Region 1 Institutional Controls Information Form

Use this form to request a Region 1 EPA employee to contact you about institutional controls and/or potential work on or near a Superfund site. This does not substitute for your required DigSafe requirements.

Name *

Please enter a name to address you by.

Email *

You must include a contact email if you want a response.

Phone Number

Please enter a valid phone number.

Property Address *

Property address where work may be performed

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Description of Work

Provide a brief description of any work planned.

Start Work Date

Enter the estimated date when work will begin

Superfund Site Name

Enter the name of the Superfund site on or near the work

Are you a human or robot? *