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 Remediation Standard Regulations (RSRs) . 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:

Electronic Document Transmittal Form– This form must be included as the cover page for the verification package
Verification Form and associated appendices (see below)
Verification Report – see Verification Report Guidance Document for guidance

Verification Forms

Revised RSRs were adopted on February 16, 2021. DEEP is revising the Verification Forms. For forms that are not yet revised, please complete the Verification Addendum Form and attach it to the Verification Form

Infographic showing progress of updating 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 I:

Form I Verification for Business Only (Rev. 9/14/20)
Form I Verification for Property (Rev. 9/14/20)
Instructions for Form I Verification Forms (Rev. 9/14/20)

Form II:

Form II Verification for Business Only (Rev. 5/4/23)
Form II Verification for Property (Rev. 5/4/23)

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. 5/4/23)
Form III Verification for Property (Rev. 5/4/23)

Form III Interim Verification for Business Only (Rev. 5/4/23)
Form III Interim Verification for Property (Rev. 5/4/23)
Note: Use when remediation is complete, except for ongoing groundwater remediation.

Form III Portion Verification for Business Only (Rev.5/4/23)
Form III Portion Verification for Property (Rev. 5/4/23)
Note: Clearly delineate the boundaries of the portion of the site being verified.

Form IV:

Form IV Supporting Verification for Business Only (Rev. 6/6/23)
Form IV Supporting Verification for Property (Rev. 6/6/23)
Note: Use when natural attenuation monitoring, compliance monitoring, and/or recording an ELUR are not yet complete.

Form IV Final Verification for Business Only (Rev. 6/6/23)
Form IV Final Verification for Property (Rev. 6/6/23)

Voluntary Remediation Program

These verification forms are required pursuant to the Voluntary Remediation Program.

Voluntary Remediation (22a-133x) Verification - Parcel (Rev. 5/4/23)
Note: Use when the whole site is being verified (i.e. final verification).

Voluntary Remediation (22a-133x) Verification - Release Area (Rev. 5/4/23)
Note: Use for one clearly defined release area.

Voluntary Remediation (22a-133x) Verification - Portion of Property (Rev.5/4/23)
Note: Clearly delineate the boundaries of the portion of the site being verified.

Voluntary Remediation (22a-133x) Verification - Interim (Rev. 15/4/23)
Note: Use when remediation is complete except for ongoing groundwater remediation.