Annual Report ePermitting Signup
Please complete this form to create a new ePermitting account for submittal of annual reports and fees. You will receive an email with your login information within two business days. This form is for new ePermitting account activation. If you have already enrolled in ePermitting, you should not complete this form.
Name of Permittee or NOI Holder: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Telephone: *
Your answer
Permit/NOI Numbers (ie M-1987-189, P-2016-026):
Your answer
Last Name of individual who will act as account administrator for the ePermitting account: *
Your answer
First Name of individual who will act as account administrator for the ePermitting account: *
Your answer
Email address of account administrator: *
The account administrator is responsible for providing the Division with a current email address for ePermitting correspondence. Please contact the Division if an existing administrator email requires updating.
Your answer
Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee due date(s):
Your answer
Email address(es) of additional person(s) to notify on annual report/map/fee due date(s):
Your answer
By clicking "Agree" below, you opt in to ePermitting for report submittal, and consent that the Division may send any and all correspondence, notices, documents and information to you electronically, in all matters related to reports and fees for your Permit(s) and/or NOI(s). You further consent that you will use ePermit to send any and all correspondence, notices, documents and information to the Division in all matters related to reports and fees for your Permit(s) and/or NOI(s). You consent that documents submitted electronically to the Division have the same legal force and effect as paper documents. The Division reserves the right to send any or all electronic records to you in paper form to your current mailing address on file at its sole discretion. Your agreement to opt in to ePermit represents a single legal transaction as that term is used in C.R.S. § 24-71.3-105. Your agreement to opt into ePermit will become effective immediately upon the Division’s receipt of this signed Agreement and you may no longer receive paper documents from the Division pertaining to reports and fees for your Permit(s) and/or NOI(s). This Agreement, including the validity of any signatures or consents, any claims, or any disputes arising hereunder shall be construed in accordance with and governed by the Laws of the State of Colorado. Further, if the permit or NOI holder is a corporation, partnership, trust, etc., you state that you are authorized to act on behalf of the permittee or NOI holder. *
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