Generator license change of ownership form

Information about you

Do you represent the new or old ownership? (required) New Old Both First and last name (required) Job title (required) Company (required)

Do not use special characters ($, &, ', #).

Phone (required)

Format as xxx-xxx-xxxx.

Email (required) Confirm email (required)

A summary of this form submission will be sent to this email address.

Licensed operation information

In order for us to initiate the appropriate licensing changes in our database, we need to match the information in this form with the licensed operation in our database. Please provide information about the operation that is impacted by the changes reported on this form.

To find the 16-digit operation ID, refer to the generator license posted at the licensed site or the management plan summary licensing paperwork.

Operation name (required)

Do not use special characters ($, &, ', #).

16-digit Hennepin County Operation ID (required) Operation site address (required)

Provide the street address, city and zip.

Former ownership contact person (required)

Provide the first and last names.

Former ownership phone number (required)

Format as xxx-xxx-xxxx.

Former ownership email (required) Confirm former ownership email (required)

A summary of this form submission will be sent to this email address.

New ownership contact information

Mailing contact first and last name (required) Mailing contact job title (required) Mailing contact phone number (required)

Format as xxx-xxx-xxxx.

Mailing contact email (required) Confirm mailing contact email (required) Mailing contact address (required)

Provide the street address, city, state, zip.

On-site contact first and last name (required) On-site contact job title (required) On-site contact phone number (required)

Format as xxx-xxx-xxxx.

On-site contact email

Generator license change of ownership form

Report a change of ownership

Information about you

Licensed operation information

Ownership change

New ownership contact information

Additional information