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Adjudicatory Hearing Fee Transmittal Form 2026
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- Click ‘Get Form’ to open the Adjudicatory Hearing Fee Transmittal Form in our editor.
- Begin by filling out Section A, which requires the name and address of the person or party making the request. Ensure you only use the tab key to navigate between fields.
- Next, provide project information including the DEP File or ID Number and the amount of filing fee attached. Make sure to include your email address for any follow-up communication.
- If applicable, complete Section B with the applicant's name and address details, again using only the tab key for navigation.
- Review Section C for submission instructions. Prepare a check or money order for $100.00 payable to the Commonwealth of Massachusetts and send it along with this form to the specified MassDEP Lockbox address.
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Apr 24, 2013 The development of an administrative record and the selection of response action under this Act shall not include an adjudicatory hearing.
The Department may provide forms to be used for a notice of a claim for an adjudicatory appeal, and where provided, the form shall be used.
This form is intended for fee transmittal only. Send this form and check or money order of $100.00 payable