Appendix 9998. FORMS (9VAC25-590)  


Latest version.
  • 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).