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Clean Air Act Annual Compliance Certification

Federal & State Law Editorial TeamLast reviewed: April 2026

Annual certification submitted by Title V permit holders certifying compliance or noncompliance with all permit terms and conditions.

PDF TemplateUse the instructions below to complete this form

Instructions

Certify the compliance status of each emission unit and applicable requirement in your Title V permit. Identify any deviations from permit conditions that occurred during the reporting period, including the duration and cause. Describe corrective actions taken. The certification must be signed by a responsible official under penalty of perjury. Submit to both the state permitting authority and the EPA Regional Administrator within 30 days of the end of the reporting period.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.