Skip to main content

KingCounty.gov is an official government website.

Official government websites use .gov
Website addresses ending in .gov belong to official government organizations in the United States.
Secure .gov websites use HTTPS
A lock or https:// means you've safely connected to the .gov website. Only share sensitive information on official, secure websites.
King County Washington home

Instructions for completing self-monitoring forms (217KB)
Self-monitoring form Microsoft Word Format Adobe PDF format
Monthly  (25KB) 
  (59KB) 
Monthly - food processors only  (104KB)
  (35KB) 
Quarterly  (48KB) 
  (76KB) 
Quarterly - breweries only  (50KB) 
  (191KB)
Semiannual  (32KB) 
  (52KB) 
Annual  (22KB) 
  (36KB) 
Annual - groundwater remediation only  (23KB) 
  (36KB) 
 Revised Data  (146KB)
  (399KB)

Signature and submittal

King County Industrial Waste forms must be signed by an authorized representative before submittal.

Please scan your signed forms and send them by email  info.kciw@kingcounty.gov.

Related Topics

Industrial waste

Information about the King County Industrial Waste program.

KCIW business information

Industry-specific information about wastewater discharge authorization and permits.

KCIW forms and resources

Find industrial waste forms, fee information, and other resources.