One-Time Compliance Report for Dental Dischargers
This information is provided by the Nebraska Department of Environment and Energy  
to assist the public and regulated community .

Form #:  WAT338
Applications and Forms
Revised: 3/11/20


The PDF form above is the One-Time Compliance Report for Dental Dischargers, which contains the minimum information dental facilities must submit in a one-time compliance report as required by the Effluent Limitations Guidelines and Standards for the Dental Office Category (“Dental Amalgam Rule”). Also provided above is an EPA Fact Sheet regarding Effluent Guidelines and Standards for Dental Offices, and an EPA Amalgam Recycling Rule flow chart.