report emissions from combustion units, process units, storage tanks or other emission units. For every one of those forms completed, the emissions form must also be completed. It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Controls: This form is used to report data for control devices and control methods. It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Stacks: This form is used to report data for stacks and exhaust points. It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Coating/Solvent Use: This form is used to report data on coating and solvent use. It only needs to be completed for sources required to submit the "long" annual emission report form.
  • Malfunctions: This form is used to report data on emissions from startups, shutdowns and malfunctions. It only needs to be completed for sources required to submit the "long" annual emission report form.