Forms & Documents

Heating Oil Forms & Documents

For Heating Oil Tank Owners

- 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)
- 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)
- Checking Your Heating Oil Tank for Water (PDF)

For Service Providers

Service Provider Agreement Form:
Print & Mail (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.

NPC 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)

UST Forms & Documents

Diagram of PLIA UST Programs (PDF)

Loan and Grant Program

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

Other

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