Air emissions shutdown/breakdown form

Update: Forms for reporting breakdown/shutdown events and event updates have been combined into one online reporting tool.

The air emissions breakdown/shutdown notification form below is required by rule to prevent endangerment of human health or the environment (Minn. Rules 7019.1000) 

  • Breakdown notification: The owner or operator of an emission facility shall notify the Minnesota Pollution Control Agency (MPCA) within 24 hours of a breakdown of more than one-hour duration of any control equipment or process equipment if the breakdown causes any increase in the emissions of any regulated air pollutant.
  • Shutdown notification is similarly required at least 24 hours in advance of a planned shutdown, of any duration, if the shutdown causes any increase in the emissions of any regulated air pollutant.
  • The owner or operator must notify the MPCA when the shutdown or breakdown event is over. All deviations that resulted from a shutdown/breakdown must be reported in the Deviation Reporting Form (DRF-1 or DRF-2).

Submit the completed form electronically by pressing the "Submit" button at the bottom of the form. You will receive an immediate, automated email reply that summarizes what you submitted to the MPCA. For assistance, call the MPCA at 651-296-6300 or 800-657-3864.

Before you use the form below, please note:

  • You must be 13 years of age or older to use this form. If you are younger than 13, please ask a parent to fill out this form for you. MPCA Privacy Policy.

Initial Event Report Notification Form

Initial event notification form

Facility where the event occurred
Person reporting event
Event details