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September 18, 2008, Next filing deadline November 30, 2008. The Central Data Exchange (CDX) registration deadline for this reporting cycle will be November 1, 2008. Those companies whose registrations arrive after the November 1, deadline may need to use the alternative filing procedure. Companies needing assistance with registration or reporting may call the RFS program at 202-343-9755 during normal business hours (Eastern Standard Time 9:00-5:00). Companies needing assistance with CDX set up, should call the CDX Helpdesk at 888-890-1995

Complete the below forms to register your Company/ Entity/ Facility for gasoline, renewable fuels and/or diesel fuels compliance and reporting programs. This form is used for RFG & Anti-dumping registration under 40 CFR 80.76, Renewable Fuel Standard registration under 40 CFR 80.1150 and Motor Vehicle Diesel Fuel registration under 40 CFR 80.597. All three rules require initial registration prior to conducting regulated activities. Submit an updated registration form within 30 days of any change in previous registration information. If you think you may already be registered, please visit our Fuels Programs company and facility ID master list (Excel) (99 pp, 1.7M, October 9, 2008).

This page may also be used to delegate a submitter for our online report submission portal which is hosted by EPA's Central Data Exchange (CDX). A company may have up to 5 submitters at one time. Please follow the instructions in the "CDX Submitter Delegation Form" section below and submit and mail this form to us to start the process. If your company hires a third party to create reports there is an option for them to submit for you via CDX. Please visit our CDX page for more information.

Please use all capital letters when filling this form.

Submitting this form does not equal registration, after submission these forms must be printed and signed by a Responsible Corporate Officer and mailed to:

Mail completed form to:
US Mail:
U.S. Environmental Protection Agency
Fuels Programs Registration (6406J)
1200 Pennsylvania Avenue, NW
Washington, DC 20460
Commercial Delivery:
U.S. Environmental Protection Agency
Fuels Programs Registration
Room 647C; 202-343-9038
1310 L Street, NW
Washington, DC 20005
1) EPA Assigned Company / Entity ID (First time registrants leave blank)
2) Company / Entity Name
Register or Update an Entity (EPA 3520-20A) (First time registrants must fill out this form in addition to any facility registrations)
3520-20A: Instructions Fuels Programs Company/Entity Registration Form (PDF) (3 pp, 60.2K, April 27, 2005)
3) Original Update
4) Report Date (MM/DD/YYYY)
5) Company Address
5.1) Company / Entity Address 1
5.2) Company / Entity Address 2
5.3) Company / Entity City 5.4) State 5.5) Zip
6) Responsible Corporate Officer Information
6.1) Responsible Corporate Officer Name
6.2) Responsible Corporate Officer Title
6.3) Responsible Corporate Officer email
To sign up additional email contacts please visit our alerts site.
6.4) Responsible Corporate Officer Phone 6.5) Ext
6.6) Responsible Corporate Officer Fax
7) Program Type (Check all that apply)


8) Business Activities (Check all that apply)











Register or Update a Gasoline/Ethanol Facility (3520-20B)
3520-20B: Instructions Gasoline Programs Facility Registration Form (PDF) (2 pp, 11K, April 24, 2005)
9) Original Update
10) Report Date (MM/DD/YYYY)
11) Facility Information
11.1 and 11.2) Facility Activity Types & EPA Assigned Facility ID(s) (First time registrants leave blank)








Biodiesel Producers please use form 3520-20B1 (Diesel Facility)
11.3) Facility Name
11.4) Facility Address 1
11.5) Facility Address 2
11.6) Facility City 11.7) State 11.8) Zip
11.9) Facility County
11.10) Facility Country
11.11) Facility PADD
12) Facility Contact Information
12.1) Contact Name
12.2) Contact Title
12.3) Contact email
12.4) Contact Phone 12.5) Ext
12.6) Contact Fax
13) Record Storage Information
13.1) Records for this Facility are Stored (pick both if applicable)
13.2) Off-Site Location
13.3) Off-Site Address 1
13.4) Off-Site Address 2
13.5) Off-Site City 13.6) State 13.7) Zip
13.8) Off-Site Name
13.9) Off-Site Title
13.10) Off-Site email
13.11) Off-Site Phone 13.12) Ext
13.13) Off-Site Fax
14) Independent Laboratory Information (RFG/RBOB Refiners & Importers Only)
14.1) Independent Analysis Requirement Options (pick one - see instructions)
14.2) Approval Date of In-Line Blending Petition (mm/dd/yy)
14.3) Lab ID
14.4) Lab Name
14.5) Lab City 14.6) Lab State 14.7) Lab Zip
Register or Update a Diesel/Biodiesel Facility (3520-20B1)
3520-20B1: Instructions Diesel Programs Facility Registration Form (PDF) (5 pp, 74.8K, April 27, 2005)
15) Original Update
16) Report Date (MM/DD/YYYY)
17) Facility Information
17.1)EPA Assigned Facility ID (First time registrants leave blank)
17.2) Facility Type 17.3) Facility Activities (Check all that apply)


