EPA Form 7610-5 (Revised 12-2009) 

The Acid Rain Program and CAIR Trading Programs (CAIR NOX Annual, CAIR SO2, and CAIR NOX

Ozone Season) regulations require any person, company, or organization wishing to open a general 

account for the purpose of holding and transferring allowances to submit a completed General Account 

form. You also may use this form to change the information previously submitted for a general account, 

such as the identity of the authorized account representative. In such cases, enter your allowance 

account identification number in the space provided at the top of the form. Note: A compliance account 

can only be established, and information concerning a compliance account can only be changed, by 

submitting a Certificate of Representation form. 

If you need assistance, call the Clean Air Markets Hotline at 202-343-9620.

STEP 2 The owners may choose an alternate to act on behalf of the Authorized Account 

Representative.

STEP 3 Identify all parties with an ownership interest in the allowances held in this account. All of these 

parties must be subject to a binding agreement authorizing the representation of the account by 

the authorized account representative, and, if applicable, the alternate authorized account 

representative, identified in Steps 1 and 2. If you (the authorized account representative) are 

the only person with an ownership interest in the allowances held in the account, list your name 

here. If additional space is needed, please attach a separate sheet of paper.

STEP 4 If you are establishing a general account, both the authorized account representative and the 

alternate (if any) must sign and date the certifications. You are encouraged to use the CAMD 

Business System (CBS) to submit general account information online. To register for CBS, go 

to https://camd.epa.gov/loginrequest/index.cfm.

For more information see the applicable rule:

Acid Rain: 40 CFR 73.31

CAIR NOX Annual: 40 CFR 96.151 or 97.151 or the applicable State rule

CAIR SO2: 40 CFR 96.251 or 97.251 or the applicable State rule

CAIR NOX Ozone Season: 40 CFR 96.351 or 97.351 or the applicable State rule

Paperwork Burden Estimate

The public reporting and recordkeeping burden for this collection of information is estimated to average 

10 hours per response. Burden means the total time, effort, or financial resources expended by persons 

to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes 

the time needed to review instructions; develop, acquire, install, and utilize technology and systems for 

the purposes of collecting, validating, and verifying information, processing and maintaining information, 

and disclosing and providing information; adjust the existing ways to comply with any previously 

applicable instructions and requirements; train personnel to be able to respond to a collection of 

information; search data sources; complete and review the collection of information; and transmit or 

otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required 

to respond to, a collection of information unless it displays a currently valid OMB control number. 

Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, 

and any suggested methods for minimizing respondent burden, including through the use of automated 

collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection 

Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control 

number in any correspondence. Do not send the completed form to this address.
EPA Form 7610-5 (Revised 12-2009) Page 1 

United States

Environmental Protection Agency

 OMB Nos. 2060-0258 and 2060-0570

 Approval expires 11/30/2012

General Account Form

For more information, see instructions.

This submission is: New (to open a new general account)

Revised (to revise information on an existing general account)

This account is authorized to hold allowances in these programs:

Acid Rain/CAIR SO2 Trading

CAIR NOX Ozone Season Trading

CAIR NOX Trading

If you are opening a new allowance account, complete all steps in this form. If this is a 

revised submission, enter your account # and account name and complete Step 4 to 

authorize the change of information. Only the authorized account representative or 

alternate authorized account representative can authorize the change.

Account #

Account Name

Name Title 

Company Name

Address

Phone Number Fax Number

E-mail Address

STEP 1

Enter requested 

information for the 

authorized account 

representative.

STEP 2 

Enter requested 

information for the 

alternate authorized

account representative 

(required only if you 

want the general account

to have an alternate 

authorized account 

representative).

Name Title 

Company Name

Address

Phone Number Fax Number

E-mail Address
EPA Form 7610-5 (Revised 12-2009) Page 2 

STEP 3

Enter the names of all 

parties (persons or 

companies) subject to 

the binding agreement

authorizing your 

representation of the 

account.

Name

Name

Name

Name

Acid Rain Program

I certify that I was selected under the terms of an agreement that is binding on all persons 

who have an ownership interest with respect to allowances held in the Allowance Tracking 

System account. I certify that I have all necessary authority to carry out my duties and 

responsibilities on behalf of the persons with an ownership interest and that they shall be 

fully bound by my actions, inactions, or submissions under 40 CFR Part 73. I am authorized 

to make this submission on behalf of the persons with an ownership interest for whom this 

submission is made.

I certify under penalty of law that I have personally examined, and am familiar with, the 

statements and information submitted in this document and all its attachments. Based on 

my inquiry of those individuals with primary responsibility for obtaining the information, I 

certify that the statements and information are to the best of my knowledge and belief true, 

accurate, and complete. I am aware that there are significant penalties for submitting false 

statements and information or omitting material information, including the possibility of fine 

or imprisonment for violations.

