Financial Assurance Forms & Form Guidance

For proof of financial responsibility, originally signed duplicates of financial mechanism(s) shall be submitted on the appropriate form(s) pursuant to Rule 62‑730.180(6)(a), F.A.C.. DEP Form 62‑730.900(4)(a)-(r) are available below.

Note: If a letter of credit or a surety bond is used, a standby trust fund agreement [Forms 62-730.900(4)(f) or (r)] is also needed.

 

Financial Responsibility Forms

Financial Test and Corporate Guarantee

Trust Fund and Standby Trust Fund Agreements

Letter of Credit

Surety Bonds

Insurance

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* - A standby trust fund agreement [Form 62-730.900(4)(f) or (r)] is also needed when using Forms 62-730.900(4)(g), (h), (i), (o) and  (p).

 

Delegation of Authority Letter

Signatory for the owner or operator on bonds, trust funds and letters of credit cover letters should be the president of a corporation, managing member of an LLC or equivalent for entity type. If the name of the president (or equivalent) is not found on the Florida Division of Corporations website (Sunbiz), or if anyone else signs, additional documentation will be required.

Irrevocable Letter of Credit
Form 62-701.900(5)(a)

Financial Guarantee Bond
Form 62-701.900(5)(b) Performance Bond
Form 62-701.900(5)(c) Insurance Certificate
Form 62-701.900(5)(d) Financial Test
Form 62-701.900(5)(e) Corporate Guarantee
Form 62-701.900(5)(f) Trust Fund Agreement
Form 62-701.900(5)(g) Standby Trust Fund Agreement
Form 62-701.900(5)(h) Delegation of Authority Letter
Signatory for the owner or operator on bonds, trust funds and letters-of-credit cover letters should be the president of a corporation, managing member of an LLC, or equivalent for entity type. If the name of the president (or equivalent) is not found on the Florida Division of Corporations website (Sunbiz), or if anyone else signs, additional documentation will be required. -->

 

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Contact Information

Shared mailbox: Financial.Assurance.Working.Group@FloridaDEP.gov
If your regular contact cannot be reached, feel free to contact any of the other team members.

Mail completed original signature documents to:

Financial Assurance Working Group
Florida Department of Environmental Protection
2600 Blair Stone Road MS 4548
Tallahassee, FL 32399-2400

Links:

 

Last Modified: Friday, Apr 26, 2024 - 08:28am