Pennsylvania Department of Environmental Protection: Mine Subsidence Insurance
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Home | Check Risk | Site-Specific Underground Mining Request
Address location form for underground mining information

Please complete and submit this form for further information regarding underground mining at your site. We will attempt to locate your site and will inform you of our findings. We will process your request as soon as possible, however this may take up to three weeks depending on our workload.

* Denotes Required Fields

Your Name*
Email Address*
Street Number*
Street Name*
City*
Zip Code*
Municipality*
County*
Daytime Phone*
Nearest Street
Intersection
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Write the characters in the image above


If you have a rural route address, please provide as much information as possible regarding the location of your site. For example: From Route 19N, make a right onto McMurray Road, then make the second right onto Oak Street, 3rd house on the right.

If you have problems with this form, please call 888-357-2674 or email questions to MSI QUESTIONS