Underground Storage Tanks-Related Forms

IMPORTANT:
The Contaminated Site Remediation & Redevelopment has recently amended program rules with respect to the Site Remediation Reform Act (SRRA). CSRR has revised many of the forms to reflect these changes. The updated forms are available at CSRR Forms Library.

Form/ Doc# Rev. or Posting Date Form/ Document Name & Description Formats Available

Authorization Form for UST Registration
Use this form to authorize a third party to certify as the owner and/or operator during the online registration process.

 Form [pdf]

Installer Certification Form
Use this form for new UST installations or returning out-of-service USTs to service. It should be uploaded during the UST Facility Certification Questionnaire service.

 Form [pdf]
UST-010
Rev: 8/97
Posted: 21 December 2016		 UST Substantial Modification Permit application form MS Word [doc]
Adobe Acrobat [pdf]
UST-010a
Rev: 8/97
Posted: 21 December 2016		 UST Substantial Modification Permit Application Instructions MS Word [doc]
Adobe Acrobat [pdf]

Form
Version: 1.5
Posted: 17 September 2018

 Out of Service Extension Request for an Underground Storage Tank System Form [pdf]
Instructions [pdf]

Note: The Online UST Registration Service will become mandatory as of December 2, 2024. As of that date, paper Facility Certification Questionnaires will no longer be accepted. Please click Online UST Registration Service Notice [pdf] for more information.
UST-021
Version: 2.4
Posted: 17 September 2024		 UST Facility Certification Questionnaire

Use this questionnaire for initial registration and for corrections or amendments to existing facility registration.

Submit UST Facility
Certification Online

Instructions [pdf]

Change Log [pdf]

FAQs [pdf]

Attachments for UST-021 Form – Financial Responsibility for Regulated Underground Storage Tanks (USTs) Certifications:

UST Financial Responsibility Info
Attachment to UST-021
Rev: 12/03
Posted: 5 March 2004		 Financial Test of Self – Insurance

This form should be completed and attached to the UST Facility Certification Questionnaire when Self Insurance is chosen as a Financial Responsibility Insurance type in Section C of the Questionnaire.

 MS Word [doc]
Adobe Acrobat [pdf]
Zip of Word Doc [zip]
Attachment to UST-021
Rev: 12/03
Posted: 5 March 2004		 Financial Test for Local Government

This form should be completed and attached to the UST Facility Certification Questionnaire when Local Government is chosen as a Financial Responsibility Insurance type in Section C of the Questionnaire.

 MS Word [doc]
Adobe Acrobat [pdf]
Zip of Word Doc [zip]
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