Merced County Login Request
) indicate required fields
This form is to be completed by the business owner or corporate officer to request a username and password in order to access the Portal. If you wish to grant another individual authorization, complete this form with THAT individual's information and attach the signed authorization statement. Use the notes section to provide specific information as needed. The System Administrator will contact you within 72 hours.
First Name and MI
Your relationship to the business
Authorized by Business Owner
Underground Storage Tanks
Aboveground Petroleum Storage Tanks