Use this form to report a potential violation of the Massachusetts Appliance Energy and Water Efficiency Standards set forth in 225 CMR 9.00 and implemented through Guidelines interpreting the Regulation.  

Please note that any information submitted along with or in response to this form, including written comment and contact information, are subject to the Massachusetts Public Records Law, M.G.L., Chapter 66, Section 10, and to Chapter 4, Section 7, Subsection 26.

Potential Violating Company Details

Please provide as much information as you can about the company you observed potentially violating 225 CMR 9.00. This could be a manufacturer, wholesale or retail seller, online seller, or installer. Please indicate the category of the company provided.
Company Category(Required)
Address
(in http://www.sample.com format)
Date Potential Violation was Observed(Required)
Date/Time Potential Violation was Observed(Required)
:

Corrective Action

Please tell DOER what corrective action you have taken regarding the potential violation.
Did you alert the business of the potential issue?
When did you take corrective action? (Date)
When did you take corrective action? (Time)
:
Did the business take corrective action?

Location of Violation

If the location where the potential violation of 225 CMR 9.00 occurred is different than the company location provided above, please provide DOER with details about the location For example, if non-compliant products are installed at a customer site, please provide the site information.
Did the potential violation occur at a different location than mentioned above?
Address

Non-Compliant Product Shipped, Sold, or Installed

Appliance Type(Required)
Specific Commercial Cooking Equipment
Specific Plumbing Fixtures or Fittings
Potential Violation Type(Required)
Please provide your best estimate of how 225 CMR 9.00 was violated.

Specific Item Details

Please provide non-compliant product information if shipped to, sold in, or installed in MA. Please use naming conventions as they appear in the SASD, if applicable.  This section is optional.

Reporter Information

Reporting individuals must provide their name and address to DOER pursuant to 225 CMR 9.04(5). If you have additional information, documents, or pictures you would like to provide, please provide additional contact information (e.g., an email address) so someone can follow-up.
Reporter Name(Required)
Contact Address(Required)
Do you have additional information?
If you have additional information for DOER, please provide additional contact information so staff can follow up.
What type of information do you want to provide?