LEP Verifications
An environmental professional licensed pursuant to Connecticut General Statutes (CGS) Section 22a-133v (LEP) may verify that an investigation has been completed in accordance with prevailing standards and guidelines and that all applicable releases at a specific property/establishment/release area/portion of a property have been remediated in accordance with the Release-Based Cleanup Regulations (RBCRs). LEPs may verify under any law, regulation, order, permit, license or approval where the Commissioner has delegated such authority to an LEP.
A complete verification package consists of the following documents:
- Verification Form and associated appendices (see below)
- Release Remediation Cleanup Report (Verification Report) – see Verification Report Guidance Document for guidance
Verification Forms
Verification Form Instructions
All yellow fields are mandatory.
Property Transfer Program
These prescribed verification forms are required pursuant to the Property Transfer Program.
Form III:
NEW! In consultation with our legal office, we have added more flexibility to the forms for the applicable date of the verification. LEPs may now select a date of verification that is:
* Either the date the Form III was filed or the date the Phase II Investigation was completed, whichever is later. (unchanged from previous forms)
* A date after the Form III filing and Phase II completion, up to and including the date the verification was signed by the LEP. (previously only allowed the date of the verification)
- Form III Verification for Business Only (Rev.March 18, 2026)
- Form III Verification for Property (Rev. March 18, 2026)
- Form III Interim Verification for Business Only (Rev. March 18, 2026)
- Form III Interim Verification for Property (Rev. March 18, 2026)
- Note: Use when remediation is complete, except for ongoing groundwater remediation.
- Form III Portion Verification for Business Only (Rev.March 18, 2026)
- Form III Portion Verification for Property (Rev. March 18, 2026)
- Note: Clearly delineate the boundaries of the portion of the site being verified.
Form IV:
- Note: Use when natural attenuation monitoring, compliance monitoring, and/or recording an ELUR are not yet complete and a FormIV Supporting had been submitted.
- Form IV Final Verification for Business Only (Rev. March 25, 2026)
- Form IV Final Verification for Property (Rev. March 25, 2026)
Voluntary Remediation Program
These verification forms are required pursuant to the Voluntary Remediation Program.
- Voluntary Remediation (22a-133x) Verification - Parcel (Rev. March 25, 2026)
- Note: Use when the whole site is being verified (i.e. final verification).
- Voluntary Remediation (22a-133x) Verification - Portion of Property (Rev. March 25, 2026) - Use this form for Release Area
- Note: Clearly delineate the boundaries of the portion of the site being verified.
- Voluntary Remediation (22a-133x) Verification - Interim (Rev. March 25, 2026)
- Note: Use when remediation is complete except for ongoing groundwater remediation.
Brownfields Programs
These prescribed verification forms are required pursuant to the Brownfields Remediation and Revitalization Program and the Abandoned Brownfield Cleanup Program.
- Interim Verification for Brownfields Remediation & Revitalization Program (Rev. 9/14/20)
- Instructions for Interim Verification for Brownfields Remediation & Revitalization Program (6/1/16)
- Note: Use when remediation is complete, except for ongoing groundwater remediation.
- Final Brownfield Remediation (ABC & BRRP) (Rev. March 25, 2026)
RCRA Corrective Action
This prescribed verification form is required pursuant to the RCRA Corrective Action Program.
- RCRA Corrective Action Verification (Rev. 9/14/20)