Formulaire

Declaration of the non-domestic pollution charge

Companies whose activities result in the direct release to the natural environment of at least one component of pollution, above the liability threshold. Based on the elements that the company declares, the water agency determines whether it is above or below these thresholds

    Fill out the form

    To whom shall I send this form ?

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : Water Agencies

    Verified 09 January 2026 - Entreprendre Public Service / Directorate of Legal and Administrative Information (Prime Minister)