Forms & Documents

This page lists all program forms, documents and resources. *Translated versions of documents are found here.

Heating Oil Forms & Documents

For Heating Oil Tank Owners

• Heating Oil Fact Sheet (PDF)*
• Checking Your Heating Oil Tank for Water (PDF)
• Report a Known or Suspected Heating Oil Tank Release (External Link)
• Find Your Local County Fire Chief or Fire Marshal (PDF) 
• Personal Financial Statement Template (XLS)
• Heating Oil Insurance Program
  • Heating Oil Insurance Policy (PDF)*
  • Confirm Your Heating Oil Tank Registration
  • 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 Insurance Program Registration Transfers (PDF)
  • Heating Oil Pollution Liability Insurance Registration Transfer Form:
    Submit through Online Community or Print & Mail (PDF)
• Technical Assistance Program (TAP)
  • TAP Application (Online Application)
  • TAP Fact Sheet (PDF)
  • TAP Terms and Conditions (PDF)
  • TAP Guidance (PDF)
  • Environmental Covenant Fact Sheet for Homeowners (PDF)
• Pilot Heating Oil Loan and Grant Program
  • Pilot Heating Oil Loan and Grant Guidance (PDF)*
  • Pilot Heating Oil Loan and Grant Application (PDF)*
    

For Service Providers

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

Heating Oil Insurance Program Alternative 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

• 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 Application (Online Application)
  • TAP Fact Sheet (PDF) – Information about the program.
  • TAP Definitions (PDF) – Definitions of terms used in TAP.
  • TAP Guidance (PDF) – Interpretive guidance for TAP.
  • Covenant Template (DOCX)
• 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 2021 (PDF)

Program Policies

• Anti-Discrimination, Harassment, & Sexual Harassment Policy (PDF)
• Silica Gel Cleanup Analytical Methods (PDF)
• Remedial Investigation Groundwater Data Needs for Aged Sites (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.