Submission Authorization Confirmation

Application Information Screen

The Submission Authorization Confirmation window appears when the applicant clicks Submit on the Application Information or Supplement Information window.

Completing this window is the equivalent of signing the paper form. It contains the terms of submission:

 

Submission Authorization Confirmation

The applicant is:

  •  An individual

  •  A corporation

  •  A partnership

  •  A limited liability corporation

  •  A governmental organization

By clicking "I Agree", I hereby submit the equivalent of my signature –

1) Verifying that I am authorized to make this application as an individual owner of the property or as a legally authorized representative of the owner of the property;

2) Certifying that the information and documentation in this application or required by the Department is accurate, under penalty of perjury pursuant to 18 Pa. C.S. § 4904. (relating to the misdemeanor offense of unsworn falsification to authorities); and

3) Indicating my acceptance of all conditions, restrictions and regulation prescribed by the Department (see in particular 67 Pa. Code, Chapters 212, 441 and 459) and on the issued permit, form M-945P and the attachments thereto.

Agree | Disagree

 

 

To confirm submission authorization:

  1. Click I Agree to confirm the terms and submit the application.

  2. Click I Disagree to return to the Application Information screen and continue editing.