Forms & Documents

Heating Oil Forms & Documents

For Homeowners

• Heating Oil Technical Assistance Program (HOTAP) Application & Agreement:
  Submit Online or Print & Mail (pdf)
• Heating Oil Pollution Liability Insurance Registration Form:
  Submit Online or Print & Mail pdf
• Heating Oil Service Provider List (pdf)
      Khmer (pdf)
      Somali (pdf)
      Spanish (pdf)
      Vietnamese (pdf)
• Heating Oil Fact Sheet (pdf)
      Khmer (pdf)
      Somali (pdf)
      Spanish (pdf)
      Vietnamese (pdf)
• Heating Oil Insurance Policy (pdf)
      Khmer (pdf)
      Somali (pdf)
      Spanish (pdf)
      Vietnamese (pdf)

For Service Providers

• Service Provider Agreement Form:
  Print & Mail (pdf)
• Interim Project Payment Form:
  Print & Mail (pdf)
• Change Order Form:
  Print & Mail (pdf)
• Project Closeout/Cost Claim Form:
  Print & Mail (pdf)
• Scope of Work Form:
  Print & Mail (pdf)
• PLIA Uniform Environmental Covenant*:
  Print & Mail (docx)  *Please consult with PLIA for approval before filing

UST Forms & Documents

Diagram of PLIA UST Programs (pdf)

• Loan and Grant Program

  • Loan and Grant Program Guidance (pdf)
  • Loan and Grant Program Flow (pdf)
    
  • Loan and Grant Program Overview (pdf)
  • Loan and Grant Report to the Legislature (pdf)

  Petroleum Technical Assistance Program (PTAP)

  • PTAP One Pager (pdf) – Information about the program.
  • PTAP Definitions (pdf) – Definitions of terms used in PTAP.
  • PTAP Guidance (pdf) – Interpretive guidance for PTAP.

• Commercial UST

  • Commercial UST – Guide to Tank Insurance (ASTSWMO) (pdf)

Agency Information

Plans and Reports

• Economic Report on Petroleum Storage Tanks in Washington (pdf)
• Agency Strategic Plan (pdf)
• Open Data Plan (pdf)
• An Analysis of UST System Infrastructure in Select States (pdf)

Other

• Public Records Request Form:
  Submit Online or Print & Mail (pdf)