SAC Forms

Text Alert Icons COVID-19 NOTE

During the governor’s order on outdoor-only seating for restaurants, no SAC determination is needed for new or additional outdoor seating. However, cities will still need to notify the SAC program of outdoor activity in the event the facilities become permanent when the order is lifted. See COVID-19 Temporary Outdoor Seating form (PDF). Please e-mail SACprogram@metc.state.mn.us for details.

Due to the pandemic, our SAC staff is working at home. Please send your SAC determination applications through our online submittal system or email the entire submittal packet to SACprogram@metc.state.mn.us. If you mail in an application, we will be unable to get to them until we are allowed back into the building to work.

SAC Determination forms

  • Affidavit of Business Use: Food and Drink Establishments (Affidavit-A)

    This form is required to be submitted with the other items listed on the Transmittal-A Checklist if the business use is a food/drink establishment. This affidavit must be filled out and signed by the business owner.

  • Affidavit of Business Use: Process Discharge (Affidavit-B)

    This form is required to be submitted with the other items listed on the Transmittal-A Checklist, if the business has any type of process discharge. This affidavit must be filled out and signed by the business owner.

  • Affidavit of Property Use (Affidavit-C)

    This form is required, when requested, to validate the use of a property when no SAC history or documentation of previous use exists. This form must be filled out and signed by the customer community building official and the building official's manager. 

  • Reclaim Car Wash Systems

    A submittal checklist for reclaim car wash systems. All items on this checklist must be submitted with the Transmittal-A Checklist.

  • Phased Development Plan (Phased Development)

    This form is a checklist of required items to be considered for a Phased Development Request by the customer community. This form must be signed by a customer community official and submitted with all items on this checklist.

  • Major Credit Transfer

    A Major SAC Credit transfer allows a transfer of SAC Credits between or within customer communities. The request originates either from the customer community or from the Department of Employee and Economic Development (DEED) for a business DEED determines is of statewide economic significance. See Section 5.7 of the SAC Procedure Manual for further information and restrictions.
  • Minor Credit Transfer: Submittal Checklist (Minor Credit Transfer-D)

    This form is to be submitted with the Activity Summary Report by the customer community when the permit is issued for the future site. A request from the customer community is detailed on the MCES Minor Credit Transfer-D form that includes the signature of an authorized official of the customer community, limited to 10 SAC or less that has been paid to MCES by the customer community, and is only for the benefit of an identified, current business moving from one Site to another in the same community. See Section 5.7.2 of the SAC Procedure Manual for further restrictions and information.

SAC Activity Report forms

  • 2020 Covid19 Outdoor Seating List

    This form is for reporting all business that are adding temporary outdoor seating due to the Governor's restriction due to Covid19 (PDF). No SAC determination is required for establishments opening new or expanding outdoor seating for temporary use due to Covid19. Form should be submitted no less than monthly. Email form to SACprogram@metc.state.mn.us. Once the Governor has lifted the restriction, MCES will send a complete list back to the cities to certify the temporary outdoor area has been closed or request a complete SAC determination be remitted to MCES for changing to permanent use.
  • SAC Activity Summary Report (SAC-A)

    Form MCES SAC-A is a summary of information from the supporting activity reporting forms. MCES must receive the SAC reports and payments within 30 days of the end of each reporting period. Postmark date is not acceptable. If the payment and report is received within 30 days, a 1% prompt payment discount may be retained by the customer community and must be shown on the Form MCES SAC-A submittal.
  • SAC Residential Detail Report (SAC-B)

    The MCES SAC-B form is required to document all New Use activity for Residential Properties. All residential activity must be shown on the MCES SAC-A form submittal. There are two tabs associated with this form: SAC-B (Basic) is for those new residential properties with no offsetting SAC credit; and SAC-B is for those new residential properties that have offsetting credits, such as previous demolitions.

  • SAC Commercial Detail Report (SAC-C)

    Form MCES SAC-C is required to document all new use and change-of-use activity for commercial properties (including non-profit, governmental and institutional). A MCES SAC Determination Letter may be substituted for this form if it includes an address, building permit number, issue date and pertinent credit information. A commercial activity must be shown on the Form MCES SAC-A submittal.

  • SAC Demolition Declaration Report (SAC-D)

    Form MCES SAC-D is required to document all Demolition activity. This form establishes a potential future credit and is required to be reported to MCES in order for the demolition to be creditable for the new use. Monthly reporting is recommended.

  • SAC Deferral Report (SAC-E)

    The MCES SAC-E form is for those customer communities that have executed the standard master SAC deferral agreement. This form is to include information on those businesses that the customer community is requesting to participate in the SAC deferral program with MCES.

  • SAC Residential Deferral Report (SAC-F)

    The MCES SAC-F form is for those customer communities that have executed the standard master SAC Residential Deferral agreement. This form is to include information on those residential properties that the customer community is requesting to participate in the SAC residential deferral program with MCES.