Ohio PUSTRCB Home Page...
Administrative Code....Warning....This is a one minute download at 56k....Please be patient....
Appeals Process...
Breaking News...
Board Members...
Claims Process...Common Questions...
Contact Us...Forms & Applications...Hardship Program Information...
Linked Deposits...
Directions to Our Office If you Are In Columbus...
Scheduled Board MeetingsMission Statement...Newsletter...
How To Apply For Fund Coverage...
Online Publications & Fund Facts...
Ohio Revised Code....Warning....This is a one minute download at 56k....Please be patient....
Rules Process...
Staff Members...
Browser Support Tools You May Need...

Fiscal/Assurability Forms

O.A.C. 3737-1-04.1 Affidavit

Tank Installation Notification Form

Tank Inventory Form

Tank Removal Notification Form

Tank Replacement Notification Form

 

Claims Forms

Annual Remedial Action Plan (RAP)

Certification Affidavit

Claim Reimbursement Application

Eligibility Application

Free Product Recovery Form

Hardship Status Application

Linked Deposit Application

Listing of Invoices

One Year Claim Filing Deadlines Table

Remediation System Disposition Form

Remediation System Documentation Form

These forms are provided in Adobe® Reader® PDF format.

 

If you need help with PDF documents, please read the following...

 

 

You can obtain the free Adobe® Reader® application by going to the Adobe website; downloading the appropriate file and installing it on your computer.

 

After completing the forms you may mail them and supporting documentation to our office at the address listed on the Contact Us page.

Back To The Top Of The Page...