Ohio PUSTRCB Home Page...
Administrative Code...Appeals Process...Breaking News...Board Members...Claims Process...Common Questions...Contact Us...Financial Information...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...Rules Process...Facility Search...Staff Members...Browser Support Tools You May Need...

Fiscal/Compliance Forms

Ability to Pay Form (Corporation)

Ability to Pay Form (Individual)

Ability to Pay Form (Public Entity)

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

Tank Installation/Removal Notification Form

Tank Inventory 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 (Individual)

Hardship Status Application (Corporation)

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.

Back To The Top Of The Page...