Forms & Documents

Heating Oil Forms & Documents

For Heating Oil Tank Owners

• • Technical Assistance Program (TAP) Application & Agreement:
    Apply Online
  • Heating Oil Pollution Liability Insurance Registration Transfer Form:
    Submit through Online Community or Print & Mail (PDF)
  • Heating Oil Service Provider List
    This link will take you to a page with a searchable list of heating oil service providers that is updated monthly.
  • 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)
  • Pilot Heating Oil Loan and Grant Guidance (PDF)
         Khmer (PDF)
         Somali (PDF)
         Spanish (PDF)
         Vietnamese (PDF)
  • Pilot Heating Oil Loan and Grant Application (PDF)
         Khmer (PDF)
         Somali (PDF)
         Spanish (PDF)
         Vietnamese (PDF)
  • Personal Financial Statement Template (XLS)
  • Checking Your Heating Oil Tank for Water (PDF)

For Service Providers

• Service Provider Agreement Form (PDF)
• PLIA Uniform Environmental Covenant*:
  Print & Mail (docx)  *Please consult with PLIA for approval before filing
• Online Community FAQs

Online Community Approval Forms

The forms in this section are for heating oil tank owners who are unable to access the Online Community.

• Notice of Potential Claim (NPC) Form
  Please request
• 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)

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)
• Personal Financial Statement Template (XLS)

Technical Assistance Program (TAP)

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

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 2021 -2023 (PDF)
• Open Data Plan (PDF)
• An Analysis of UST System Infrastructure in Select States (PDF)
• Loan and Grant Program Report to the Legislature 2019 (PDF)

Program Policies

• Silica Gel Cleanup Analytical Methods (PDF)

Other

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

To request materials in an alternative format, call PLIA at 1-800-822-3905. Relay Service 711, or TTY at 1-800-833-6388. PLIA also offers interpretation services, including any foreign language, to our partners and customers. Please request this service when you contact us.