NH Online Forms System - NHDES

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New Hampshire Department of Environmental Services MtBE Forms

Welcome to the NHDES MtBE forms portal

Address: NHDES - MtBE Remediation
29 Hazen Drive, PO Box 95
Concord, NH 03302-0095

Appointment Questionnaire

This form will allow NHDES staff to schedule well water sampling appointments for members of the public.

MtBE Settlement Fund Assistance Application

Request to receive Settlement Funds to support a project that addresses MtBE contamination.

PFAS Testing for Private Wells Request Form

New Hampshire residents may use this form to request that their well be sampled for PFAS.

Request for Reimbursement - Summary of Invoiced Costs

Spreadsheet for creating a list of costs for reimbursement.

Work Scope Authorization - MtBE Remediation Fund

Work Scope Change Order Authorization - MtBE Remediation Fund

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