Transmittal Forms for Waste Site Cleanup
eDEP: BWSC Online Submittals
With  , many BWSC forms may be submitted to DEP online using an internet browser. Information and instructions may be found at:
Web page
Frequently Asked Questions about eDEP and Waste Site Cleanup
Web Page
eDEP Email Box
MassDEP has created an email box for BWSC eDEP questions, and/or questions on Transmittal Forms, Permits and the associated attachments. You may also use the BWSC eDEP email box to notify MassDEP of database corrections to Transmittal Form data that is not editable in eDEP. The email box address is:
BWSC.eDEP@state.ma.us
Adobe Acrobat
Some of these forms may be be filled out on-screen and printed using the free Adobe Acrobat Reader. The full version of the Acrobat software must be purchased to save a filled-in electronic version of the form.
Important Information
9/1/07 - The Remedial Monitoring Report is now required to be submitted through . More information may be found at:
Web page
7/3/06 - MassDEP now requires Universal Transverse Mercator (UTM) coordinates on the Release Notification Form (BWSC103). UTM coordinates are also required on the Numerical Ranking System Scoresheet (BWSC107A). The UTM lookups are available through when forms are filed using this option. Alternatively, UTM coordinates for release/disposal site location may be determined by using the MassGIS Color Ortho Imagery Viewer at
Web site
4/3/06 - Please note that MassDEP is actively moving towards accepting submittals in electronic format only. Hence, as BWSC transmittal forms are updated, the forms will not be made available in fillable format on the web.
BWSC-12A Bill of Lading
Revised October 1994
PDF Form 100 KB
BWSC-12B Bill of Lading Log Sheet
Revised October 1994
PDF Form 51 KB
BWSC-12C Bill of Lading Summary Sheet
Revised October 1994
PDF Form 40 KB
BWSC103 Release Notification & Notification Retraction Form
Revised February 2006
Filing Options: | PDF Form 130 KB
MassDEP now requires Universal Transverse Mercator (UTM) coordinates on the Release Notification Form. The UTM lookups are available through when the form is filed using this option. Alternatively, the UTM coordinates for the release location may be determined by using the MassGIS Color Ortho Imagery Viewer at
Web site
Currently it is not possible to use eDEP for the initial filing of a BWSC103, Release Notification and Release Retraction Form, for a 120-Day notification condition. This submittal must be made in manually, i.e., either via the mail or by the hand delivery of an original paper BWSC103 form to the appropriate MassDEP regional office (current practice). Once MassDEP has assigned the RTN to the release, eDEP can be used for all future MCP submittals. This procedure does not impact the eDEP submittal of BWSC103 for a 2-hour or 72-hour reporting condition that has been assigned an RTN by MassDEP.
BWSC104 Response Action Outcome Statement (RAO) Transmittal Form
Revised February 2006
Filing Options: | PDF Form 296 KB
BWSC105 Immediate Response Action (IRA) Transmittal Form
Revised February 2005
Filing Options: | PDF Form 277 KB
BWSC106 Release Abatement Measure (RAM) Transmittal Form
Revised February 2005
Filing Options: | PDF Form 275 KB
BWSC107 Tier Classification Transmittal Form
Revised February 2004
Filing Options: | PDF Form 179 KB
BWSC107A Numerical Ranking System (NRS) Scoresheet
Revised February 2004
There are two Acrobat versions available for BWSC107A:
BWSC107A Autocalculating Numerical Ranking System (NRS) Scoresheet. The fields will automatically calculate when values are entered in selected fields. The blank form will print showing "0" (zero) in the calculated fields. Do not use this version if you intend to fill in the form by hand or using a typewriter.
Filing Options: | PDF Form 285 KB
BWSC107A Non-Autocalculating Numerical Ranking System (NRS) Scoresheet. This is a blank NRS Scoresheet in read-only format that may be downloaded and printed. Fields do not automatically calculate so this version may be used if you intend to fill the form in by hand or using a typewriter.
Filing Options: | PDF Forms 78 KB
BWSC107B Tier II Compliance History
Revised February 2004
Filing Options: | PDF Form 95 KB
BWSC107C Tier II Transferor Certification
Revised February 2004
Filing Options: | PDF Form 105 KB
BWSC107D Eligible Person, Eligible Tenant or Other Person Transmittal Form
Revised December 2007
PDF Form 27 KB
Note: This form is not currently available through eDEP. Once Form BWSC107 has been submitted through eDEP, attach a completed BWSC107D to the Transaction Summary Page and mail to the appopriate regional office by the next business day.
BWSC108 Comprehensive Response Action Transmittal Form & Phase I Completion Statement (February 2005)
Revised February 2005
Filing Options: | PDF Form 210 KB
BWSC109 Tier I Minor Permit Modification Transmittal Form
Revised August 2003
Filing Options: | PDF Form 200 KB
BWSC111 Audit Follow-up Plan Transmittal Form & Post-Audit Completion Statement (June 2003)
Revised June 2003
Filing Options: | PDF Form 203 KB
BWSC113 Activity & Use Limitation (AUL) Transmittal Form
BWSC-113A Activity & Use Limitation (AUL) Opinion Form
Revised June 2003
Filing Options: | PDF Form 254 KB
BWSC115 Downgradient Property Status (DPS) Transmittal Form
115A Downgradient Property Status (DPS) Modification Form
Revised December 2003
Filing Options: | PDF Form 214 KB
Note: When a DPS submittal addresses more than one RTN, please submit a separate BWSC115 Downgradient Property Status (DPS) Transmittal Form for each RTN addressed in the Downgradient Property Status.
BWSC119 Utility-Related Abatement Measure (URAM) Transmittal Form
Revised February 2005
Filing Options: | PDF Form 282 KB
BWSC120 Homeowner Certification Form
Revised July 2003
Filing Options: | PDF Form 112 KB
BWSC122 Informational Notice to Property Owners
Revised May 2006
PDF Form 110 KB
BWSC123 Notice of Environmental Sampling
Revised June 2006
PDF Form 151 KB
BWSC124 Informational Notice About Immediate Response Actions
Revised June 2006
PDF Form 110 KB
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