Submit a Large File to SWCAA Staff

Use this form to submit your documents to Southwest Clean Air Agency. You can send any type of large or small document or image file. 1 to 5 files may be submitted at a time.

>> All fields except Title and Comments are required <<

Who are you and how can we contact you?
Your First and Last Name:
Your Title: (optional)
Work Phone: (aaa-nnn-nnnn ext nnnn)
Email Address:   
Your Company
Name and Address:
Comments to Southwest
Clean Air Agency:

Document(s) Description and Files to be submitted
Description of File(s): 
 (e.g. Source Test, Emission Report, photo of Boiler B-2)
 
File 1: 
File 2: 
File 3: 
File 4: 
File 5: 
 
Send To: Choose from list
 (select Office Staff if you are unsure)
 
Security code:   Change Code if you can't clearly view the characters.
 Type the security code from the image above.