Administrative Code

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Virginia Administrative Code
Title 9. Environment
Agency 25. State Water Control Board
Chapter 590. Petroleum Underground Storage Tank Financial Responsibility Requirements
7/8/2020

Forms (9VAC25-590)

Corporate Ability to Pay Application (rev. 7/02).

Individual Ability to Pay Claim (rev. 7/02).

Partnership Ability to Pay Application (rev 7/02)

Insurance Certification (rev. 7/02).

Ability to Pay Application Instructions (rev. 7/02).

Ability to Pay Bankruptcy Affidavit (Tank Program) (rev. 7/02).

Notice of Intent to Seek Reconsideration (rev. 8/02).

Reconsideration Claim Form (rev. 8/02).

Form 1-Virginia Petroleum Storage Tank Fund Reimbursement Application (1/1/98).

Form 2-Virginia Petroleum Storage Tank Fund Payment Assignment Form and Substitute IRS Form W-9 (rev. 2/99).

Form 3-Virginia Petroleum Storage Tank Fund Multiple Owners Payment Assignment Form (1/1/98).

AAF Cost Worksheet (1/1/98).

Bid Cost Worksheet (rev. 1/98).

Activity Authorization Form for 198 UCRs (rev. 11/02).

Activity Authorization Form for 395 UCRs (rev. 1/00).

Activity Authorization Form for 1289 UCRs (rev. 1/00).

Bid Summary Form (1/1/98).

Bid Comparison Form (1/1/98).

Bid Work Progress Form (1/1/98).

Site Information Form (7/98).

Certification of AST Facility Storage Capacity for Access to the Virginia Petroleum Storage Tank Fund (7/98).

Certification of Annual Gallonage (7/98).

Estate Ability to Pay Application (7/98).

Virginia Petroleum Storage Tank Fund Substitute IRS Form W-9 (Rev. 2/99).

Reconsideration Claim Form Worksheet (Rev. 8/02).

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