If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form allows you to record your authorised discharges such as used sheep dip or chemicals covered by Environment Agency permissions issued under the Environmental Permitting Regulations 2010.