Surcharge Forms

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Industrial Waste Facility Online Reporting System (IWFORS):

IWFORS is a new online system that streamlines the surcharge filing process by guiding you through each step and automating calculations. You will save time and reduce errors by using IWFORS to electronically prepare and submit your surcharge statement package. Please visit our website at https://www.lacsd.org/IWFORS to learn more about registering for an account.

Surcharge Forms by Fiscal Year:

Surcharge Forms » Surcharge Form - FY 2023-2024

Surcharge Forms and Surcharge Audit Sample Result Outlier Calculator require use of Microsoft Excel. Refer to Microsoft Excel (PC or Mac) to obtain the latest version of Microsoft Excel.

Surcharge Form Instructions:

Summary of Surcharge Program

Submission of Surcharge Statement Packages and all back-up may be emailed to surchargeinfo@lacsd.org.

Make an Online Payment

For more information on the Sanitation Districts' surcharge program, contact the Surcharge Processing Group at (562) 908-4288, extension 2600 or by email at surchargeinfo@lacsd.org.

Please note that the electronic versions of the tables in Microsoft EXCEL are offered for your convenience only. The Sanitation Districts do not guarantee the accuracy of calculations performed using the electronic tables. Carefully review your surcharge statement before submission to ensure accuracy. Inaccurate surcharge filings may be subject to penalties and/or interest fees.

The following tables are located within the file for the current fiscal year in the folder above.

The Sanitation Districts now offer electronic versions of Table 1, Table 2A, Table 2B, and Table 3. Hard copies of these tables may be filed in lieu of the tables included in the Surcharge Statement packages. The tables are in Excel format and appropriate software is needed to use them.

Table 1 - Multiple Discharge Outlet Summary
Table 2A - Water Usage Verification Table
Table 2B - Adjusted Meter Water Supply
Table 3 - Chemical Oxygen Demand & Suspended Solids Summary

Use the appropriate Table below based on your method of flow volume determination:

Table 3 - Metered Water Supply
Table 3 - Adjusted Metered Water Supply
Table 3A - Direct Determination (sampling frequency of bimonthly or less)
Table 3B - Direct Determination (weekly sampling frequency)
Table 3C - Direct Determination (biweekly sampling frequency)
Table 3D - Direct Determination (daily sampling frequency)

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