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. Up to 5 files may be submitted at one 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.