Other
17.4) Facility Name
17.5) Facility Address 1
17.6) Facility Address 2
17.7) Facility City 17.8) State 17.9) Zip
17.10) Facility County
17.11) Facility Country
17.12) Facility PADD
17.13) Description of Aggregated Distribution System (see instructions -attach additional pages as needed)
18) Facility Contact Information
18.1) Contact Name
18.2) Contact Title
18.3) Contact email
18.4) Contact Phone 18.5) Ext
18.6) Contact Fax
19) Record Storage Information
19.1) Records for this Facility are Stored (pick both if applicable)
19.2) Off-Site Location
19.3) Off-Site Address 1
19.4) Off-Site Address 2
19.5) Off-Site City 19.6) State 19.7) Zip
19.8) Off-Site Name
19.9) Off-Site Title
19.10) Off-Site email
19.11) Off-Site Phone 19.12) Ext
19.13) Off-Site Fax
CDX Submitter Delegation Form

Responsible Corporate Officers, Business Owners and Delegated Individuals The various fuels reporting programs implemented by the Office of Transportation and Air Quality (OTAQ) contain regulatory language requiring that reports submitted to EPA be signed and certified by a responsible corporate officer (RCO) or owner.

The Fuels Reporting Program, implemented using EPA’s Central Data Exchange (CDX), provides an electronic reporting method that is secure and completely paperless. An RCO or owner establishes a personal CDX account and applies for and obtains a digital certificate. The digital certificate enables the RCO or owner to electronically sign and certify reports submitted to EPA.

Alternately, EPA will accept reports that are signed by someone to whom the responsibility is delegated by an RCO or owner. One or more individuals, who are employees of the company, and who are familiar with the information being submitted, may be named by an RCO or owner, provided that the delegations are made in writing, on company letterhead. The letter must be signed by an RCO or owner and must include a statement acknowledging that, the RCO or owner and their delegate(s), are responsible for report information submitted. The following information must be provided for each person to whom reporting authority is delegated:

Each person to whom reporting authority is delegated by an RCO or owner will be required to set up a personal CDX account and apply for and obtain a digital certificate, enabling them to electronically sign and certify reports submitted to EPA.

Responsible Corporate Officers may also delegate reporting to a third party non-employee, for example, a consultant who prepares reports or the company lawyer. In order to do so the RCO must follow the instructions on the CDX Information page.

20) Original Update
21) Request Date (MM/DD/YYYY)
22) CDX User Information
22.1) Prefix (Mr./Mrs./Ms)
22.3) First Name
22.4) Last Name
22.5) Suffix (Jr/Sr/III/IV)
22.6) Position or Job Title
22.7) Date Valid From (start) (MM/DD/YYYY)
22.8) Date Valid To (end, optional if unknown) (MM/DD/YYYY)
22.9) Facility Name(s) (list facilities or corporate wide)
22.10) Facility ID(s) (list IDs or ALL)
22.11) Mailing Address 1
22.12) Mailing Address 2
22.13) City 22.14) State 22.15) Zip
22.16) email
22.17) Alternate email
22.18) Phone 22.19) Ext
22.20) Alternate Phone 22.7) Alternate Ext
20) Signature
20.1) Responsible Corporate Officer Name
20.2) Responsible Corporate Officer Title
20.3) Responsible Corporate Officer email
20.4) Signature

20.5) Date

If the information you provide changes, your company/entity is responsible for resubmitting this form to update the information.

Submitting this form does not equal registration, before submission these forms must be printed and all data inputted must be present on the page. The form also must be signed by a Responsible Corporate Officer and mailed to one of the above addresses

I have printed this form and understand that I must mail it properly signed to one of the above addresses. I also understand that if I am delegating an individual for CDX that I will include my delegation letter with this form.

Please Note:  The registration forms on this page are to be used for the RFG and Anti-Dumping, Diesel Sulfur, and Renewable Fuels Standard programs. Please see our Fuel and Fuel Additive Registration (FFARS) web site for FFARS registration forms.

Contact:  EPA Fuels Programs, phone:  202-343-9755 email: EPA Fuels Programs (EPAFuelsPrograms@epa.gov)

RFG & Anti-Dumping Program; OMB 2060-0277 expires October 31, 2007
Motor Vehicle Diesel Fuel Program; OMB 2060-0308 expires January 31, 2008

This page is maintained by EPA's Office of Transportation and Air Quality (OTAQ).
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