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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 AdobeŽ ReaderŽ PDF format.

 

 

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

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