Electronic Verification Questionnaire (eVQ) System

Create an eVQ Account

* denotes a required field

Please enter your EPA ID number, including the letter prefix. If you have multiple EPA ID numbers, enter one of the EPA ID numbers to create the user account, then add the remaining ID numbers. Each EPA ID number must be valid and not already associated with another user account in order for it to be successfully added.

EPA ID Number *

List of EPA ID numbers to be associated with this login user's account (Total Added=0)

Username must be at least 8 alphanumeric characters in length, with no spaces. These special characters are valid: @ - _ .
Password should be at least 12 characters long and should contain one number, one upper-case character, one lower-case character, and one special character.

Account Login:

Create Username *

Create Password *

(case-sensitive)

Confirm Password *

(Must match above password)

Email *

Confirm Email *

General Company/Facility Information:

Facility Name *

Owner's Name *

FEIN:

Primary Contact Information:

Contact Name *

Contact Title *

Contact Address 1 *

Contact Address 2:

Contact City *

Contact State *

Contact Zip *

Contact Phone *

Contact Fax

Alternate Contact Information:

Contact Name *

Email *

Confirm Email *

Contact Phone *