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 FormTank Removal Notification FormTank Replacement Notification Form Transfer of Ownership Form Claims Forms Annual Remedial Action Plan (RAP) Certification Affidavit Claim Reimbursement Application Eligibility ApplicationFree Product Recovery Form 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.
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
Annual Remedial Action Plan (RAP)
Certification Affidavit
Claim Reimbursement Application
Eligibility Application
Free Product Recovery Form
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