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Get the free UST Petroleum Clean-Up Program Payment Election Form for Mid-Size Station Applicants

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This form is used by mid-size station applicants to submit a payment election to the Department of Energy and Environmental Protection for the Underground Storage Tank Petroleum Clean-Up Program,
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How to fill out ust petroleum clean-up program

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How to fill out UST Petroleum Clean-Up Program Payment Election Form for Mid-Size Station Applicants

01
Download the UST Petroleum Clean-Up Program Payment Election Form from the official website.
02
Fill in your contact information at the top of the form including your name, address, email, and phone number.
03
Specify your facility's details such as the name, location, and type of storage tanks.
04
Indicate whether your facility is classified as a Mid-Size Station.
05
Select the payment option you wish to elect for the clean-up costs associated with your facility.
06
Provide any required supporting documentation that verifies your eligibility.
07
Review the filled form for accuracy and completeness.
08
Sign and date the form in the designated area.
09
Submit the completed form via the required submission method (mail/email/fax) to the appropriate authority.

Who needs UST Petroleum Clean-Up Program Payment Election Form for Mid-Size Station Applicants?

01
operators of Mid-Size Stations that have incurred costs for UST petroleum clean-up activities.
02
facility owners who qualify for financial assistance from the UST Petroleum Clean-Up Program.
03
entities seeking reimbursement for eligible clean-up expenses associated with petroleum leaks or spills.
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The UST Petroleum Clean-Up Program Payment Election Form for Mid-Size Station Applicants is a document that allows eligible mid-size petroleum stations to apply for financial assistance to cover the costs of cleaning up petroleum-related contamination.
Mid-size petroleum station operators who are seeking financial assistance for cleanup of petroleum contamination are required to file this form.
To fill out the form, applicants must provide their contact information, details regarding the contamination site, and any necessary documentation supporting their claim for assistance.
The purpose of the form is to facilitate the processing of financial assistance requests for mid-size stations that are involved in petroleum contamination cleanup efforts.
Information that must be reported includes the applicant's personal and business details, the specific site information, details about the contamination, and any relevant cleanup cost estimates.
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