Heating Oil Forms & Documents

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)

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