Clean Air Interstate Rule (CAIR) NOX Annual Trading Program

I certify that I was selected as the CAIR authorized account representative or the alternate 

CAIR authorized account representative, as applicable, by an agreement that is binding on 

all persons who have an ownership interest with respect to CAIR NOX allowances held in 

the general account. I certify that I have all the necessary authority to carry out my duties 

and responsibilities under the CAIR NOX Annual Trading Program on behalf of such persons 

and that each such person shall be fully bound by my representations, actions, inactions, or 

submissions and by any order or decision issued to me by the Administrator or a court 

regarding the general account.

I am authorized to make this submission on behalf of the persons having an ownership 

interest with respect to the CAIR NOX allowances held in the general account. I certify 

under penalty of law that I have personally examined, and am familiar with, the statements 

and information submitted in this document and all its attachments. Based on my inquiry of 

those individuals with primary responsibility for obtaining the information, I certify that the 

statements and information are to the best of my knowledge and belief true, accurate, and 

complete. I am aware that there are significant penalties for submitting false statements and 

information or omitting required statements and information, including the possibility of fine 

or imprisonment.

Clean Air Interstate Rule (CAIR) SO2 Trading Program

I certify that I was selected as the CAIR authorized account representative or the alternate 

CAIR authorized account representative, as applicable, by an agreement that is binding on 

all persons who have an ownership interest with respect to CAIR SO2 allowances held in the 

general account. I certify that I have all the necessary authority to carry out my duties and 

responsibilities under the CAIR SO2 Trading Program on behalf of such persons and that 

each such person shall be fully bound by my representations, actions, inactions, or submissions

STEP 4

Read the certifications 

and sign and date. 
EPA Form 7610-5 (Revised 12-2009) Page 3 

and by any order or decision issued to me by the Administrator or a court regarding the general 

account.

I am authorized to make this submission on behalf of the persons having an ownership interest 

with respect to the CAIR SO2 allowances held in the general account. I certify under penalty of 

law that I have personally examined, and am familiar with, the statements and information 

submitted in this document and all its attachments. Based on my inquiry of those individuals with 

primary responsibility for obtaining the information, I certify that the statements and information 

are to the best of my knowledge and belief true, accurate, and complete. I am aware that there 

are significant penalties for submitting false statements and information or omitting required 

statements and information, including the possibility of fine or imprisonment.

Clean Air Interstate Rule (CAIR) NOX Ozone Season Trading Program

I certify that I was selected as the CAIR authorized account representative or the alternate CAIR 

authorized account representative, as applicable, by an agreement that is binding on all persons 

who have an ownership interest with respect to CAIR NOX Ozone Season allowances held in the 

general account. I certify that I have all the necessary authority to carry out my duties and 

responsibilities under the CAIR NOX Ozone Season Trading Program on behalf of such persons 

and that each such person shall be fully bound by my representations, actions, inactions, or 

submissions and by any order or decision issued to me by the Administrator or a court regarding 

the general account.

I am authorized to make this submission on behalf of the persons having an ownership interest 

with respect to the CAIR NOX Ozone Season allowances held in the general account. I certify 

under penalty of law that I have personally examined, and am familiar with, the statements and 

information submitted in this document and all its attachments. Based on my inquiry of those 

individuals with primary responsibility for obtaining the information, I certify that the statements 

and information are to the best of my knowledge and belief true, accurate, and complete. I am 

aware that there are significant penalties for submitting false statements and information or 

omitting required statements and information, including the possibility of fine or imprisonment.

Signature (Authorized Account Representative) Date

Signature (Alternate Authorized Account Representative, if any) Date
STEP 5 (Optional)

Respond to the 

questions by marking all

appropriate boxes. (EPA

will use this information 

for program evaluation 

purposes only.)

Is the authorized account representative employed by an allowance brokerage firm?

 No

 Yes (if yes, please mark all boxes that apply)

 This account will be used to transfer allowances between clients

 This account will be used to hold allowances for investment purposes

 This account will be used for other purposes

What types of business are represented by the owner(s) of allowances in this account (mark all boxes 

that apply)? 

 Utility

 Non-Utility Generators of Electricity

 Industrial Boiler

 Fuel Supplier

_______ Coal _______ Oil

_______ Gas _______ Other

 Pollution Control Equipment Manufacturer or distributor

 Public Interest Group

_______ Consumer _______ Other

_______ Environmental

Submission 

Information

 Other ───────────────────────────────▸

Mail to the following address:

By regular/certified mail: 

U.S. Environmental Protection Agency

Clean Air Markets Division (6204J)

Attn: Allowance Tracking System

1200 Pennsylvania Avenue, NW 

Washington, DC 20460 

Or overnight mail:

U.S. Environmental Protection Agency

Clean Air Markets Division (6204J)

Attn: Allowance Tracking System

1310 L Street, NW

Second Floor, Office 202B

Washington, DC 20005

(202) 343-9168

 

EPA Form 7610-5 (Revised 12-2009) Page 4