ERIC FacUpdate Request

Submitting this form will send an email of the requested changes to FacUpdate@la.gov.
Typically requests are completed within 1-2 Business Days.

The person submitting this request will be notified when the update is complete.

Name of person submitting this request

(First)

(Last)

Email of person submitting this request

AI Number

Facility Name

Need to update:

EI Billing Party

EI Facility Contact

Front Gate Coordinates

Incorrect Ownership Dates

Facility Mailing Address and Phone Number

NAICS

SIC

(Please select all that apply)

EI Billing Party Company Name

EI Billing Party Contact Name

EI Billing Party Address

(mailing address of contact)

EI Billing Party Start Date

(Beginning of the reporting year)

EI Billing Party Email

EI Billing Party Phone number

(include area code)

EI Facility Contact Name

EI Facility Contact Title

EI Facility Contact Address

(mailing address of contact)

EI Facility Contact Start Date

(Beginning of Reporting Year)

EI Facility Contact Email

EI Facility Contact Phone Number

(include area code)

Front Gate Latitude

(Decimal Degrees (Easting) Ex: 30.452934)

Front Gate Longitude

(Decimal Degrees (Northing) Ex: -91.185238)

Ownership Date Range

Facility Mailing Address

(street, city, state, zip code)

Facility Physical Address

(street, city, state, zip code)

Facility Phone Number

(include area code)

Update the NAICS Code

Update the SIC Code

Any additional information you want to share?

AIR

AIR

ERIC FacUpdate Request