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Fiscal/Compliance Forms

Ability to Pay Form (Individual)

Ability to Pay Form (Corporation)

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

Tank Installation Notification Form

Tank Inventory Form

Tank Removal Notification Form

Tank Replacement Notification Form

Transfer of Ownership Form

 

Claims Forms

Certification Affidavit

Claim Reimbursement Application

Cost Pre-Approval Application - FPR

Cost Pre-Approval Application - RAP

Eligibility Application

Hardship Status Application

Limited Power of Attorney for Signature Delegation

Linked Deposit Application

Listing of Invoices

One-Year Claim Filing Deadlines Table

Remediation System Disposition Form

Remediation System Documentation Form

 

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

 

 

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

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