Please name or describe the substance spilled.
Spill Quantity in Litres, Kilograms or Cubic Meters. Leave blank if unknown spill quantity.
In square meters. Leave blank if unknown.
Use the map or the address bar to navigate to the spill location. Click on the spill location to place a pin.
Enter an address to be localized.
Provide some information that can be used to describe the location of the spill (address, lot number, etc).
List any known hazards to persons, property or environment resulting from the spill.
Use if Applicable
Name of Party or Vessel involved in the spill.
Unlimited number of files can be uploaded to this field.50 MB limit.Allowed types: jpg jpeg png pdf docx xlsx.
All personal information contained on this form is collected under the authority of the Spill Contingency Planning and Report Regulations Section 11, and is used for the purposes of assessing and processing spill reporting information. If you have any questions in relation to the information collected on this form, please contact the Manager of Environmental Protection by email at environmental_protection@gov.nt.ca, or by mail at PO Box 1320 Yellowknife, NT X1A 2L9, or by phone at 867.767.9236, ext 53184.